Differential Diagnosis for Swollen Elbow due to Overactivity and Pain with Pulling
- Single most likely diagnosis:
- Medial epicondylitis (Golfer's elbow): This condition is characterized by pain and inflammation on the medial (inner) aspect of the elbow, often resulting from overuse or repetitive strain, which aligns with the symptoms of overactivity and pain with pulling.
- Other Likely diagnoses:
- Lateral epicondylitis (Tennis elbow): Similar to medial epicondylitis but affects the lateral (outer) aspect of the elbow. It's also related to overuse and could cause swelling and pain, especially with activities involving pulling or gripping.
- Elbow bursitis: Inflammation of the bursae in the elbow can cause swelling and pain, especially if the bursitis is due to repetitive motion or direct trauma, which could be exacerbated by overactivity.
- Ulnar nerve entrapment: This condition can cause pain and swelling in the elbow area, particularly on the medial side, and can be exacerbated by activities that involve flexion or pulling, which might irritate the nerve.
- Do Not Miss diagnoses:
- Septic arthritis: Although less common, septic arthritis is a serious condition that requires immediate medical attention. It can cause severe pain, swelling, and warmth in the affected joint, and if not treated promptly, can lead to serious complications.
- Fracture: A fracture around the elbow, such as a radial head fracture, could present with swelling and pain, especially with movement or pulling. Missing this diagnosis could lead to improper healing and long-term disability.
- Rare diagnoses:
- Osteochondritis dissecans: A condition where a piece of cartilage and bone in the joint becomes damaged, leading to pain and swelling. It's less common in adults but could be a consideration in younger individuals or those with a history of trauma.
- Rheumatoid arthritis: Although more systemic, rheumatoid arthritis can initially present with joint swelling and pain in one area, such as the elbow, and is important to consider for comprehensive diagnosis and treatment.