2,531 results match your criteria Medial 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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The effectiveness of slider and tensioner neural mobilization techniques in the management of upper quadrant pain: A systematic review of randomized controlled trials.

J Bodyw Mov Ther 2022 Jul 18;31:102-112. Epub 2022 Mar 18.

Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, 1516, Cyprus. Electronic address:

Background: Little attention has been given to support the use of slider and tensioner neural mobilization (NM) techniques for upper quadrant pain (UQP). The purpose of this study was to systematically review the effectiveness of these techniques in patients with UQP.

Method: The PubMed, Cochrane Library and EBSCOhost were searched without chronological restriction to identify randomized clinical trials (RCTs) that assessed pain changes following NM in the upper quadrant. 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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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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The 'Bauer bump:' ice hockey skates as a common cause of Haglund syndrome.

Phys Sportsmed 2022 May 27:1-6. Epub 2022 May 27.

Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, NY, NY, USA.

Ice hockey is a fast-paced contact sport with a high rate of injury. While many of the injuries are acute and related to high skating speeds, frequent collisions, and sharp skates, the clinician must also be aware of the chronic injuries that commonly arise from playing this sport. The "Bauer bump" is one such chronic injury, which is the onset of Haglund syndrome in ice hockey players occurring in the context of wearing ice hockey skates. 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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The role of elbow positioning on arthroscopic assessment of the long head of biceps tendon in the beach chair position.

ANZ J Surg 2022 May 12. Epub 2022 May 12.

Melbourne Orthopaedic Group, Melbourne, Victoria, Australia.

Background: Tendinopathy of the long head of biceps (LHB) tendon is a common cause of anterior shoulder pain and dysfunction. The extra-articular portion within the bicipital groove undergoes frequent load and friction during shoulder movements and pathology within this area is frequently missed during arthroscopic assessment.

Methods: We quantified the arthroscopically assessable length of tendon within the shoulder in 14 consecutive patients undergoing subpectoral biceps tenodesis. 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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Rotator Cuff Tendinopathy: Magnitude of Incapability is Associated with Greater Symptoms of Depression Rather than Pathology Severity.

J Shoulder Elbow Surg 2022 Apr 21. Epub 2022 Apr 21.

University of Texas at Austin, Austin, TX, USA.

Background: Population-based studies have established that most people develop rotator cuff tendinopathy during their lifetime, it is often accommodated, and there is limited correspondence between symptom intensity and pathology severity. To test the relationship between effective accommodation and mental health on its continuum, we studied the relative association of magnitude of capability with symptoms of anxiety or depression compared to quantifications of rotator cuff pathology such as defect size, degree of retraction, and muscle atrophy among people presenting for specialty care.

Methods: We analyzed a retrospective cohort of 71 adults seeking specialty care for symptoms of rotator cuff tendinopathy, that had a recent Magnetic Resonance Imaging (MRI) of the shoulder, and completed the following questionnaires: PROMIS Global Health (a measure of symptom intensity and magnitude of capability, consisting of the mental and physical Health subscores), the Generalized Anxiety Disorder (symptoms of anxiety), and the Patient Health Questionnaire (symptoms of depression). Read More

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Evaluating the Role of Subacromial Impingement in Rotator Cuff Tendinopathy: Development and Analysis of a Novel Rat Model.

J Shoulder Elbow Surg 2022 Apr 14. Epub 2022 Apr 14.

Orthopedic Soft Tissue Research Program, Hospital for Special Surgery, New York, NY, USA. Electronic address:

Background: Subacromial impingement of the rotator cuff caused by variations in acromial anatomy or altered glenohumeral kinematics leads to inflammation and degeneration of the rotator cuff, ultimately contributing to the development of tendinopathy. However, the underlying cellular and molecular changes in the impinged tendon remain poorly understood. Since the rat is an accepted model for rotator cuff studies, we have developed a rat model to study rotator cuff tendinopathy. 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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Case Report: Using Telehealth to Treat Triceps Tendinopathy in a Rock Climber.

Authors:
Jared Vagy

Front Sports Act Living 2022 21;4:829480. Epub 2022 Mar 21.

Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States.

This case study presents a 38-year-old, female rock climber with posterior elbow pain who was evaluated and treated using Telehealth. The use of telehealth for a clinical exam requires a larger emphasis be placed on posture observation and movement analysis since hands on assessment techniques cannot be used. During the patient exam, movement analyses identified scapulohumeral positional faults and dyskinesis, while self-palpation and self-midline resistance testing helped identify that the triceps tendon was the pathological tissue. Read More

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Comment on the article by Kandil et al.: allogeneic platelet-derived growth factors local injection in treatment of tennis elbow: a prospective randomized controlled study.

Int Orthop 2022 Jun 2;46(6):1435-1436. Epub 2022 Apr 2.

Shaoxing City Keqiao District Traditional Chinese Medicine Hospital Medical Alliance General Hospital, Shaoxing, 312030, China.

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Ultrasound-guided percutaneous irrigation of calcific tendinopathy outside the rotator cuff: short-term evaluation.

Skeletal Radiol 2022 Apr 2. Epub 2022 Apr 2.

Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Emilia-Romagna, Italy.

Rationale And Objectives: While ultrasound-guided percutaneous irrigation for painful calcific tendinopathy (US-PICT) is the treatment of choice for the rotator cuff, there is a lack of knowledge regarding the treatment of this condition with atypical location. The purpose of our study is to assess if US-PICT can be applied safely and successfully in atypical sites, outside of the rotator cuff.

Materials And Methods: We retrospectively reviewed the US-PICT performed outside the rotator cuff, in the last 5 years in a single institution. Read More

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Association Between Increased Elbow Carrying Angle and Lateral Epicondylitis.

