2,733 results match your criteria Lateral Epicondylitis


Rehabilitation and Return to Sport Following Elbow Injuries.

Arthrosc Sports Med Rehabil 2022 Jun 5;4(3):e1245-e1251. Epub 2022 Mar 5.

Stanford University Department of Orthopaedic Surgery, Sports Medicine Service, Palo Alto, California.

Elbow injuries are frequently seen in throwing and overhead athletes. This review provides a framework for diagnosis, treatment, and particularly rehabilitation of common elbow pathologies, including ulnar collateral ligament injury, valgus extension overload, and medial and lateral epicondylitis. Advanced rehabilitation facilitates complete return to functional sport-specific activity and is based on objective criteria. Read More

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What Role Does Gene Polymorphisms Play in Treating Tennis Elbow with PRP? A Prospective Cohort Study.

J Clin Med 2022 Jun 17;11(12). Epub 2022 Jun 17.

Department of Biochemistry and Medical Genetics, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Medyków 18 St., 40-752 Katowice, Poland.

Background: This study aims to identify genotype variants of the platelet-derived growth factor alpha polypeptide gene () that can influence the individual response to the treatment with platelet-rich plasma (PRP) in tennis elbow patients.

Methods: We observed a cohort of 107 patients (132 elbows) with tennis elbow who received treatment with PRP. Patients have been followed-up for two years after PRP injection and the effectiveness of the treatment was measured using universal patient-reported outcome measures (PROMs): visual analog scale (VAS), quick version of disabilities of the arm, shoulder and hand score (QDASH), and patient-rated tennis elbow evaluation (PRTEE). Read More

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Treatment, Diagnostic Criteria and Variability of Terminology for Lateral Elbow Pain: Findings from an Overview of Systematic Reviews.

Healthcare (Basel) 2022 Jun 14;10(6). Epub 2022 Jun 14.

Department Human Neurosciences, Sapienza University of Rome, 00185 Rome, Italy.

Background: Lateral elbow pain (LEP) represents a musculoskeletal disorder affecting the epicondyloid region of the elbow. The terminological framework of this problem in literature, to date, is confusing. This systematic review (SR) aims to analyse the panorama of the scientific literature concerning the pathogenetic framework, treatment, and clinical diagnosis of LEP. Read More

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Comprehensive secondary prevention of lateral epicondylitis in young tennis players.

Res Sports Med 2022 Jun 21:1-14. Epub 2022 Jun 21.

Department of Pathophysiology, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

The research aims to increase the efficiency of the training process for young tennis players old based on lateral epicondylitis secondary prevention methods. Tennis players with apparent residual effects of lateral epicondylitis were selected for the study and divided into experimental (18 boys and 14 girls) and control groups (18 boys and 13 girls). The experimental group was trained according to the developed technique, and the control group as per standard one. Read More

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Telephone-based joint protection education in lateral epicondylitis: A randomized controlled trial.

Work 2022 Jun 10. Epub 2022 Jun 10.

Department of Physical Therapy andRehabilitation, Faculty of Health Sciences, Trakya University, Edirne, Turkey.

Background: Lateral epicondylitis (LE) can occur for many different reasons such as compelling repetitive movements in daily readings, incorrect posture use and work-related factors. Although several treatments are available for LE, the optimal evidence-based treatment remains uncertain. Joint protection techniques have been developed as a self-management intervention to reduce pain and disability and improve functionality by applying ergonomic approaches. Read More

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A Combined Revision Surgical Technique for Failed Operative Lateral Epicondylitis With Concomitant Radial Tunnel Syndrome.

Tech Hand Up Extrem Surg 2022 May 5. Epub 2022 May 5.

Department of Orthopedic Surgery, WellStar Atlanta Medical Center, The Hand and Upper Extremity Center of Georgia, Atlanta, GA.

