84 results match your criteria Injection Lateral Epicondyle


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 2018 Oct 31:363546518801914. 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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http://dx.doi.org/10.1177/0363546518801914DOI Listing
October 2018
2 Reads

Ultrasound-Guided Interventions in Lateral Epicondylitis.

J Clin Rheumatol 2018 Aug 3. Epub 2018 Aug 3.

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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http://dx.doi.org/10.1097/RHU.0000000000000879DOI Listing
August 2018
3 Reads

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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July 2018
2 Reads

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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http://www.amsjournal.com/text.asp?2018/8/1/66/234268
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http://dx.doi.org/10.4103/ams.ams_1_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018282PMC
July 2018
2 Reads

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

Durham, N.C. 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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http://dx.doi.org/10.1097/PRS.0000000000004472DOI Listing
July 2018
9 Reads

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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https://irishvetjournal.biomedcentral.com/articles/10.1186/s
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http://dx.doi.org/10.1186/s13620-018-0120-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5870080PMC
March 2018
24 Reads

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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August 2018
7 Reads

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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http://dx.doi.org/10.1016/j.aott.2017.10.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197157PMC
December 2017
9 Reads

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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July 2017
7 Reads

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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http://dx.doi.org/10.1007/s00330-017-4932-7DOI Listing
January 2018
17 Reads

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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http://www.wjgnet.com/2218-5836/full/v8/i4/310.htm
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http://dx.doi.org/10.5312/wjo.v8.i4.310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396015PMC
April 2017
12 Reads

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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http://dx.doi.org/10.1016/j.jhsa.2017.03.016DOI Listing
June 2017
6 Reads

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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http://dx.doi.org/10.7863/ultra.16.08027DOI Listing
August 2017
25 Reads

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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http://dx.doi.org/10.1088/1741-2552/aa65ddDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519822PMC
June 2017
15 Reads

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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http://dx.doi.org/10.1016/j.apmr.2016.08.475DOI Listing
January 2017
47 Reads

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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http://dx.doi.org/10.5505/agri.2015.48802DOI Listing
April 2016
41 Reads

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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http://link.springer.com/content/pdf/10.1007%2Fs00264-015-28
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http://link.springer.com/10.1007/s00264-015-2861-0
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http://dx.doi.org/10.1007/s00264-015-2861-0DOI Listing
November 2015
23 Reads

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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http://dx.doi.org/10.1007/s11552-014-9717-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447680PMC
June 2015
6 Reads

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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http://www.josonline.org/pdf/v23i1p1.pdf
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http://dx.doi.org/10.1177/230949901502300101DOI Listing
April 2015
54 Reads

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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http://www.pagepress.org/journals/index.php/or/article/view/
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http://dx.doi.org/10.4081/or.2014.5473DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274448PMC
October 2014
7 Reads

Lateral antebrachial cutaneous neuropathy after steroid injection at lateral epicondyle.

J Back Musculoskelet Rehabil 2015 ;28(2):419-22

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

Background And Objectives: This report aimed to present a case of lateral antebrachial cutaneous neuropathy (LACNP) that occurred after a steroid injection in the lateral epicondyle to treat lateral epicondylitis in a 40-year-old woman.

Material And Method: A 40-year-old woman presented with decreased sensation and paresthesia over her right lateral forearm; the paresthesia had occurred after a steroid injection in the right lateral epicondyle 3 months before. Her sensation of light touch and pain was diminished over the lateral side of the right forearm and wrist area. Read More

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http://www.medra.org/servlet/aliasResolver?alias=iospress&am
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http://dx.doi.org/10.3233/BMR-140524DOI Listing
July 2016
6 Reads

Efficacy of extracorporeal shock wave therapy in the treatment of lateral epicondylitis.

North Clin Istanb 2014 3;1(1):33-38. Epub 2014 Aug 3.

Department of Physical Medicine and Rehabilitation, Malatya State Hospital, Malatya, Turkey.

