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Yes, I am a fellow librarian who has had an elbow replacement that started as "tennis elbow". I don't play tennis, golf or am not physically active beyond the point of an interesting evening of needlepoint! My difficulty occured 15 years ago when I was 37 or so. I am now 52 and all has been fine. Just finished biking 1900 miles through Europe this past summer. I have a family history of arthritis and rhumatic fever. . so that may have had an impact. Good luck, Kay