94 results match your criteria Injection Lateral Epicondyle


Corticosteroids vs autologous blood injection for lateral epicondylitis: Study protocol for a cohort trial.

Medicine (Baltimore) 2020 Dec;99(51):e23842

Department of Joint Surgery, Chongqing General Hospital, Chongqing, China.

Background: There is limited evidence to assess the evaluation of the safety and effectiveness of autologous blood injections in the treatment of lateral epicondylitis patients. For this study, the aim was to compare the efficiency of corticosteroid and autologous blood injections for the treatment of lateral epicondylitis in a retrospective cohort trial in our single center.

Methods: After being approved by the institutional review committee of Chongqing General Hospital (IRB# 2018. Read More

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December 2020

Efficacy of Botulinum Toxin in Treating Lateral Epicondylitis-Does Injection Location Matter?: A Systematic Review.

Am J Phys Med Rehabil 2020 12;99(12):1157-1163

From the H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas (BS, PJ); and Department of Physical Medicine and Rehabilitation, Medstar National Rehabilitation Hospital, Georgetown University Medical Center, Washington, DC (DD).

Objective: Clinical trials assessing the efficacy of botulinum toxin in treating recalcitrant lateral epicondylitis have demonstrated varied results and differed greatly in methodology. The objective of this systematic review was to demonstrate injection location as a significant contributor to outcome heterogeneity.

Design: Two reviewers independently conducted a systematic review using Scopus, Embase, and PubMed for randomized controlled trials assessing botulinum toxin in the treatment of lateral epicondylitis. Read More

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December 2020

[Epidemiological profile of lateral epicondylitis in rehabilitation department].

Pan Afr Med J 2020 11;36:265. Epub 2020 Aug 11.

Service de Médecine Physique et de Réadaptation Fonctionnelle, EPS Tahar Sfar Mahdia, Mahdia, Tunisie.

Introduction: lateral epicondylitis, better known as tennis elbow, falls within the spectrum of upper extremity musculoskeletal disorders and it is a major public health problem. The purpose of our study was to determine the epidemiological and clinical profile and treatment modalities for patients with lateral epicondylitis followed at the Department of Physical Medicine and Rehabilitation.

Methods: we conducted a retrospective study (2012-2017) of patients with lateral epicondylitis referred to the Department of Physical Medicine and Functional Rehabilitation at the Tahar Sfar Mahdia University Hospital over a period of 6 years. Read More

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January 2021

Botulinum Toxin for Chronic Lateral Epicondylitis (LE).

Z Orthop Unfall 2020 Aug 3. Epub 2020 Aug 3.

Department of Physical and Rehabilitative Medicine, Charles University Third Faculty of Medicine, Prague, Czech Republic.

Lateral epicondylitis is a common disease in orthopaedic practice. Although the majority of cases do not become chronic, patients who do not respond to the initial treatment may suffer from pain in the long term and effective treatment is challenging. The off-label use of botulinum toxin is one of the common potential indications for the substance in orthopaedics and traumatology. Read More

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Platelet-rich Plasma or Autologous Blood Do Not Reduce Pain or Improve Function in Patients with Lateral Epicondylitis: A Randomized Controlled Trial.

Clin Orthop Relat Res 2020 08;478(8):1892-1900

L. Linnanmäki, K. Kanto, J. Lehtinen, Tays Hatanpää Hospital, Tampere University Hospital, Tampere, Finland.

Background: Platelet-rich plasma (PRP) and autologous blood are commonly used therapies for lateral epicondylitis, but the evidence from randomized, placebo-controlled trials is conflicting. Thus, it is still unclear if patients benefit from these treatments.

Questions/purposes: In the setting of a randomized, placebo-controlled trial, we compared PRP, autologous blood, and saline injections in the treatment of lateral epicondylitis with respect to: (1) VAS pain scores, and (2) functional outcomes (DASH score and grip strength) 1 year after treatment. Read More

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Ultrasound of iliotibial band syndrome.

J Ultrasound 2020 Sep 8;23(3):379-385. Epub 2020 Jun 8.