Objective: Lateral epicondylitis is one of the widely seen lesions of the arm characterized by pain localized over lateral epicondyle which is the insertion site of the wrist extensors, and extensor muscles of the forearm. It is easy to diagnose lateral epicondylitis but treatment involves some inherent drawbacks. Conservative management includes non-steroidal anti-inflammatory drugs, ultrasound therapy, steroid injections, functional bracing, laser therapy and extracorporeal shock wave therapy, however none of these modalities have been shown to be really effective based on evidence-based data. Read More

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http://dx.doi.org/10.14744/nci.2014.77487DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175021PMC
August 2014
29 Reads

Common injections in musculoskeletal medicine.

Prim Care 2013 Dec 24;40(4):987-1000, ix-x. Epub 2013 Sep 24.

Department of Emergency Medicine, Robert C. Byrd Health Sciences Center, School of Medicine, West Virginia University, PO Box 9149, Morgantown, WV 26506, USA; Department of Orthopaedics, Robert C. Byrd Health Sciences Center, School of Medicine, West Virginia University, PO Box 9196, Morgantown, WV 26506, USA. Electronic address:

Musculoskeletal injections are a common procedure in primary care and sports medicine but can be intimidating for some clinicians. This article addresses current evidence for corticosteroid injections, and common injection indications and techniques, namely knee, subacromial bursa, glenohumeral joint, lateral epicondyle, de Quervain tenosynovitis, and greater trochanteric bursa injections. Preparation for injections and some evidence for ultrasound guidance are also reviewed. Read More

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http://dx.doi.org/10.1016/j.pop.2013.08.012DOI Listing
December 2013
17 Reads

How effective are injection treatments for lateral epicondylitis?

Authors:
Brian J Shiple

Clin J Sport Med 2013 Nov;23(6):502-3

Department of Family and Community Medicine Temple University School of Medicine Philadelphia, Pennsylvania.

Objective: To compare the effectiveness, after 3 months, of a single injection of platelet-rich plasma (PRP), glucocorticoid (GC), or saline in reducing pain in lateral epicondylitis.

Design: Randomized, controlled, 3-group trial (RCT). Patients and outcome assessors were blinded to intervention group. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/JSM.0000000000000042DOI Listing
November 2013
9 Reads

A randomised control trial to evaluate the efficacy of autologous blood injection versus local corticosteroid injection for treatment of lateral epicondylitis.

Authors:
C M Dojode

Bone Joint Res 2012 Aug 1;1(8):192-7. Epub 2012 Aug 1.

Jawaharlal Nehru Medical College, Nehru Nagar, Balgaum 590010, India.

Objectives: Local corticosteroid infiltration is a common practice of treatment for lateral epicondylitis. In recent studies no statistically significant or clinically relevant results in favour of corticosteroid injections were found. The injection of autologous blood has been reported to be effective for both intermediate and long-term outcomes. Read More

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http://dx.doi.org/10.1302/2046-3758.18.2000095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626227PMC
August 2012
5 Reads

An anatomic study of the dorsal forearm perforator flaps.

Surg Radiol Anat 2013 Oct 20;35(8):695-700. Epub 2013 Mar 20.

Department of Anatomy, Wenzhou Medical College, Wenzhou University Town, 325035, Wenzhou, China.

Purpose: The posterior forearm is an excellent donor site for the vascular pedicled cutaneous flaps; yet, there is surprisingly little detailed anatomical information based on clinical decision making. This study was undertaken to evaluate the anatomical basis of the dorsal forearm perforator flaps and to provide anatomical landmarks to facilitate flap elevation.

Methods: Thirty cadavers were available to perform this anatomical study after arterial injection. Read More

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http://link.springer.com/content/pdf/10.1007/s00276-013-1097
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http://link.springer.com/10.1007/s00276-013-1097-1
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http://dx.doi.org/10.1007/s00276-013-1097-1DOI Listing
October 2013
9 Reads

Randomized controlled trial local injection for treatment of lateral epicondylitis, 5 and 10 mg triamcinolone compared.

J Med Assoc Thai 2012 Oct;95 Suppl 10:S184-8

Department of Orthopaedic Surgery, Faculty of Medicine, Naresuan University, Phitsanuloke, Thailand.

Objective: To compare the efficacy and adverse effects between 5 and 10 mg triamcinolone local injection for treatment of the lateral epicondylitis. The primary outcome was the improvement of pain after 12 weeks of treatment. The secondary outcome was the adverse effects rate. Read More

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October 2012
7 Reads

Outcomes after ultrasound-guided platelet-rich plasma injections for chronic tendinopathy: a multicenter, retrospective review.

