2,120 results match your criteria Medial Epicondylitis


Platelet-rich plasma versus lidocaine as tenotomy adjuvants in people with elbow epicondylopathy: a randomized controlled trial.

J Orthop Surg Res 2019 Apr 23;14(1):109. Epub 2019 Apr 23.

Regenerative Medicine, BioCruces Health Research Institute, Cruces University Hospital, 48903, Barakaldo, Spain.

Objectives: To determine the efficacy of platelet-rich plasma (PRP) compared to lidocaine as a tenotomy adjuvant for people with elbow tendinopathy.

Methods: Our study was a parallel-group, double-blind, randomized trial involving 71 patients with recalcitrant elbow tendinopathy who received two sessions of ultrasound-guided tenotomy with either PRP or lidocaine in a tertiary public hospital. The primary end point was the percentage of patients with an improvement exceeding 25% reduction in disability (Spanish version of the Disabilities of the Arm, Shoulder and Hand questionnaires-DASH-E) at 6 and 12 months; the secondary outcome was the percentage of patients exceeding 25% reduction in pain (VAS-P). Read More

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http://dx.doi.org/10.1186/s13018-019-1153-6DOI Listing

Biceps Tenodesis Is a Viable Option for Management of Proximal Biceps Injuries in Patients Less Than 25 Years of Age.

Arthroscopy 2019 Apr;35(4):1036-1041

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Purpose: To evaluate outcomes after biceps tenodesis performed in patients younger than 25 years, to evaluate reoperations and complications in this population, and to critically appraise return to preinjury level of play for this population.

Methods: Forty-five consecutive patients younger than 25 years underwent subpectoral biceps tenodesis for biceps tendinopathy or biceps-labral complex injuries including SLAP tears. Biceps tenodesis was performed using an interference screw technique. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.10.151DOI Listing

Assessing Patient-Centred Outcomes in Lateral Elbow Tendinopathy: A Systematic Review and Standardised Comparison of English Language Clinical Rating Systems.

Sports Med Open 2019 Mar 20;5(1):10. Epub 2019 Mar 20.

Health Services and Policy Research Group, University of Exeter Medical School, Exeter, UK.

Background: Lateral elbow tendinopathy (LET) is a common condition affecting adults. Although a lack of treatment consensus continues to prompt numerous effectiveness studies, there is a paucity of clear guidance on the choice of outcome measure. Our aim was to undertake a standardised evaluation of the available clinical rating systems that report patient-centred outcomes in LET. Read More

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http://dx.doi.org/10.1186/s40798-019-0183-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426924PMC
March 2019
3 Reads

Needle tenotomy with PRP versus lidocaine in epicondylopathy: clinical and ultrasonographic outcomes over twenty months.

Skeletal Radiol 2019 Mar 2. Epub 2019 Mar 2.

Regenerative Medicine, BioCruces Health Research Institute, Cruces University Hospital, 48903, Barakaldo, Spain.

Objective: To investigate whether pathological changes in elbow epicondylopathy, as assessed by conventional ultrasonography and clinical outcomes, could be modified following tenotomy with platelet-rich plasma (PRP) versus tenotomy with lidocaine.

Methods: This prospective sub-study was part of a patient- and assessor-blinded, superiority-type, randomized, lidocaine-controlled trial that was performed in a tertiary hospital to assess the effectiveness of PRP versus lidocaine as tenotomy adjuvants in patients with epicondylopathy. Patients were followed after two sessions of tenotomy with either PRP or lidocaine adjuvants (4 ml) within a 2-week interval. Read More

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http://dx.doi.org/10.1007/s00256-019-03193-1DOI Listing
March 2019
3 Reads

Treatment of a calcific bursitis of the medial collateral ligament: a rare cause of painful knee.

J Ultrasound 2019 Feb 27. Epub 2019 Feb 27.

Musculoskeletal Ultrasound School, Italian Society for Ultrasound in Medicine and Biology (SIUMB), Bologna, Italy.

