2,595 results match your criteria Lateral Epicondylitis


The effects of inclusion of minimal-dose corticosteroid in autologous whole blood and dextrose injection for the treatment of lateral epicondylitis.

J Back Musculoskelet Rehabil 2021 Jun 18. Epub 2021 Jun 18.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Korea.

Backgound: Lateral epicondylitis (LE) is one of the most common musculoskeletal disorders that causes pain.

Objectives: We evaluated the effect of the inclusion of a minimal dose of corticosteroid in a solution comprising autologous whole blood (AWB), 20% dextrose, and 2% lidocaine for treating LE.

Methods: In this randomized prospective trial LE patients were allocated to the CS+ group (n= 70; solution comprising 1 mL AWB, 1 mL 20% dextrose, 0. Read More

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Common tendinopathies around the elbow; what does current evidence say?

J Clin Orthop Trauma 2021 Aug 21;19:216-223. Epub 2021 May 21.

Shoulder & Elbow Unit, University Hospitals of Leicester, Leicester, UK.

Tendinopathies are common causes of pain around the elbow resulting in significant functional impairment in athletes or the working-age population. Patients complain of a gradual onset pain with or without any specific trauma. Tissue histology shows chronic fibroblast and vascular proliferation, with a disorganized collagen pattern and absence of inflammatory mediators. Read More

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Lateral ulnar collateral ligament (LUCL) reconstruction for the treatment of recalcitrant lateral epicondylitis of the elbow: a comparison with open débridement of the extensor origin.

JSES Int 2021 May 16;5(3):578-587. Epub 2021 Feb 16.

Inje University, Haeundae Paik Hospital, Department of Orthopedic Surgery, Busan, Republic of Korea.

Background: Based on the controversy over whether the extensor tendon is the only lesion of lateral epicondylitis of the elbow and numerous reports of concomitant lateral collateral ligament involvement, potential damage to the lateral collateral ligament complex should be considered for the treatment.

Methods: About 25 elbows in 23 patients (débridement group) and 22 elbows in 20 patients (reconstruction group) who were diagnosed with lateral epicondylitis and had an average of 22 months of symptoms revealing anatomical lesion on MRI were included. The capitellum-sublime tubercle-radial head (CSR) angle was measured on both sides preoperatively, and the visual analog scale (VAS) and Mayo elbow performance score (MEPS) were measured over 12 months, postoperatively. Read More

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Platelet-Rich Plasma versus Corticosteroid Injection for the Treatment of Lateral Epicondylitis: A Systematic Review of Systematic Reviews.

Int J Sports Phys Ther 2021 Jun 1;16(3):597-605. Epub 2021 Jun 1.

University of Nebraska at Omaha.

Background: Lateral epicondylitis (LE) is one of the most commonly reported musculoskeletal disorders in the upper extremity. The mechanism of LE is repetitive motion that causes a strain of the extensor tendons. This consequently causes pain and tendinosis at the tendinous attachment site on the lateral epicondyle. Read More

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Elbow arthroscopy - Indications and technique.

J Clin Orthop Trauma 2021 Aug 21;19:147-153. Epub 2021 May 21.

Department of Orthopaedics, Amphia Hospital, Molengracht 21, 4818, CK Breda, the Netherlands.

Throughout the years, elbow arthroscopy has advanced tremendously due to improvements in technology and surgical techniques. It is now considered a safe and effective treatment for a variety of elbow disorders. Due to the small working space and nearby neurovascular structures, it is a technically challenging procedure. Read More

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Ultrasound-Guided Percutaneous Neuromodulation in Patients with Chronic Lateral Epicondylalgia: A Pilot Randomized Clinical Trial.

Int J Environ Res Public Health 2021 05 3;18(9). Epub 2021 May 3.

Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28670 Madrid, Spain.

Objective: The aim was to analyze effects of a percutaneous neuromodulation (PNM) treatment on the radial nerve, regarding pain, functionality, electrophysiologic excitability, and morphology, in patients with chronic lateral epicondylalgia (LE).