Lateral epicondylitis afflicts a large percentage of the population with most recovering through conservative treatment. The 5% to 10% of patients who undergo operative intervention are met with mixed results. Those that fail to improve often demonstrate a complex presentation of inadequate debridement of the "angiofibroblastic tissue," missed concomitant radial tunnel syndrome, and iatrogenic residual devascularized tissue resulting from the index procedure. Read More

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Surgical Techniques and Clinical Outcomes for Medial Epicondylitis: A Systematic Review.

Am J Sports Med 2022 Jun 6:3635465221095565. Epub 2022 Jun 6.

Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.

Background: Medial epicondylitis (ME) is a pathological condition that arises in laborers and athletes secondary to repetitive wrist flexion and forearm pronation causing degeneration of the common flexor tendon. Although nonoperative management has demonstrated high rates of success, no standardized surgical technique has been established for situations when operative management is indicated.

Purpose/hypothesis: The purpose of this study was to perform a systematic review of the surgical treatment options for ME and evaluate the associated patient-reported outcomes (PROs). Read More

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Épicondylite latérale.

CMAJ 2022 May;194(21):E761

Départements de chirurgie (Li, Badre) et de médecine familiale (Liu) ainsi que le Western Upper Limb Facility (Badre), Université de l'Alberta, Edmonton, Alb.

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Prevalence and factors of work-related musculoskeletal disorders among hand surgeons.

World J Orthop 2022 May 18;13(5):465-471. Epub 2022 May 18.

Department of Orthopaedics, Queens University, Kingston K7L 3N6, Ontario, Canada.

Background: The nature of tasks required by hand surgeons require both forceful and repetitive maneuvers, thus subjecting these surgeons to the risk of musculoskeletal (MSK) injuries during their years in practice.

Aim: To assess the prevalence, characteristics and impact of MSK disorders among hand surgeons.

Methods: A modified version of the physical discomfort survey was sent to surgeons who were members of the American Society for Surgery of the Hand e-mail. Read More

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Direct Effect of Local Cryotherapy on Muscle Stimulation, Pain and Strength in Male Office Workers with Lateral Epicondylitis, Non-Randomized Clinical Trial Study.

Healthcare (Basel) 2022 May 10;10(5). Epub 2022 May 10.

Department of Functional Diagnostics and Physical Medicine, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland.

Background: Local cryotherapy (LC) is one of the physiotherapeutic methods used in the conservative treatment of lateral epicondylitis (LE). The aim of the study was to verify the direct effect of a single LC procedure on the clinical symptoms of lateral epicondylitis enthesopathy (pain, pain free grip, PFG) and its effect on the bioelectrical properties of the wrist extensor muscles at rest, on maximal contraction and isometric contraction during fatigue.

Methods: The study group was 28 men (35. Read More

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A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community.

J Am Acad Orthop Surg Glob Res Rev 2022 May 1;6(5). Epub 2022 May 1.

From the Department of Orthopaedic Surgery (Dr. Swank, Dr. Furness, Dr. Rohde); the Department of Orthopaedic Research (Baker, Dr. Gehrke), Beaumont Health, Royal Oak, MI; and the Department of Orthopaedic Surgery (Baker, Dr. Rohde), Oakland University-William Beaumont School of Medicine, Rochester, MI.

Introduction: As demand for orthopaedic care increases, the orthopaedic community must preserve access to skilled physicians. Workplace hazards and related injuries or conditions contribute to musculoskeletal (MSK) stress on orthopaedic surgeons, which can lead to undesirable medical leaves of absence or early retirement. The purpose of this study was to identify and characterize work-related and non-work-related MSK conditions that affect orthopaedic surgeons and differential injury patterns among male and female surgeons. Read More

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Letter to the Editor: Persistent Tennis Elbow Symptoms Have Little Prognostic Value: A Systematic Review and Meta-analysis.

Authors:
Jerrold Gorski

Clin Orthop Relat Res 2022 May 24. Epub 2022 May 24.

Department of Orthopedic Surgery, New York Presbyterian Queens, Flushing, NY, USA.

