The nurse is assessing a 22-year-old patient, a dedicated violin player, who complains of elbow pain and aching forearm muscles.During examination, the nurse elicits pain by touching the outside area of the elbow and when having the patient resist extension of the hand.The nurse recognizes this as:

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Chronic, disabling pain at lateral epicondyle of humerus, radiates down extensor surface of forearm.Pain can be located by touching with one finger (as shown in the illustration).Resisting extension of the hand will increase pain.Pain occurs with activities that combine excessive pronation and supination of the forearm with an extended wrist (e.g., playing racket sports, using a screwdriver, or repeated bending of the elbow).(See Tables 24-3 and 24-5.)

The Nurse Is Assessing a 22-Year-Old Patient, a Dedicated Violin