Methods: Twenty-four patients with chronic unilateral elbow pain were recruited for this preliminary study and were divided into two groups: control (n = 12) and PNM group (n = 12). The subjects in the PNM group received percutaneous peripheral neurostimulation with an acupuncture needle that was located next to the nerve with ultrasound guidance. Read More

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Comparative analysis of leucocyte poor vs leucocyte rich platelet-rich plasma in the management of lateral epicondylitis: Systematic review & meta-analysis of randomised controlled trials.

J Clin Orthop Trauma 2021 Aug 21;19:96-107. Epub 2021 May 21.

Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India.

Study Design: Systematic Review & Meta-analysis.

Objectives: We aim to comparatively analyse the efficacy and safety of using leucocyte-poor platelet rich plasma (LP-PRP) against leucocyte-rich platelet rich plasma (LR-PRP) in the management of lateral epicondylitis.

Materials And Methods: We conducted independent and duplicate electronic database searches including PubMed, Embase, Web of Science and Cochrane Library till September 2020 for randomised controlled trials analyzing the efficacy and safety of LP-PRP and LR-PRP in the management of lateral epicondylitis. Read More

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Factors Associated With Lateral Epicondylitis of the Elbow.

Orthop J Sports Med 2021 May 13;9(5):23259671211007734. Epub 2021 May 13.

Department of Radiology, School of Medicine, Gyeongsang National University, and Gyeongsang National University Hospital, Jinju, Republic of Korea.

Background: Metabolic factors have been linked to tendinopathies, yet few studies have investigated the association between metabolic factors and lateral epicondylitis.

Purpose: To evaluate risk factors for lateral epicondylitis, including several metabolic factors.

Study Design: Case-control study; Level of evidence, 3. Read More

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Arthroscopic Recession Technique in the Surgery of Tennis Elbow by Sharp Cutting the Extensor Carpi Radialis Brevis (ECRB) Tendon Origin.

Arch Bone Jt Surg 2021 Mar;9(2):174-179

Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: The aim of this study was to assess the functional outcomes and time to improve after the modified arthroscopic technique (recession technique) by using a knife to sharply cut the extensor carpi radialis brevis (ECRB) tendon origin in patients with recalcitrant tennis elbow.

Methods: In a prospective study, we included 11 consecutive patients. Following the routine elbow arthroscopy and after exposing the ECRB tendon, we used a knife (no. Read More

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Power-assisted Pedicle Screw Technique Protects Against Risk of Surgeon Overuse Injury: A Comparative Electromyography Study of the Neck and Upper Extremity Muscle Groups in a Simulated Surgical Environment.

Spine (Phila Pa 1976) 2021 May 10. Epub 2021 May 10.

Zimmer Biomet Spine, Westminster, CO Hospital for Special Surgery, New York, NY Children's Hospital Los Angeles, Los Angeles, CA.

Study Design: Cadaveric.

Objective: The aim of this study was to quantify the amplitude and duration of surgeons' muscle exertion from pedicle cannulation to screw placement using both manual and power-assisted tools in a simulated surgical environment using surface electromyography (EMG).

Summary Of Background Data: A survey of Scoliosis Research Society members reported rates of neck pain, rotator cuff disease, lateral epicondylitis, and cervical radiculopathy at 3×, 5×, 10×, and 100× greater than the general population. Read More

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Protocol for the development of a core outcome set for lateral elbow tendinopathy (COS-LET).

Trials 2021 May 10;22(1):339. Epub 2021 May 10.

School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, St Lucia, Brisbane, Australia.