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Extensor digitorum muscle tendon to the index finger from the extensor carpi radialis brevis: a cadaveric case report.

Folia Morphol (Warsz) 2022 May 24. Epub 2022 May 24.

Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.

The forearm extensor compartment is known for its wide variability in terms of muscle origin, number of tendons and their distal insertion. The index finger on its dorsal aspect is the typical place of insertion of the two tendons of the extensor digitorum (ED-index) and of the extensor indicis. Being acquainted with their anatomy is of immense importance to orthopedic surgeons in the treatment of e. Read More

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Lateral Ulnar Collateral Ligament of the Elbow Joint: Reconsideration of Anatomy in Terms of Connection with Surrounding Fibrous Structures.

J Bone Joint Surg Am 2022 May 20. Epub 2022 May 20.

Department of Clinical Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Background: To improve the clinical results of lateral ulnar collateral ligament (LUCL) reconstruction of the elbow joint, better understanding of the anatomy of the aponeuroses and joint capsule could be relevant. This study considers the previously described anatomy of the LUCL in relation to the related aponeuroses and joint capsule rather than as a discrete ligament. We hypothesized that the deep aponeuroses of the superficial extensor muscles and supinator form a relevant portion of the joint capsule previously defined as the LUCL. Read More

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Lateral epicondylitis: New trends and challenges in treatment.

World J Orthop 2022 Apr 18;13(4):354-364. Epub 2022 Apr 18.

Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia 1527, Bulgaria.

Lateral epicondylitis (LE) is a chronic aseptic inflammatory condition caused by repetitive microtrauma and excessive overload of the extensor carpi radialis brevis muscle. This is the most common cause of musculoskeletal pain syndrome in the elbow, inducing significant pain and limitation of the function of the upper limb. It affects approximately 1-3% of the population and is frequently seen in racquet sports and sports associated with functional overload of the elbow, such as tennis, squash, gymnastics, acrobatics, fitness, and weight lifting. Read More

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Analgesic and Functional Efficiency of High-Voltage Electrical Stimulation in Patients with Lateral Epicondylitis-A Report with a 180-Day Follow-Up.

J Clin Med 2022 May 4;11(9). Epub 2022 May 4.

Department of Medical Biophysics, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 18 Medyków Str., 40-752 Katowice, Silesia, Poland.

The available publications describing the beneficial effects of electrostimulation does not unequivocally confirm the clinical utility of high-voltage electrical stimulation (HVES) in the treatment of the lateral epicondylitis (LE). The aim of this study was the estimation of the effect of HVES on pain intensity and functional efficiency, both in the short and long term in patients with LE. The trial was registered by the Australian and New Zealand Clinical Trials Registry (ACTRN12621001389897). Read More

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Is Lateral Elbow Tendinopathy an Appropriate Clinical Diagnostic Term When the Condition Is Persistent?

J Clin Med 2022 Apr 20;11(9). Epub 2022 Apr 20.

Department of Neurology, Faculty of Health and Caring Sciences, University of West Attica, Agiou Spyridonos 28, Egaleo, 12243 Athens, Greece.

Lateral elbow tendinopathy (LET) seems to be the most appropriate term to use in clinical practice because previous terms such as lateral epicondylitis, tennis elbow, lateral epicondylalgia, epicondylosis, enthesopathy, Father of the Bride's Elbow, lateral elbow or extensor tendonitis, lateral elbow or extensor tendinosis, and extensor tendinopathy make reference to inappropriate aetiological, anatomical, and pathophysiological terms [... Read More

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Management of Lateral Epicondylitis: A Prospective Comparative Study Comparing the Local Infiltrations of Leucocyte Enriched Platelet-Rich Plasma (L-aPRP), Glucocorticoid and Normal Saline.

Malays Orthop J 2022 Mar;16(1):58-69

Department of Anatomy, All India Institute of Medical Sciences, Bathinda, India.

