What are typical symptoms of Medial epicondylitis?

• A. Numbness in the little finger.
• B. Sharp, radiating pain down the inside of the elbow during supination and gripping.
• C. Pain on the outside of the elbow during wrist extension.
• D. Pain with elbow extension without forearm rotation.

Answer: (B)

Medial epicondylitis is a overuse injury of the common flexor tendon at the medial epicondyle. The defining symptom is pain on the inner side of the elbow that’s provoked when the flexor-pronator muscles are loaded, especially during activities like gripping and resisting wrist flexion or forearm pronation. This is why gripping with the forearm positioned to stress those tendons often reproduces sharp, radiating pain along the inside of the elbow.

Numbness in the little finger points to ulnar nerve involvement rather than a tendinopathy. Pain on the outside of the elbow with wrist extension suggests lateral epicondylitis. Pain with elbow extension without forearm rotation doesn’t specifically reflect loading of the medial flexor-pronator tendon. So the described pattern—medial elbow pain elicited by gripping and loading the flexor-pronator group—fits medial epicondylitis best.