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According to a detailed analysis of the etiology and pathomorphology of the s.c. "tennis elbow" or radial epicondylitis, only the name enthesopathy (disturbances of the tendinous insertion to bone) can be used. The authors describe the detailed diagnostics of the enthesopathy itself, with multifactorial etiology of disturbances in the insertion of the forearm extensors, the joint capsule, synovium and radial head chondropathy; further the second most common cause, the s.c. supinator syndrome as a tunnel syndrome of the interosseous nerve. The complex pharmaceutical and physical therapy of these syndromes is also mentioned, with special reference to operative treatment. In the operative treatment of radial enthesopathy Boyd's modified operation is preferred; in the supinator syndrome a deliberation of the nerve through a partial decision of the supinator muscle. The excellent results of the operations, where in 101 patients in 2 groups there was only 1 recurrence, serve as prove of an exact diagnosis and adequate operative treatment.