Introduction: Lateral epicondylitis is a painful condition of the elbow, characterised by pain and tenderness with resisted wrist extension. This study was carried out to evaluate the comparative efficacy of the local infiltration of L-PRP, methylprednisolone and normal saline in patients with lateral epicondylitis.

Materials And Methods: Sixty adult patients, between the ages 30 to 50 years, diagnosed with lateral epicondylitis of more than 12 weeks, were enrolled in the prospective randomised study. Read More

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Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study.

Malays Orthop J 2022 Mar;16(1):91-96

Department of Orthopaedics, Bangalore Medical College and Research Institute, Bangalore, India.

Introduction: Lateral epicondylitis is a common condition causing severe incapacitating pain. Several methods of treatment have been approached for its management. In our study we aim to compare the results of injecting steroid and lignocaine mixture via single injection and peppered injection technique and analyse the outcome in each category. Read More

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Clinical efficacy of high-intensity laser therapy (HILT) on lateral epicondylitis patients: A systematic review and meta-analysis.

Am J Phys Med Rehabil 2022 Apr 29. Epub 2022 Apr 29.

Faculty of physical therapy, Department of Biomechanics, October 6 University, Giza, Egypt.

Objectives: Recently, high-intensity laser therapy (HILT) has been used in the therapeutic protocols for pain management. We aim to evaluate the clinical efficacy of HILT versus other different modalities for improving lateral epicondylitis (LE) symptoms.

Methodology: We conducted a systematic review and meta-analysis on prospective randomized controlled trials (RCTs) from PubMed, Embase, Scopus, Web of Science (WOS), and Science Direct till June 2021 using relevant keywords. Read More

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The Comparison of the Effectiveness of Kinesio Taping and Dry Needling in the Treatment of Lateral Epicondylitis: A Clinical and Ultrasonographic Study.

J Shoulder Elbow Surg 2022 Apr 25. Epub 2022 Apr 25.

Department of Physical Medicine and Rehabilitation, Katip Celebi University Ataturk Education and Research Hospital, Izmir, Turkey.

Background: The aim of this study is to investigate the short and long-term effects of kinesio taping (KT) and dry needling (DN) applications on pain, functionality and muscle strength in lateral epicondylitis (LE) patients, using questionnaires and ultrasonography (US).

Methods: Seventy-eight patients were randomized into three groups. The groups were given a program that consisted of nine sessions in total, 3 times a week for 3 weeks. Read More

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Treatment of chronic lateral epicondylosis: a randomized trial comparing the efficacy of ultrasound-guided tendon dry needling and open-release surgery.

Eur Radiol 2022 Apr 28. Epub 2022 Apr 28.

Research Center, Centre hospitalier de l'Université de Montréal (CHUM), 900 rue Saint-Denis, Montreal, Quebec, H2X 0A9, Canada.

Objective: Evaluate the efficacy of ultrasound-guided dry needling and open-release surgery in reducing pain and improving function in workers with lateral epicondylosis refractory to at least 6 months of nonsurgical management.

Methods: We randomly assigned participants in a 1:1 ratio to receive dry needling or surgery. The primary outcome was the Patient Rated Tennis Elbow Evaluation (PRTEE) score at 6 months. Read More

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Musculoskeletal mimics of cervical radiculopathy.

Authors:
Faye Y Chiou-Tan

Muscle Nerve 2022 Jul 24;66(1):6-14. Epub 2022 Apr 24.

H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA.