Istituto di Radiologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Iliotibial band syndrome or friction syndrome is an overuse disorder of the lateral knee. It is commonly reported in athletes, such as runners and cyclists, and refers to pain related to physical activity. The diagnosis is based on clinical history and physical assessment. Read More

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September 2020

Ultrasound Measurements of the ECRB Tendon Shows Remarkable Variations in Patients with Lateral Epicondylitis.

Arch Bone Jt Surg 2020 Mar;8(2):168-172

Department of Orthopaedic Surgery, Upper limb unit, Amphia Hospital, Breda, the Netherlands.

Background: Lateral epicondylitis (LE) most commonly affects the Extensor Carpi Radialis Brevis (ECRB) tendon and patients are generally treated with injection therapy. For optimal positioning of the injection, as well as an estimation of the surface area and content of the ECRB tendon to determine the volume of the injectable needed, it is important to know the exact location of the ECRB in relation to the skin as well as the variation in tendon length and location. The aim of this study was to determine the variation in location and size of the ECRB tendon in patients with LE. Read More

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Localization of the center of the intramuscular nerve dense region of the medial femoral muscles and the significance for blocking spasticity.

Ann Anat 2020 Sep 11;231:151529. Epub 2020 May 11.

Department of Anatomy, Zunyi Medical University, Zunyi, 563099, People's Republic of China. Electronic address:

Purpose: To identify the body surface position and depth of the center of the intramuscular nerves dense region (CINDR) of the medial femoral muscles.

Methods: Utilizing twelve Chinese adult cadavers (six men and six women), with an age range from 35 to 75 (66.5±5. Read More

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September 2020

The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis.

Arch Physiother 2019 13;9:12. Epub 2019 Nov 13.

Department of Physical Therapy, School of Health Professions, UT Health San Antonio, 7703 Floyd Curl Drive, MSC 6247, San Antonio, TX 78229 USA.

Background: The lateral epicondyle is a common site for chronic tendinosis (i.e. lateral epicondylitis), a condition characterized by overuse and degeneration of a tendon due to repeated microtrauma. Read More

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November 2019

An educational study to investigate the efficacy of three training methods for infiltration techniques on self-efficacy and skills of trainees in general practice.

BMC Fam Pract 2019 09 14;20(1):133. Epub 2019 Sep 14.

Centre for General Practice, Faculty of Medicine and Health Sciences, University of Antwerp, Doornstraat 331, 2610, Antwerp, Belgium.

Background: Research shows that few general practitioners perform intra- and periarticular infiltrations. Lack of good training strategies to teach these skills would be an important reason for this observation. In this study, we investigated and compared three different training strategies for infiltrations of the glenohumeral joint, subacromial space, lateral epicondyle, carpal tunnel and knee joint. Read More

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September 2019

Comparative Efficacy and Safety of Nonsurgical Treatment Options for Enthesopathy of the Extensor Carpi Radialis Brevis: A Systematic Review and Meta-analysis of Randomized Placebo-Controlled Trials.

Am J Sports Med 2019 10 31;47(12):3019-3029. Epub 2018 Oct 31.

Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Background: Numerous treatment options have been proposed for enthesopathy of the extensor carpi radialis brevis (eECRB).

Purpose: To (1) compare the efficacy and safety of nonsurgical treatment options for eECRB described in randomized placebo-controlled trials at short-term, midterm, and long-term follow-up and (2) evaluate outcomes in patients receiving placebo.

Study Design: Systematic review and meta-analysis. Read More

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October 2019

Ultrasound-Guided Interventions in Lateral Epicondylitis.

J Clin Rheumatol 2019 Apr;25(3):e27-e34

From the McMaster University, Hamilton, Ontario, Canada.

Lateral epicondylitis is a painful condition related to the myotendinous origin of the extensor muscles at the lateral epicondyle of the humerus. Primary treatment typically involves the use of rest, non-steroidal anti-inflammatory drugs (NSAIDs), and physiotherapy. However, in refractory cases where conventional therapy is ineffective, ultrasound-guided injection therapies have become a growing form of treatment. Read More

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Musculoskeletal Therapies: Musculoskeletal Injection Therapy.

