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it is a chronic injury because it happens overtime; result of over-stretching of the muscles in the forearm (such as the extensor carpi)

acute injuries to the elbow are generally recognized as less than 2 weeks in duration and may or may not be associated with direct trauma. Acute trauma to the elbow is likely to involve a fracture, dislocation or tendon rupture. Pain is typically well localized and a mechanism of injury is apparent. The climber may experience swelling, bruising and/or loss of elbow function

Chronic elbow injuries are typically the result of repetitive injuries, general inflammatory conditions and/or post trauma. They are recognized as greater than 2 weeks in duration. Patients often describe recurrent pain, stiffness and/or loss of elbow range of motion.

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Q: Is tennis elbow a chronic or acute injury?
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