Cureus 2022 Mar 9;14(3):e22981. Epub 2022 Mar 9.

Orthopaedics/Clinical Research, University of Missouri-Kansas City, Kansas City, USA.

Introduction The goal of this study was to ascertain the effect of increased elbow carrying angle (ECA) in lateral epicondylitis (LE) development. Materials and methods This retrospective study involved a total of 62 participants between January and December 2021, of whom 29 were diagnosed with LE. Physical examinations and elbow radiographs of the patients were reviewed retrospectively. Read More

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Evaluation of MRI Signal Changes of the Distal Biceps Tendon in Asymptomatic Patients.

J Hand Surg Am 2022 May 25;47(5):454-459. Epub 2022 Mar 25.

Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Belgium. Electronic address:

Purpose: Magnetic resonance imaging (MRI) is used widely for complete ruptures of the distal biceps tendon. The validity of this investigation for bicipital bursitis and tendinosis is unknown. The purpose of present study was to assess the prevalence of incidental (asymptomatic) signal changes in the distal biceps tendon in patients who underwent MRI including the elbow. Read More

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A systematic review on the efficacy of different types of platelet-rich plasma in the management of lateral epicondylitis.

J Shoulder Elbow Surg 2022 Jul 23;31(7):1533-1544. Epub 2022 Mar 23.

Department of Sports Medicine, Beijing Ji Shui Tan Hospital, School of Medicine, Peking University, Beijing, China. Electronic address:

Background: Platelet-rich plasma (PRP) is reported as an effective treatment for lateral epicondylitis (LE). Theoretically, different types of PRP have different therapeutic effects. However, there is controversy on the effects of different types of PRP in the treatment of LE. Read More

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Is a Heavy-Slow Resistance Exercise Program an Appropriate Treatment Approach for All Patients with Lateral Elbow Tendinopathy? Editorial.

J Clin Med 2022 Mar 11;11(6). Epub 2022 Mar 11.

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

Heavy-slow resistance exercise programs are the most effective physiotherapy treatment approaches in lateral elbow tendinopathy (LET) management [... Read More

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Radiocapitellar plica: a narrative review.

Acta Biomed 2022 03 14;93(1):e2022029. Epub 2022 Mar 14.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Viale Randi 5, 48121, Ravenna, Italy.

Radiocapitellar plica is a vestigial lateral portion of elbow synovial fold which may cause pain and snap in some cases. Plica is a difficult and misleading diagnosis and it could be easily confused with a common lateral epicondylitis however, they are different conditions. Pathology full understanding and proper diagnosis is essential to achieve patient's pain relief and functional recovery therefore, we reviewed the most relevant literature about radiocapitaller plica. Read More

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Stop Using the Eccentric Exercises as the Gold Standard Treatment for the Management of Lateral Elbow Tendinopathy.

J Clin Med 2022 Feb 28;11(5). Epub 2022 Feb 28.

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

The most common tendinopathy in the elbow area is the Lateral elbow tendinopathy (LET) [... Read More

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February 2022

Ultrasound-Guided Injection Approach of Treating Tennis Elbow and Elbow Joint Synovitis Simultaneously Under One Needle Insertion Point.

Am J Phys Med Rehabil 2022 Jul 23;101(7):e115-e116. Epub 2022 Feb 23.

From the Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Guishan District, Taoyuan City, Taiwan (J-LC, W-JC, CPCC); and College of Medicine, Chang Gung University, Guishan District, Taoyuan City, Taiwan (K-YC).

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Histopathology of long head of biceps tendon removed during tenodesis demonstrates degenerative histopathology and not inflammatory changes.

BMC Musculoskelet Disord 2022 Feb 26;23(1):185. Epub 2022 Feb 26.

Department of Orthopaedics, Chan Gunn Pavilion, Allen McGavin Sports Medicine Clinic, University of British Columbia, 2553 Wesbrook Mall, Vancouver, BC, V6T1Z3, Canada.

Background: The aim of this study is to describe and quantitatively analyze the histopathology of proximal long head biceps (LHB) tendinopathy in patients who have undergone LHB tenodesis. The hypothesis is that severe histopathologic changes of the LHB tendon (LHBT) will most likely be reflected with improved postoperative clinical outcomes.

Methods: The study included patients with isolated LHB tendinopathy or LHB tendinopathy associated with concomitant shoulder pathologies. Read More

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February 2022

Effects of hyaluronic acid injections on pain and functioning in patients affected by tendinopathies: A narrative review.

J Back Musculoskelet Rehabil 2022 Feb 25. Epub 2022 Feb 25.

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy.

Background: Tendinopathies are overuse tendon injuries showing load-dependant pain, stiffness, weakness of movement in the affected area, and impairment in the movements. The scientific interest on the role of Hyaluronic Acid (HA) for the management of tendinopathies has been increased due to its anti-inflammatory and lubricative properties.

Objective: To collect evidence regarding the effectiveness and safety of HA injections in reducing pain in patients affected by tendinopathies. Read More

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February 2022

The effect of ultrasound therapy on lateral epicondylitis: A meta-analysis.

Medicine (Baltimore) 2022 Feb;101(8):e28822

Department of Ultrasound, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University) Hainan, China.

Objective: Lateral epicondylitis is a common musculoskeletal disorder, and ultrasound therapy is one of the most used treatments in the clinic. The effect remains uncertain, and the present paper aims to figure it out with a meta-analysis.

Methods: The Pubmed, Cochrane library, and Embase databases were searched for relevant studies published before Jure 1, 2021. Read More

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February 2022

Lateral epicondylosis.

CMAJ 2022 02;194(7):E257

Departments of Surgery (Li, Badre) and Family Medicine (Liu), and Western Upper Limb Facility (Badre), University of Alberta, Edmonton, Alta.

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February 2022