Medial knee pain is common in clinical practice and can be caused by various conditions. In rare cases, it can even be by calcific bursitis of the medial collateral ligament (MCL). Treatment of calcific bursitis and/or calcification of the MCL classically includes observation, local injections, shockwave therapy and surgical resection. Read More

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http://dx.doi.org/10.1007/s40477-018-0353-yDOI Listing
February 2019
2 Reads

Effect of extracorporeal shock wave for tennis elbow: A protocol for systematic review of randomized controlled trial.

Medicine (Baltimore) 2019 Feb;98(7):e14517

Department of Orthopedics, Huludao Central Hospital, Huludao, China.

Background: Previous clinical studies have reported that extracorporeal shock wave (EPSW) is an effective treatment for patients with tennis elbow (TE). However, no systematic review has assessed its effectiveness and safety for the treatment of TE.

Methods: In this systematic review, we will search the potential eligible literature from the following electronic databases: Central, Embase, MEDLINE, CINAHL, and CNKI from inception to the present. Read More

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http://dx.doi.org/10.1097/MD.0000000000014517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408112PMC
February 2019
1 Read

Lateral epicondylalgia: A primary nervous system disorder.

Authors:
Diego Bordachar

Med Hypotheses 2019 Feb 11;123:101-109. Epub 2019 Jan 11.

Instituto Universitario del Gran Rosario (IUGR), Centro Universitario de Asistencia, Docencia e Investigación (CUADI), Unidad de Investigación Musculoesquelética (UIM), Argentina. Electronic address:

Lateral epicondylalgia (LE) is the most common chronic painful condition affecting the elbow in the general population. Although major advances have been accomplished in recent years in the understanding of LE, the underlying physiopathology is still a reason for debate. Differences in clinical presentation and evolution of the symptoms among patients, suggest the need for revisiting the current knowledge about subjacent mechanisms that attempt to explain pain and functional loss. Read More

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http://dx.doi.org/10.1016/j.mehy.2019.01.009DOI Listing
February 2019
4 Reads

A Triple Application of Kinesio Taping Supports Rehabilitation Program for Rotator Cuff Tendinopathy: a Randomized Controlled Trial.

Ortop Traumatol Rehabil 2018 Dec;20(6):499-505

Physical and Rehabilitation Medicine Department, Campus Bio-Medico University, Rome, Italy.

Background: Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combination of three different applications of KT combined with a standardized protocol of rehabilitative exercises in reducing pain and in functional recovery in patients affected by RoCT. Read More

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December 2018
7 Reads

Association of steroid injection with soft-tissue calcification in lateral epicondylitis.

J Shoulder Elbow Surg 2019 Feb;28(2):304-309

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.

Background: Steroid injections are among the most commonly used conservative treatments for lateral epicondylitis (LE). Although soft-tissue calcification has been reported as a steroid injection complication in certain tendons, such an association in LE has not been established. This study's purpose was to determine any association of both a history of steroid injection and the number of steroid injections with the types of calcification found in LE. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.009DOI Listing
February 2019
3 Reads

Counterforce bracing of lateral epicondylitis: a prospective, randomized, double-blinded, placebo-controlled clinical trial.

J Shoulder Elbow Surg 2019 Feb;28(2):288-295

Orthopaedic Research Institute, St George Hospital Clinical School, University of New South Wales, Sydney, NSW, Australia. Electronic address:

Background: Counterforce bracing is one of the common treatment modalities for tennis elbow. The objective of this study was to determine whether counterforce bracing offers any additional benefit over placebo bracing in the treatment of tennis elbow.

Methods: This prospective, randomized, double-blinded, placebo-controlled clinical trial investigated the use of counterforce bracing (n = 17) compared with placebo bracing (n = 14) in the management of acute tennis elbow. Read More

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http://dx.doi.org/10.1016/j.jse.2018.10.002DOI Listing
February 2019
2 Reads

Comparison of the Effectiveness of Shockwave Therapy with Selected Physical Therapy Procedures in Patients with Tennis Elbow Syndrome.