Authors:
Chad Hulsopple

FP Essent 2018 07;470:21-26

Uniformed Services University Department of Family Medicine, 4301 Jones Bridge Road A1038, Bethesda, Maryland 20814-4799.

Injections often are used in the management of common musculoskeletal conditions. Physicians should understand the disease pathophysiology and evidence supporting available injections when determining appropriate therapy. These therapies include corticosteroid injections (CSIs), hyaluronic acid (HA) injections, hypertonic dextrose prolotherapy, platelet-rich plasma (PRP) injections, mesenchymal stem cell (MSC) injections, and trigger point injections (TPIs). Read More

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Vascular Analysis of Radial Artery Perforator Flaps.

Ann Maxillofac Surg 2018 Jan-Jun;8(1):66-72

Department of Plastic, Maxillofacial & Reconstructive Surgery, Vydehi Institute of Medical Sciences, Bangalore, Karnataka, India.

Background: Radial forearm free flap with all its present day modifications is the workhorse of soft tissue reconstruction in head & neck. Although there are several advantages, it requires the sacrifice of a major artery of forearm. There are several modifications of harvesting a forearm flap based on perforator principles. Read More

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Forearm-Based Turnover Muscle Flaps for Elbow Soft-Tissue Reconstruction: A Comparison of Regional Coverage Based on Distal Flap Perfusion.

Plast Reconstr Surg 2018 07;142(1):152-157

From the Department of Surgery, Division of Oral, Maxillofacial, and Plastic Surgery, and the Department of Orthopedic Surgery, Duke University Medical Center; and Duke University School of Medicine.

Background: Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis and flexor carpi ulnaris muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor carpi radialis, with a direct comparison of the brachioradialis, flexor carpi ulnaris, and flexor carpi radialis muscle flaps for coverage around the elbow. Read More

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Partial avulsion of the ulnaris lateralis and enthesiopathy of the lateral epicondyle of the humerus in a thoroughbred race horse.

Authors:
Neal Ashton

Ir Vet J 2018 27;71:10. Epub 2018 Mar 27.

Oakham veterinary hospital, Ashwell Road, Oakham, Rutland, LE15 7QH UK.

Background: There is relatively little literature on elbow disease in the horse. The only published reports on soft tissue conditions describe collateral ligament and biceps brachii injuries.

Case Presentation: A three-year old Thoroughbred gelding presented with a history of acute onset right forelimb lameness of less than one week duration, one month after commencing training in a National Hunt racing yard. Read More

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Efficacy Of A Single-Injection Sodium Hyaluronate Treatment In Lateral Epicondylitis.

J Ayub Med Coll Abbottabad 2018 Jan-Mar;30(1):85-89

Medicine, District Headquarter Hospital Battagram, Peshawar, Pakistan.

Background: Lateral epicondylitis or tennis elbow is a disease of tendons arising from common extensor origin at the lateral epicondyle of elbow and is commonly characterized by pain on supination of forearms as well as extension of fingers and wrists.

Methods: This descriptive case series aims to determine the efficacy of a single-injection sodium hyaluronate treatment for lateral epicondylitis. The study was conducted at the Department of Orthopaedics. Read More

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Peritendinous injection of platelet-rich plasma to treat tendinopathy: A retrospective review.

Acta Orthop Traumatol Turc 2017 Dec 3;51(6):482-487. Epub 2017 Nov 3.

Cactus Healthcare, Istanbul, Turkey. Electronic address:

Objective: The aim of this study was to determine factors associated with the likelihood of a better clinical outcome after the peritendinous injection of PRP for the treatment of chronic tendinopathy and identify whether PRP represents an effective treatment option for chronic tendinopathies.

Methods: The study included 214 patients (86 males and 128 females; mean age: 39.3 (18-75) years) who received PRP injections for tendinopathy refractory to conventional treatments. Read More

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December 2017

Counterforce Orthosis In The Management Of Lateral Epicondylitis.

J Ayub Med Coll Abbottabad 2017 Apr-Jun;29(2):328-334

Department of Medical Surgical Nursing, Manipal College of Nursing Manipal, Manipal University, India.