Background: Lateral elbow tendinopathy (LET) is a common condition that can cause significant disability and associated socioeconomic cost. Although it has been widely researched, outcome measures are highly variable which restricts evidence synthesis across studies. In 2019, a working group of international experts, health care professionals and patients, in the field of tendinopathy (International Scientific Tendinopathy Symposium Consensus (ICON) Group), published the results of a consensus exercise defining the nine core domains that should be measured in tendinopathy research. Read More

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The Efficacy of Platelet-Rich Plasma for Improving Pain and Function in Lateral Epicondylitis: A Systematic Review and Meta-analysis with Risk-of-Bias Assessment.

Arthroscopy 2021 May 5. Epub 2021 May 5.

Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A.. Electronic address:

Purpose: To assess the efficacy of platelet-rich plasma (PRP) for lateral epicondylitis and evaluate its impact on pain and functional outcomes.

Methods: This study followed Preferred Reporting Items and Systematic Reviews and Meta-Analyses guidelines. A comprehensive literature search was conducted in September 2019 and repeated in April 2020 using electronic databases PubMed, MEDLINE, and the Cochrane Library. Read More

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To improve pain and function, platelet-rich plasma injections may be an alternative to surgery for treating lateral epicondylitis: A systematic review.

Arthroscopy 2021 May 3. Epub 2021 May 3.

Purpose: To determine if platelet-rich plasma (PRP) injection for lateral epicondylitis (LE) offers patients comparable outcomes to lateral epicondylar surgery.

Methods: Embase, Cochrane Library, and Medline databases were searched using the terms lateral epicondylitis, lateral elbow pain, tennis elbow, lateral epicondylalgia, and elbow tendinopathy individually and combined with the terms platelet-rich plasma injections and lateral epicondylar surgery. We compared pain relief, function between the two treatment options, and identified if PRP injection reduced the incidence of lateral epicondylar surgery. Read More

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Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months.

Am J Sports Med 2021 Jun 6;49(7):1854-1860. Epub 2021 May 6.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years' follow-up.

Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon.

Study Design: Case series; Level of evidence, 4. Read More

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Comparing the efficacy of continuous and pulsed ultrasound therapies in patients with lateral epicondylitis: A double-blind, randomized, placebo-controlled study.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):99-106. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey.

Objectives: The aim of this study was to investigate the efficacy of continuous and pulsed ultrasound therapies in lateral epicondylitis.

Patients And Methods: A total of 51 patients (18 males, 33 females; mean age: 46.52±6. Read More

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Magnetic resonance imaging and clinically controlled improvement of a combined autologous conditioned plasma combined with rh collagen type I injections in lateral epicondylitis.

Orthop Rev (Pavia) 2021 Mar 31;13(1):9018. Epub 2021 Mar 31.

Clinic for Orthopaedics and Trauma Surgery, St. Josef Hospital Moers, Germany.

The purpose of the study was to investigate the effect of combined autologous conditioned plasma and recombinant human collagen type I injections on lateral epicondylitis. Outcome was measured in 5 patients before the single application of ACP+rhCollagen type I (Arthrex ACP® Tendo) and after 10.60±3. Read More

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Lateral Epicondylitis-Narrative Review on Surgical Options for Recalcitrant Cases.

Indian J Orthop 2021 Apr 9;55(2):318-324. Epub 2021 Feb 9.

Ortho One Orthopaedic Speciality Center, Coimbatore, India.

Purpose: Lateral epicondylitis or lateral elbow tendinopathy is a common condition which needs to be addressed appropriately. This condition usually responds well to non-operative treatment. However, an orthopaedic physician needs to be aware of the recalcitrant cases and equip surgical armamentarium to provide adequate care. Read More

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Association between clinical parameters and size of three-dimensionally reconstructed anatomical abnormalities in patients with lateral epicondylitis: a cross-sectional study.

J Orthop Surg Res 2021 Apr 26;16(1):278. Epub 2021 Apr 26.

Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea.

Background: The association of the severity of clinical symptoms and level of functional performance with the degree of magnetic resonance imaging abnormalities in patients with lateral epicondylitis has not been fully elucidated. This study aimed to investigate the association between the degree of anatomical abnormalities by evaluating three-dimensional magnetic resonance imaging models of the common extensor tendon and clinical parameters in patients with lateral epicondylitis.

