Clinical Stories – part 2

The young computer programmer reports pain in the region of his left elbow. He plays high-level tennis 4–5 times per week, after working 10–12 hours a day, despite a physique that does not obviously suggest such athletic demands. The patient’s history does not strongly support a classic case of tennis elbow, and clinical reasoning shifts the suspected cause away from the local area of symptoms. Could poor control of the left scapula be responsible for the dysfunction of the elbow?