Background: Lateral Epicondylitis (LE), is a condition characterized by the pain and tenderness over the lateral epicondyle of the humerus. LE is commonly seen among people who are involved in sports such as tennis and golf. Any activity that repeatedly overstrains the extensor carpi radialis brevis tendon can lead to LE. Read More

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Ultrasound-guided percutaneous bone drilling for the treatment of lateral epicondylitis.

Eur Radiol 2018 Jan 4;28(1):390-397. Epub 2017 Jul 4.

Department of Radiology, Soonchunhyang University Bucheon Hospital, 170 Jomaruro, Wonmi-gu, Bucheon-si, 14584, Korea.

Objective: To determine the clinical efficacy of sonographically-guided percutaneous bone drilling of the lateral epicondyle (LE) for the treatment of patients with LE.

Methods: We included 24 patients with LE who reported pain in this study. All patients underwent sonographically-guided percutaneous bone drilling of the lateral epicondyle. Read More

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January 2018

Posterior interosseous nerve localization within the proximal forearm - a patient normalized parameter.

World J Orthop 2017 Apr 18;8(4):310-316. Epub 2017 Apr 18.

Srinath Kamineni, Elbow Shoulder Research Centre, Department of Orthopaedics and Sports Medicine, University of Kentucky, Lexington, KY 40506, United States.

Aim: To provide a "patient-normalized" parameter in the proximal forearm.

Methods: Sixty-three cadaveric upper extremities from thirty-five cadavers were studied. A muscle splitting approach was utilized to locate the posterior interosseous nerve (PIN) at the point where it emerges from beneath the supinator. Read More

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Radiographic and Clinical Analysis of Lateral Epicondylitis.

J Hand Surg Am 2017 Jun 12;42(6):436-442. Epub 2017 Apr 12.

Department of Orthopaedic Surgery, Lahey Hospital and Medical Center, Burlington, MA.

Purpose: The literature suggests that radiographs may be unnecessary in the initial evaluation of lateral epicondylitis because treatment is rarely altered as a result of the radiographic findings. The most commonly reported radiographic finding is calcification at the lateral epicondyle. Our goal was to perform a quantitative and qualitative analysis of this finding to determine its importance and possible relationship with various clinical factors and patient-reported measures. Read More

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Sonographic Visualization of the Posterior Cutaneous Nerve of the Forearm: Technique and Validation Using Perineural Injections in a Cadaveric Model.

J Ultrasound Med 2017 Aug 8;36(8):1627-1637. Epub 2017 Apr 8.

Departments of Physical Medicine and Rehabilitation, Radiology, and Anatomy, Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, Rochester, Minnesota, USA.

Objectives: To determine the ability to sonographically identify the posterior cutaneous nerve of the forearm (PCNF) and its distal epicondylar branches using sonographically guided perineural injections in an unembalmed cadaveric model.

Methods: A single experienced operator used a 12-3-MHz linear array transducer to identify the PCNF and its distal epicondylar region branches in 10 unembalmed cadaveric specimens (6 right and 4 left) obtained from 10 donors. Sonographically guided perineural PCNF injections were then completed with a 22-gauge, 38-mm stainless steel needle to deliver 0. Read More

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Imaging three-dimensional innervation zone distribution in muscles from M-wave recordings.

J Neural Eng 2017 06 30;14(3):036011. Epub 2017 Mar 30.

Department of Biomedical Engineering, University of Houston, Houston, TX 77204, United States of America.

Objective: To localize neuromuscular junctions in skeletal muscles in vivo which is of great importance in understanding, diagnosing and managing of neuromuscular disorders.

Approach: A three-dimensional global innervation zone imaging technique was developed to characterize the global distribution of innervation zones, as an indication of the location and features of neuromuscular junctions, using electrically evoked high-density surface electromyogram recordings.

Main Results: The performance of the technique was evaluated in the biceps brachii of six intact human subjects. Read More

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Comparison Between Steroid and 2 Different Sites of Botulinum Toxin Injection in the Treatment of Lateral Epicondylalgia: A Randomized, Double-Blind, Active Drug-Controlled Pilot Study.