PM R 2013 Mar 9;5(3):169-75. Epub 2013 Feb 9.

Emory Orthopedic & Spine Center, Atlanta, GA 30329, USA.

Objective: To determine whether ultrasound-guided platelet-rich plasma (PRP) injections are an effective treatment for chronic tendinopathies.

Design: A retrospective, cross-sectional survey.

Setting: Four academic sports medicine centers from across the United States. Read More

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http://dx.doi.org/10.1016/j.pmrj.2012.12.010DOI Listing
March 2013
16 Reads

Lateral epicondylitis of the elbow.

Am J Med 2013 Apr 8;126(4):357.e1-6. Epub 2013 Feb 8.

Department of Orthopaedic Surgery and Sports Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.

Lateral epicondylitis, or "tennis elbow," is a common musculotendinous degenerative disorder of the extensor origin at the lateral humeral epicondyle. Repetitive occupational or athletic activities involving wrist extension and supination are thought to be causative. The typical symptoms include lateral elbow pain, pain with wrist extension, and weakened grip strength. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029343120099
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http://dx.doi.org/10.1016/j.amjmed.2012.09.018DOI Listing
April 2013
3 Reads

An anatomical study of the ECRL and ECRB: feasibility of developing a preoperative test for evaluating the strength of the individual wrist extensors.

J Plast Reconstr Aesthet Surg 2013 Apr 29;66(4):543-50. Epub 2013 Jan 29.

Department of Anatomy and Neuroscience, Erasmus MC, Rotterdam, The Netherlands.

Background: Tendon transfers are essential for reconstruction of hand function in tetraplegic patients. To transfer the extensor carpi radialis longus (ECRL), the extensor carpi radialis brevis (ECRB) has to be sufficiently strong. However, there is currently no reliable clinical test to individually analyse both muscles. Read More

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http://dx.doi.org/10.1016/j.bjps.2012.12.015DOI Listing
April 2013
12 Reads

Epicondylectomy versus denervation for lateral humeral epicondylitis.

Hand (N Y) 2011 Jun 25;6(2):174-8. Epub 2011 Feb 25.

Background: Traditional management of lateral humeral epicondylitis ("tennis elbow") relies upon antiinflammatory medication, rehabilitation, steroid injection, counterforce splinting, and, finally, surgery to the common extensor origin. The diversity of surgical approaches for lateral humeral epicondylitis (LHE) suggests perhaps that the ideal technique has not been determined. Denervation of the lateral humeral epicondyle is the concept of interrupting the neural pathway that transmits the pain message. Read More

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http://journals.sagepub.com/doi/10.1007/s11552-011-9318-8
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http://dx.doi.org/10.1007/s11552-011-9318-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3092894PMC
June 2011
26 Reads

Tennis elbow: role of local steroid injection.

J Ayub Med Coll Abbottabad 2012 Apr-Jun;24(2):84-6

Department of Orthopaedic Surgery and Traumatology Liaquat University of Medical and Health Sciences Jamshoro, Pakistan.

Background: Tennis elbow is a condition, characterised by pain and tenderness over the lateral epicondyle of the humerus, and pain on resisted dorsiflexion of the wrist, middle finger, or both. The aim of this randomised controlled trial was to investigate the short term efficacy of local steroid injection compared with oral and topical NSAIDs.

Methods: Sixty patients (45 male and 15 female) were included in the study. Read More

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February 2014
5 Reads

Motor branch of extensor carpi radialis longus: anatomic localization.

Arch Phys Med Rehabil 2012 Dec 26;93(12):2309-12. Epub 2012 Mar 26.

Service de Médecine Physique et de Réadaptation, CHU R. Poincaré, Garches, France.

Objective: To identify extensor carpi radialis longus (ECRL) motor nerve coordinates in relation to anatomic surface landmarks.

Design: Descriptive study.

Setting: Anatomy institute of a school of medicine in Paris, France. Read More

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http://dx.doi.org/10.1016/j.apmr.2012.03.015DOI Listing
December 2012
8 Reads

Evaluation of injection techniques in the treatment of lateral epicondylitis: a prospective randomized clinical trial.