Materials And Methods: A total of 61 patients (24 men and 37 women) with lateral epicondylitis were included in this study. Read More

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Bowling: Occupational Hazards of the Wrist and Hand in Elite Tenpin Bowlers.

Malays Orthop J 2021 Mar;15(1):113-118

Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia.

Introduction: Bowling is an immensely popular, but scarcely researched sport associated with overuse injuries in its participants. The purpose of this study was to investigate and report on the incidence of common upper extremity complaints in elite bowling athletes.

Materials And Methods: All Malaysian national level bowlers (n=39) were evaluated via questionnaire on their upper limb symptoms. Read More

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Comments on the article comparing radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis.

J Med Ultrason (2001) 2021 Apr 19. Epub 2021 Apr 19.

Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular and Cardiovascular Study of Motion (LANECASM), Agiou Spyridonos 28, Egaleo 12243, Athens, Greece.

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Reply to the comments on our article comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis.

J Med Ultrason (2001) 2021 Apr 19. Epub 2021 Apr 19.

Laboratory of Physiology-Pharmacology, Department of Nursing, Faculty of Health Sciences, University of Peloponnese, Department of Economics Building-2nd Floor, Sehi Area, 22 100, Tripoli, Greece.

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A retrospective comparative study on arthroscopic suture anchors repair and tendon debridement arthroscopic tendon debridement for treatment of recalcitrant lateral epicondylitis.

Ther Adv Chronic Dis 2021 5;12:20406223211005596. Epub 2021 Apr 5.

Department of Sports Medicine, Beijing Jishuitan Hospital, No. 31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.

Aim: To compare the outcomes between the arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon alone and repairs to the ECRB tendon with suture anchor for the treatment of refractory lateral epicondylitis (LE).

Methods: We retrospectively reviewed our patients who underwent arthroscopic surgical treatment for refractory LE by a single surgeon from January 2008 to June 2018 with a minimum follow-up of 12 months. The visual analog scale (VAS), the Mayo Elbow Performance Score (MEPS), the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, the Patient-Rated Tennis Elbow Evaluation (PRTEE) scale, the Verhaar scoring system and the time of back to work were compared between two groups. Read More

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Concurrent validity of an inertial measurement system in tennis forehand drive.

J Biomech 2021 May 2;121:110410. Epub 2021 Apr 2.

Universidade de Lisboa, Faculdade de Motricidade Humana, Laboratório de Biomecânica e Morfologia Funcional, CIPER, Cruz Quebrada, Dafundo, Portugal.

The kinematic analysis in tennis forehand drive is crucial to understand the quality of this technique. The inertial measurement units (IMUs) due to its portability, occlusion free, larger capturing area and faster set up preparation, present an alternative to the optical motion capture systems (OS) considered a reference criterion system, however the degree of accuracy is task specific. This study aimed to compare the concurrent validity of a IMUs (Xsens MVN system) with an OS (Qualisys AB) for measuring upper and lower limb kinematics. Read More

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Epicondylopathia humeri radialis.

Z Orthop Unfall 2021 Apr 13. Epub 2021 Apr 13.

Mediapark Klinik, Cologne, Germany.

Background: Lateral epicondylitis is a common orthopaedic condition often massively restricting the quality of life of the affected patients. There are a wide variety of treatment options - with varying levels of evidence.

Method: The following statements and recommendations are based on the current German S2k guideline Epicondylopathia radialis humeri (AWMF registry number: 033 - 2019). Read More

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Asymptomatic common extensor tendon pathology in patients with carpal tunnel syndrome.

Muscle Nerve 2021 Jul 3;64(1):64-69. Epub 2021 May 3.

Northern Clinical School, University of Sydney, St Leonards, New South Wales, Australia.