Arch Phys Med Rehabil 2017 01 22;98(1):36-42. Epub 2016 Sep 22.

Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan. Electronic address:

Objective: To compare the effects of 2 different injection sites of low doses of botulinum toxin type A with steroid in treating lateral epicondylalgia.

Design: Double-blind, randomized, active drug-controlled trial.

Setting: Tertiary medical center. Read More

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January 2017

Short-term efficacy of joint and soft tissue injections for musculoskeletal pain: An interventional cohort study.

Agri 2016 Apr;28(2):79-88

Department of Physical Medicine and Rehabilitation, İstanbul University Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.

Objectives: Musculoskeletal injections (MIs) are frequently used in conservative treatment-resistant cases. Joint or soft tissue (ST) corticosteroid (CS) or local anesthetic (LA) injections can be used to relieve musculoskeletal pain. Assessed in the present study was the short-term efficacy of MIs for pain relief, as was the relative efficacy of injections in various joint and ST sites. Read More

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A randomized study of autologous conditioned plasma and steroid injections in the treatment of lateral epicondylitis.

Int Orthop 2015 Nov 30;39(11):2199-203. Epub 2015 Jul 30.

Clinic of Orthopaedics and Paediatric Orthopaedics Medical University of Łódź, Pomorska 251, 92-213, Łodź, Poland.

Purpose: Chronic tendinopathy of lateral epicondyle of the humerus, commonly known as "tennis elbow" is one of the most frequent tendinopathies caused by recurrent overload of the muscle origins. The aim of the study was to assess the effectiveness of treating lateral epicondylitis (LE) with autologous conditioned plasma (ACP) and betamethasone injections, and to compare these methods over the course of a one year follow-up.

Methods: Patients were randomly placed into one of into two groups: 53 were treated with ACP, and 46 with 1 ml betamethasone injections and 2 ml of 1 % lignocaine. Read More

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November 2015

A retrospective comparison of the management of recalcitrant lateral elbow tendinosis: platelet-rich plasma injections versus surgery.

Hand (N Y) 2015 Jun;10(2):285-91

Division of Plastic and Reconstructive Surgery Grand Rapids Medical Education Partners, Michigan State University, 221 Michigan St. NE, Suite 200-A, Grand Rapids, MI 49503 USA.

Background: The aim of this study is to compare the outcomes of platelet-rich plasma (PRP) injections to surgical release and decortication for lateral elbow tendinosis within a similar patient population.

Methods: A retrospective chart review was performed on two groups of patients, receiving either PRP injections (n = 28) or surgery (n = 50). Patient demographics, clinical presentation, pain score, worker's compensation status, and previous steroid injections were recorded. Read More

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Platelet-rich plasma versus corticosteroid injection for recalcitrant lateral epicondylitis: clinical and ultrasonographic evaluation.

J Orthop Surg (Hong Kong) 2015 Apr;23(1):1-5

Department of Orthopaedic Surgery, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, India.

Purpose: To evaluate the clinical and ultrasonographic changes in the morphology and vascularity of the common extensor tendon after injecting platelet-rich plasma (PRP) or corticosteroid (CS) for recalcitrant lateral epicondylitis (LE).

Methods: 30 patients aged 18 to 60 years with recalcitrant (>6 months) LE not responsive to oral medication or non-invasive treatment were randomised to receive PRP (n=15) or CS (n=15) injection. Patients were assessed using the visual analogue scale (VAS) for pain, Disabilities of the Arm, Shoulder and Hand Scale (DASH) score, Oxford Elbow Score, modified Mayo Clinic performance index for the elbow (modified Mayo score), and hand grip strength. Read More

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Long term results in refractory tennis elbow using autologous blood.

Orthop Rev (Pavia) 2014 Oct 19;6(4):5473. Epub 2014 Nov 19.

The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India.

Tennis elbow (TE) is one of the commonest myotendinosis. Different treatment options are available and autologous blood injection has emerged as the one of the acceptable modalities of treatment. Long term studies over a larger group of patients are however lacking. Read More

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October 2014