Acta Orthop Traumatol Turc 2012 ;46(1):26-9

Department of Orthopedics and Traumatology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.

Objective: We aimed to compare the efficacy of two different injection techniques of local corticosteroid and local anesthetic in the management of lateral epicondylitis.

Methods: This prospective study followed 80 consecutive patients who were diagnosed with lateral epicondylitis at our hospital outpatient clinic between 2005 and 2006. Patients were randomly assigned into two equal groups. Read More

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August 2012
7 Reads

Procedure-oriented sectional anatomy of the elbow.

J Comput Assist Tomogr 2012 Jan-Feb;36(1):157-60

Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Center for Trauma Rehabilitation Research, Quentin Mease Hospital, Harris County Hospital District, Houston, TX, USA.

This is the second in a series of papers related to procedure-oriented joint anatomy. This article will review the anatomy of the elbow and its relationship to procedures in the clinical setting. Needle procedures of the elbow joint include medial and lateral epicondyle injections, olecranon bursa injection, elbow joint aspiration, phlebotomies in the antecubital fossa, and intramuscular injections such as trigger point and botulinum toxin injections. Read More

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http://pdfs.journals.lww.com/jcat/2012/01000/Procedure_Orien
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/RCT.0b013e31823ab8bfDOI Listing
April 2012
6 Reads

Effective zone of botulinum toxin a injections in hallux claw toe syndrome: an anatomical study.

Muscle Nerve 2012 Feb;45(2):217-21

Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Introduction: The aim of this study was to determine the anatomical location of the motor points of the flexor hallucis longus (FHL) and brevis (FHB) muscles for an effective motor point block.

Methods: Twenty cadavers were used for this study. For the FHL, we identified the line between the medial and lateral epicondyle of the femur and the line joining the prominent point on the surface of the medial malleolus of the tibia and the lateral malleolus of the fibula. Read More

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http://dx.doi.org/10.1002/mus.22263DOI Listing
February 2012
32 Reads

The effects of coexisting fibromyalgia syndrome on pain intensity, disability, and treatment outcome in patients with chronic lateral epicondylitis.

Pain Med 2012 Feb 5;13(2):270-80. Epub 2012 Jan 5.

2nd Department of Physical Medicine and Rehabilitation, Ministry of Health, Ankara Training and Research Hospital, Ankara, Turkey.

Objective: The objective of this study was to evaluate the effects of coexisting fibromyalgia syndrome (FS) on pain intensity, disability, and treatment outcome in patients with chronic lateral epicondylitis (LE).

Methods: Seventy-eight patients with chronic unilateral LE and 30 healthy subjects were included. Patients were classified into two groups: group 1 consisted of 46 LE alone patients, while group 2 consisted of 32 LE plus FS patients. Read More

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http://dx.doi.org/10.1111/j.1526-4637.2011.01300.xDOI Listing
February 2012
9 Reads

Adult hypophosphatasia with painful periarticular calcification treated with surgical resection.

J Bone Miner Metab 2012 Nov 15;30(6):722-5. Epub 2011 Dec 15.

Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Maidashi, Fukuoka, Japan.

Hypophosphatasia is a rare inherited disorder characterized by a low serum alkaline phosphatase (ALP) activity and defective bone mineralization. Adult hypophosphatasia typically manifests in middle-age as a result of osteomalacia with recurrent stress fractures of the lower limb. However, considerable variation occurs in the clinical expression of hypophosphatasia, and no curative treatment has yet been established. Read More

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http://link.springer.com/10.1007/s00774-011-0338-9
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http://dx.doi.org/10.1007/s00774-011-0338-9DOI Listing
November 2012
26 Reads

[Musculoskeletal puncture, injection and infiltration: swiss rheumatologists' point of view].

Z Rheumatol 2011 Jul;70(5):423-9; quiz 430

Universitätsklinik für Rheumatologie, Klinische Immunologie und Allergologie, Bern.

Arthrocentesis, injection and infiltration of joints and soft tissues belong to the basic procedures in rheumatology. The indications and the practical performance are based on experience and tradition. Nowadays, a crucial reappraisal and adaption of indications and technical aspects appear important in the light of new evidence and technical developments. Read More

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http://dx.doi.org/10.1007/s00393-011-0824-4DOI Listing
July 2011
12 Reads

Tennis elbow.

