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Differential Diagnosis for Elbow Pop

Single Most Likely Diagnosis

  • Lateral Epicondylitis (Tennis Elbow): This is the most common cause of elbow pain and popping, often resulting from overuse or repetitive strain on the forearm extensors.

Other Likely Diagnoses

  • Medial Epicondylitis (Golfer's Elbow): Similar to tennis elbow but affects the medial (inner) aspect of the elbow, causing pain and popping due to strain on the forearm flexors.
  • Olecranon Bursitis: Inflammation of the bursa at the back of the elbow can cause swelling, pain, and a popping sensation, especially if the bursa becomes infected or inflamed.
  • Elbow Ligament Sprain: A sprain in one of the elbow ligaments can lead to instability and a popping sensation, especially during movement.

Do Not Miss Diagnoses

  • Fracture (e.g., Radial Head or Olecranon Fracture): Although less common, a fracture can cause a sudden, severe elbow pain and a popping sensation at the time of injury. Missing this diagnosis could lead to improper healing and long-term disability.
  • Elbow Dislocation: A dislocation can cause significant pain and a feeling of instability or a "pop" at the time of injury. Prompt recognition is crucial for proper management and to avoid complications.
  • Infection (Septic Arthritis or Osteomyelitis): Infections in the elbow joint or bone can cause severe pain, swelling, and sometimes a popping sensation due to gas production by infecting organisms. These conditions are medical emergencies.

Rare Diagnoses

  • Elbow Tendinosis: A chronic condition characterized by degeneration of the tendons around the elbow, which can cause pain and sometimes a popping sensation due to tendon fiber rupture.
  • Loose Body in the Elbow Joint: A rare condition where a piece of bone or cartilage breaks off and floats in the joint, causing locking, catching, or a popping sensation.
  • Nerve Entrapment (e.g., Cubital Tunnel Syndrome or Radial Tunnel Syndrome): Although more commonly associated with numbness, tingling, or weakness, nerve entrapment around the elbow can occasionally cause pain and a popping sensation, especially if there is associated muscle or tendon involvement.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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