Epicondylar markers could be placed either manually or automatically by a computer algorithm that selected the most lateral or most medial osseous prominence of the distal part of the humerus.
The funny bone sensation is when you actually hit the ulnar nerve, which is pretty superficial right here as it comes around the medial epicondyle of your upper arm bone.
When you bend your elbow, your ulnar nerve gets flattened against the medial epicondyle and the protective tissue in the area gets displaced, bringing the nerve especially close to the skin's surface.