BMJ Clin Evid 2011 Jun 27;2011. Epub 2011 Jun 27.

Department of Health and Rehabilitation, University of Queensland, Brisbane, Australia.

Introduction: Lateral pain in the elbow affects up to 3% of the population, and is considered an overload injury of the extensor tendons of the forearm where they attach at the lateral epicondyle. Although usually self-limiting, symptoms may persist for over 1 year in up to 20% of people.

Methods And Outcomes: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for tennis elbow? We searched: Medline, Embase, The Cochrane Library, and other important databases up to November 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217754PMC
June 2011
4 Reads

Anatomic localization of motor entry points and accurate regions for botulinum toxin injection in the flexor digitorum superficialis.

Surg Radiol Anat 2011 Sep 22;33(7):601-7. Epub 2011 Jan 22.

Department of General Surgery, First Hospital, University of Jilin, Changchun, China.

Purpose: The aim of this study was to determine the motor entry points (MEPs) and the precise intramuscular nerve distribution of the flexor digitorum superficialis (FDS) and to provide accurate injection regions for botulinum toxin.

Methods: This study was performed on 46 fresh cadaveric arms with exposed intramuscular innervation of the FDS. For each main motor branch of the FDS, MEPs, where the nerve branch first pierced the muscle belly, and the proximal and distal limit points (PLPs and DLPs, respectively) of the terminal intramuscular nerve endings were located. Read More

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http://link.springer.com/10.1007/s00276-011-0779-9
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http://dx.doi.org/10.1007/s00276-011-0779-9DOI Listing
September 2011
5 Reads

[Autologous fat grafting in the treatment of lateral epicondylitis: preliminary results].

Chir Main 2010 Dec 14;29(6):373-7. Epub 2010 Oct 14.

Service de chirurgie de la main et de chirurgie plastique et réparatrice des membres, hôpital de la Conception, 147 boulevard Baille, Marseille, France.

Objectives: The purpose of the study was to report our preliminary results of autologous fat grafting at the epicondyle level as a treatment for lateral epicondylitis.

Patients And Methods: Between 2008 and 2009, we used the technique of fat injection described by Coleman to treat with lateral epicondylitis, eight patients who were in failure of medical management. Effectiveness of this method was appreciated by patients satisfaction, pain improvement during daily activities. Read More

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http://dx.doi.org/10.1016/j.main.2010.09.011DOI Listing
December 2010
2 Reads

Comparison of surface and ultrasound localization to identify forearm flexor muscles for botulinum toxin injections.

PM R 2010 Jul;2(7):642-6

Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.

Objective: To determine if ultrasound (US) localization is equivalent to surface landmark localization to identify botulinum toxin injection targets for forearm muscle spasticity.

Design: Observational.

Setting: Outpatient spasticity clinic in a tertiary care center. Read More

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http://dx.doi.org/10.1016/j.pmrj.2010.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5248984PMC
July 2010
76 Reads

Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial.

CMAJ 2010 May 26;182(8):768-73. Epub 2010 Apr 26.

Departments of Orthopedic Surgery, ImamKhomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

Background: When using botulinum toxin for the management of lateral epicondylitis, injection at a fixed distance from an anatomic landmark could result in inadequate paralysis of the intended muscle. We assessed the effectiveness of injection of botulinum toxin using precise anatomic measurement in individual patients.

Methods: In this randomized placebo-controlled trial, 48 patients with chronic refractory lateral epicondylitis were randomly assigned to receive a single injection of either botulinum toxin (60 units) or placebo (normal saline). Read More

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http://dx.doi.org/10.1503/cmaj.090906DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2871199PMC
May 2010
10 Reads

Management of Tennis Elbow with sodium hyaluronate periarticular injections.

Sports Med Arthrosc Rehabil Ther Technol 2010 Feb 2;2. Epub 2010 Feb 2.

Dept Medicine, Canadian Centre for Activity and Aging, 801 Commissioners Road, London, N6C5J1, Canada.

Objectives: To determine the efficacy and safety of peri-articular hyaluronic acid injections in chronic lateral epicondylosis (tennis elbow).

