Lateral epicondylitis: New trends and challenges in treatment (original) (raw)
Related papers
The Management of Lateral Epicondylitis: A Narrative Review
Journal of Clinical and Diagnostic Research, 2023
Lateral epicondylitis, commonly known as Tennis Elbow, affects approximately 1-3% of the population. Despite the absence of histological evidence of inflammation in the affected tissue, the term “epicondylitis” implies inflammation. The Extensor Carpi Radialis Brevis (ECRB) muscle is primarily affected, and the condition is attributed to excessive use of this muscle. Non surgical treatment options, such as rest, physiotherapy, cortisone injection, platelet-based therapies, and restricted movements, are recommended. Surgical intervention is suggested for cases involving physical impairment or chronic pain. This review aims to provide healthcare professionals with an understanding of the condition, including its causes, symptoms, diagnosis, and treatment planning options
Lateral epicondylitis: A review of the literature
Journal of Back and Musculoskeletal Rehabilitation, 2012
Lateral epicondylitis (Tennis Elbow) is the most frequent type of myotendinosis and can be responsible for substantial pain and loss of function of the affected limb. Muscular biomechanics characteristics and equipment are important in preventing the conditions. This article present on overview of the current knowledge on lateral Epicondylitis and focuses on Etiology, Diagnosis and treatment strategies, conservative treatment are discussed and recent surgical techniques are outlined. This information should assist health care practitioners who treat patients with this disorder.
Epicondylar injury in sport: epidemiology, type, mechanisms, assessment, management and prevention
Sports medicine (Auckland, N.Z.), 2006
Epicondylar injuries in sports with overhead or repetitive arm actions are frequent and often severe. Acute injury that results in inflammation should be termed epicondylitis and is usually the result of large valgus forces with medial distraction and lateral compression. Epicondylosis develops over a longer period of time from repetitive forces and results in structural changes in the tendon. Epicondylalgia refers to elbow pain at either the medial or lateral epicondyl of the elbow related to tendinopathy of the common flexor or extensor tendon origins at these points. Pain is usually associated with gripping, resisted wrist extension and certain movements such as in tennis and golf, hence the common terms 'tennis elbow' (lateral epicondylsis) and 'golf elbow' (medial epicondylossi). A variety of assessment and diagnostic tools are available to aid the clinician in their comprehensive evaluation of the patient to ensure correct diagnosis and the appropriate conserva...
Egyptian Journal of Orthopedic Research, 2021
The purpose of this study was to evaluate results of the release of extensor carpi radialis brevis (ECRB) in tennis elbow patients. A prospective study including twenty patients with resistant chronic lateral epicondylitis was carried out in the period between June 2018 and June 2019 at Sohag University Hospital. These 20 patients underwent arthroscopic ECRB release. Evaluation of the pain and function included visual analog scale (VAS), Quickdash score, and Nirschl staging score preoperatively, postoperatively, two weeks, four weeks, ten weeks, and six months postoperatively. The patients showed highly statistically and clinically significant differences in the form of clinical improvement indicated by the level of Quickdash, VAS, and Nirschl staging scores at each time interval of the patients follow up. There was minimal postoperative pain, early rehabilitation, and early return to activity could be achieved. Arthroscopic release of the ECRB is an effective method of treatment in patients with resistant tennis elbow.
Functional outcomes of arthroscopic treatment method of lateral epicondylitis
ACTA ORTHOPAEDICA et TRAUMATOLOGICA TURCICA, 2015
Lateral (LE) and medial epicondylitis (ME) are common disorders of the upper extremities. Challenging repetitive movements reflected from hand to elbow, related to professional or athletic activities, appear to be the source of epicondylitis disease. Morris described the disease in 1882 as tennis elbow in those who mow lawns and stated that the repetitive supination motion while the elbow was extended had caused the disease. [1] Frequency of epicondylitis has been reported as 1-3% in the general population, 5-40% in those who play tennis, and 15% of manual workers who perform repetitive movements. [2-4] It has been reported that up to 79.1% of patients recover with conservative treatment, while the remaining 20.9% require surgical treatment. [5] Conservative treatment methods include various physical therapy regimens, [6-9] corticosteroid injections, extracorporeal shockwave therapy (ESWT), [10] platelet-rich plasma (PRP) injection, [11] prolotherapy, [12] complete blood injection, [13] botox injection, [14] hyaluronic acid injection, [15] and stem cell applications. [16] As surgical treatment options, successful functional results were reported in 89% Objective: The aim of this study is to evaluate the functional results of arthroscopic lateral epicondylitis (LE) treatment in patients in whom conservative treatment proved insufficient. Methods: Between 2011-2014, 29 patients with LE (15 women, 14 men; mean age: 46 years; range: 33-79) who received at least 6 months of conservative treatment methods and did not achieve full recovery and thus underwent arthroscopic surgery were included in this study. Results: One patient was excluded from the functional assessment. Mean follow-up was 20.5 months (range: 7-42). Mean preoperative and postoperative Disabilities of the Arm, Shoulder and Hand (DASH) scores were 81.1±17.5 and 34.7±26.8 (p<0.0001), respectively, and Mayo Elbow Performance Scores (MEPS) were 48.5±11.5 and 101.2±22.9 (p<0.0001), respectively. Twenty-one patients (75%) were satisfied with the functional outcome. Conclusion: As a result, LE treated with the arthroscopic method, with its low complication rate, successful degenerated tendon debridement, and decortication of the lateral epicondyle, is a useful method for intervention in pathologies such as annular plica, loose body, synovial hypertrophy, and radiocapitellar chondropathy.