Musculoskeletal mimics of cervical radiculopathy will be explored in this AANEM monograph. A review of the literature and textbooks was conducted. Musculoskeletal cervical radiculopathy mimics include: (1) head/neck pain, such as neck tension, cervicogenic headache, and temporomandibular disorder; (2) referred pain from shoulder pathology, such as rotator cuff tears/impingement; (3) elbow region abnormalities, including medial/lateral epicondylitis; (4) wrist/hand conditions, such as DeQuervain's tenosynovitis and intersection syndrome; (5) muscle connective tissue disorders, including myofascial trigger points; (6) conditions that have decreased range of motion, including frozen shoulder and rounded shoulders with tight pectoral/scalene muscles; (7) conditions with joint hyperlaxity and instability, as seen in post-stroke shoulder subluxation; (8) vascular conditions, such as thoracic outlet syndrome; and (9) autonomic controlled soft tissue changes associated with complex regional pain syndrome. Read More

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Healthcare Utilization for Lateral Epicondylitis: A 9-Year Analysis of the 2010-2018 Health Insurance Review and Assessment Service National Patient Sample Data.

Healthcare (Basel) 2022 Mar 28;10(4). Epub 2022 Mar 28.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 3F, 538 Gangnam-daero, Gangnam-gu, Seoul 06110, Korea.

This retrospective cross-sectional study examined healthcare utilization among 213,025 patients with lateral epicondylitis over a nine-year period using the 2010-2018 Health Insurance Review and Assessment Service (HIRA) data (ICD code M771). Healthcare utilization, types of treatment, and the route of the visit were analyzed with frequency analysis for Western medicine (WM) and Korean medicine (KM). The findings revealed that the number of patients visiting WM and KM facilities for lateral epicondylitis rose every year from 2010 to 2018. Read More

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Physical Education Teaching Strategy under Internet of Things Data Computing Intelligence Analysis.

Comput Intell Neurosci 2022 11;2022:5299497. Epub 2022 Apr 11.

Sports Teaching and Research Department, Heilongjiang University, Harbin 150040, Heilongjiang, China.

Racket sports such as tennis are amongst the most popular recreational sports activities. Optimizing tennis teaching methods and improving teaching modes can effectively improve the teaching quality of tennis. In this study, a video and image action recognition system based on image processing techniques and Internet of things is developed to overcome the shortcomings of the traditional tennis teaching methods. Read More

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Effectiveness of Platelet-Rich Plasma for Lateral Epicondylitis: A Systematic Review and Meta-analysis Based on Achievement of Minimal Clinically Important Difference.

Orthop J Sports Med 2022 Apr 8;10(4):23259671221086920. Epub 2022 Apr 8.

Department of Biochemistry and Medical Genetics, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, Poland.

Background: The effectiveness of platelet-rich plasma (PRP) injection in the treatment of lateral epicondylitis remains debatable.

Purpose: To evaluate the effectiveness of PRP in lateral epicondylitis treatment using minimal clinically important difference (MCID) values as a reference and to investigate if leukocyte content can influence the effectiveness of the therapy.

Study Design: Systematic review; Level of evidence, 4. Read More

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Functional Outcome of Platelet-Rich Plasma (PRP) Intra-lesional Injection for Tennis Elbow - A Prospective Cohort Study.

Cureus 2022 Mar 8;14(3):e22974. Epub 2022 Mar 8.

Orthopaedics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Introduction Platelet-Rich Plasma (PRP) is an autologous human plasma preparation with a higher platelet concentration. Injection of PRP were, found to be effective in treating tendinopathy and arthritis. A few studies only focused in using PRP injection in patients with tennis elbow. Read More

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Platelet-Rich Plasma Injection Associated With Microtenotomy in Lateral Epicondylitis - is a Tendon Tear Associated with the Therapeutic Response?

Cureus 2022 Feb 21;14(2):e22425. Epub 2022 Feb 21.

Intervention and Musculoskeletal Rehabilitation Unit, Centro de Reabilitação do Norte, Vila Nova de Gaia, PRT.

Objective Ultrasound-guided platelet-rich plasma (PRP) injections, as well as needle tenotomy, are becoming increasingly popular in the treatment of epicondylitis. Whether ultrasound (US) findings predict the clinical benefit of these techniques is unclear at the moment. This study aimed to investigate the relationship between the presence of tendon tear assessed by US and the therapeutic response of the PRP injection following needle microtenotomy in patients with epicondylitis. Read More

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February 2022