Posterior elbow impingement occurs when the triceps tendon rubs against the back of the elbow joint, causing pain, stiffness, and weakness. It arises from repetitive elbow extension motions or genetic factors. Diagnosis involves physical examination and imaging (X-ray, MRI). Treatment ranges from conservative measures (medications, physical therapy) to surgical interventions, with early diagnosis and intervention leading to favorable outcomes. Untreated impingement can lead to chronic pain or complications like nerve damage.