Design: Prospective randomized clinical trial in primary care sport medicine.

Patients: Three hundred and thirty one consecutive competitive racquette sport athletes with chronic (>3 months) lateral epicondylosis were administered 2 injections (first injection at baseline) into the subcutaneous tissue and muscle 1 cm. Read More

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http://dx.doi.org/10.1186/1758-2555-2-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825499PMC
February 2010
25 Reads

Autologous blood and corticosteroid injection and extracoporeal shock wave therapy in the treatment of lateral epicondylitis.

Orthopedics 2010 Feb;33(2):84-91

Department of Orthopedics and Traumatology, Abant Izzet Baysal University, Bolu, Turkey.

Lateral epicondylitis is a common disorder characterized by pain and tenderness over the lateral epicondyle. It occurs most frequently as a result of minor, unrecognized trauma during sports activities and occupation-related physical activities. The goal of this study was to evaluate the short-, medium-, and long-term effects of corticosteroid injection, autologous blood injection, and extracorporeal shock wave therapy in the treatment of lateral epicondylitis. Read More

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http://dx.doi.org/10.3928/01477447-20100104-09DOI Listing
February 2010
23 Reads

The Radial Artery Pedicle Perforator Flap: Vascular Analysis and Clinical Implications.

Plast Reconstr Surg 2010 May;125(5):1469-78

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-9132, USA.

Background: The purpose of this study was to determine the location, size, and vascular territory of the radial artery cutaneous perforators.

Methods: Twenty-six human cadaveric forearms were dissected. All cutaneous radial artery perforators were analyzed for total number, orientation, location, and external diameter. Read More

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http://dx.doi.org/10.1097/PRS.0b013e3181d511e7DOI Listing
May 2010
21 Reads

Anatomic localization of motor entry points and intramuscular nerve endings in the hamstring muscles.

Surg Radiol Anat 2010 Jul 10;32(6):529-37. Epub 2010 Jan 10.

Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, 505, Banpo-dong, Seocho-gu, Seoul, 137701, Korea.

Purpose: To elucidate the location of motor entry points (MEPs) and intramuscular nerve endings of the hamstring muscles.

Methods: We dissected 50 cadaveric lower extremities to identify the MEPs, where the nerve branch first pierced the muscle belly, and the proximal and distal limit points (PLPs and DLPs, respectively) of the terminal intramuscular nerve endings. These points were measured in relation to a reference line, expressed in x-coordinate, which connected the superior medial aspect of ischial tuberosity to the proximal aspect of the medial femoral epicondyle. Read More

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http://dx.doi.org/10.1007/s00276-009-0609-5DOI Listing
July 2010
2 Reads

[Short-term results of treatment of tennis elbow with anti-inflammatory drugs alone or in combination with local injection of a corticosteroid and anesthetic mixture].

Acta Orthop Traumatol Turc 2008 May-Jul;42(3):184-7

Dumlupinar Universitesi Tip Fakültesi, Ortopedi ve Travmatoloji Anabilim Dali, Kütahya.

Objectives: We compared the short-term results of anti-inflammatory drugs alone or in combination with local injection of a corticosteroid and anesthetic mixture in the treatment of tennis elbow.

Methods: The study included 21 patients (12 males, 9 females; mean age 45 years; range 19 to 72 years) with tennis elbow. The patients were randomized to oral and topical anti-inflammatory drugs alone (group 1, n=10) or combined with a single local injection of a corticosteroid and anesthetic mixture (group 2, n=11). Read More

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January 2009
4 Reads

The efficacy of prolotherapy for lateral epicondylosis: a pilot study.

Clin J Sport Med 2008 May;18(3):248-54

Department of Family Medicine, University of Wisconsin-Madison, Madison, WI 53715, USA.

Objectives: To assess whether prolotherapy, an injection-based therapy, improves elbow pain, grip strength, and extension strength in patients with lateral epicondylosis.

Setting: Outpatient Sport Medicine clinic.

Study Design: Double-blind randomized controlled trial. Read More

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http://dx.doi.org/10.1097/JSM.0b013e318170fc87DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2751593PMC
May 2008
7 Reads
19 Citations
2.012 Impact Factor