What is medial epicondylopathy (golfer's elbow)?

• A. An overload injury to the flexor-pronator origin at the medial epicondyle.
• B. A tear of the ulnar collateral ligament.
• C. A distal biceps tendon rupture.
• D. A carpal tunnel syndrome.

Answer: (A)

Medial epicondylopathy, or golfer’s elbow, is an overload injury of the common flexor-pronator tendon at the medial epicondyle of the humerus. Repetitive wrist flexion and forearm pronation stress the tendon attachment, leading to microtears and tendinopathy rather than a true inflammatory process. Patients typically feel pain on the inside of the elbow, worse with resisted wrist flexion or gripping, and there is tenderness over the medial epicondyle. This fits the description of an overload injury at the flexor-pronator origin, rather than a ligament tear, distal biceps rupture, or carpal tunnel syndrome, which involve different structures and symptom patterns.