Introduction/aims: Carpal tunnel syndrome (CTS) and lateral epicondylitis are both highly prevalent conditions. Our objective was to determine the prevalence of B-mode ultrasound abnormalities of the common extensor tendon (CET) in patients with CTS and establish the relationship between CET stiffness, as measured by shear wave elastography (SWE) and CTS severity.

Methods: Patients without symptoms or signs of lateral epicondylitis were recruited from referrals to a neurophysiology laboratory for possible CTS. Read More

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Ultrasound-guided percutaneous needle tenotomy using Tenex system for refractory lateral epicondylitis; short and long-term effectiveness and contributing factors.

Skeletal Radiol 2021 Apr 10. Epub 2021 Apr 10.

Department of Radiology, Musculoskeletal Imaging and Intervention, University of Virginia Health System, Charlottesville, VA, USA.

Background: Ultrasound-guided percutaneous needle tenotomy (USPNT) has been proposed as an alternative treatment to surgical intervention for lateral epicondylitis (LE). The Tenex system (Tenex Health Inc., Lake Forest, CA, USA) for USPNT is an ultrasonic device involving a needle which oscillates at high frequency to debride and aspirate diseased tendon under ultrasound image guidance. Read More

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Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET) - A systematic review.

J Hand Ther 2021 Feb 27. Epub 2021 Feb 27.

Physiotherapy Department, University of West Attica, Egaleo, Greece.

Background: Reviews on the diagnostic performance of the examination tests for lateral elbow tendinopathy (LET) based on updated context-specific tools and guidelines are missing.

Purpose: To review the diagnostic accuracy of examination tests used in LET.

Design: Systematic review following PRISMA-DTA guidelines. Read More

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February 2021

Clinical effectiveness of shockwave therapy in lateral elbow tendinopathy: systematic review and meta-analysis.

Clin Rehabil 2021 Apr 4:2692155211006860. Epub 2021 Apr 4.

Physiotherapy, University of West Attica, Egaleo, Greece.

Objective: To evaluate the effectiveness of extracorporeal shockwave therapy compared with other interventions on pain, grip strength and disability in patients with lateral elbow tendinopathy.

Data Sources: MEDLINE, PubMed, CINAHL, EMBASE, PEDro, ScienceDirect, Cochrane Library and clinical trial registries.

Review Methods: We included randomized controlled trials assessing the effectiveness of extracorporeal shockwave therapy alone or as an additive intervention compared with sham or other interventions. Read More

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Early Results of Kinesio Taping and Steroid Injections in Elbow Lateral Epicondylitis: A Randomized, Controlled Study.

Medicina (Kaunas) 2021 Mar 24;57(4). Epub 2021 Mar 24.

Department of Orthopaedics and Traumatology, Bunyan State Hospital, 38600 Bunyan/Kayseri, Turkey.

This study prospectively compares early results of Kinesio tape (KT) as an alternative method for the treatment of lateral epicondylitis with those of corticosteroid injection and the rest-and-medication group (RMG). Among the fifty patients (53 elbows), KT was applied to 20 patients (21 elbows), and corticosteroid injection (CSI) was applied to 15 patients (17 elbows). Fifteen patients were included in the RMG. Read More

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Public interest in musculoskeletal symptoms and disorders during the COVID-19 pandemic : Infodemiology study.

Z Rheumatol 2021 Mar 29. Epub 2021 Mar 29.

Department of Medical Ecology and Hydroclimatology, Istanbul Faculty of Medicine, Istanbul University, Topkapı, Turgut Özal Millet Cd, 34093, Fatih/İstanbul, Turkey.

Objective: The goal was to assess public interest in a wide range of musculoskeletal symptoms and disorders during the coronavirus disease 2019 (COVID-19) pandemic.

Methods: We searched Google Trends for 118 search queries within the United States. We compared two timeframes of 2020 (March 15-July 4 and July 5-October 31) to similar timeframes over the four prior years (2016-2019). Read More

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