Ortop Traumatol Rehabil 2018 Aug;20(4):301-311

Uniwersytet Jana Kochanowskiego (JKU), Kielce, Polska / Jan Kochanowski University (JKU), Kielce, Poland Zakład Rehabilitacji w Schorzeniach Narządu Ruchu, Instytut Fizjoterapii, Wydział Lekarski i Nauk o Zdrowiu / Department of Rehabilitation in Musculoskeletal Disease, Institute of Physiotherapy, Faculty of Medicine and Health Sciences.

Wstęp. Łokieć tenisisty jest to zespół bólowy tkanek miękkich okolicy nadkłykcia bocznego kości ramiennej. Celem pracy było porównanie skuteczności terapii radialną falą uderzeniową (RSWT) z zabiegami laseroterapii i ultradźwięków w badanej grupie. Read More

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http://dx.doi.org/10.5604/01.3001.0012.6464DOI Listing
August 2018
2 Reads

Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study.

Ann Phys Rehabil Med 2019 Jan 11. Epub 2019 Jan 11.

Physical and Rehabilitation Medicine Unit (PRM), University Hospital, 33076 Bordeaux, France; EA4136 Handicap, Activité, Cognition, Santé, Bordeaux University, 33076 Bordeaux, France.

Background: Epicondylar tendinopathy ("tennis elbow") is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770657193000
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http://dx.doi.org/10.1016/j.rehab.2018.12.003DOI Listing
January 2019
11 Reads

Quantitative Measures of Physical Risk Factors Associated with Work-Related Musculoskeletal Disorders of the Elbow: A Systematic Review.

Int J Environ Res Public Health 2019 01 5;16(1). Epub 2019 Jan 5.

University Hospital Tuebingen, Institute of Occupational and Social Medicine and Health Services Research (IASV), 72074 Tuebingen, Germany.

Background: Work-related musculoskeletal disorders at the elbow are a common health problem, which highly impacts workers' well-being and performance. Besides existing qualitative information, there is a clear lack of quantitative information of physical risk factors associated with specific disorders at the elbow (SDEs).

Objective: To provide evidence-based quantitative measures of physical risk factors associated with SDEs. Read More

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http://www.mdpi.com/1660-4601/16/1/130
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http://dx.doi.org/10.3390/ijerph16010130DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339038PMC
January 2019
4 Reads

Predictors of Outcome Following Tenotomy in Patients with Recalcitrant Epicondylopathy.

PM R 2019 Jan 4. Epub 2019 Jan 4.

Regenerative Medicine, BioCruces Health Research Institute, Cruces University Hospital, Biscay, Spain.

Background: Elbow tendinopathies are associated with tenderness, pain, and functional disability with ensuing socioeconomic costs. There is lack of consensus regarding the best treatment for patients recalcitrant to first-line conservative treatments. Percutaneous needle tenotomy is considered a regenerative approach that injures the tendon to elicit a healing response. Read More

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http://dx.doi.org/10.1002/pmrj.12064DOI Listing
January 2019
9 Reads

The immediate sensorimotor effects of elbow orthoses in patients with lateral elbow tendinopathy: a prospective crossover study.

J Shoulder Elbow Surg 2019 Jan;28(1):e10-e17

Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:

Background: Counterforce orthoses are used to manage lateral elbow tendinopathy, and their effectiveness in improving motor function has been documented. Little is known about the impact of bracing on sensory function. The objective of this study was to investigate the immediate effectiveness of 2 counterforce orthoses in improving the sensorimotor abilities of the hand in patients with lateral elbow tendinopathy. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.042DOI Listing
January 2019
1 Read
2.289 Impact Factor

Platelet-rich plasma versus Tenex in the treatment of medial and lateral epicondylitis.

J Shoulder Elbow Surg 2019 Jan;28(1):112-119

Emory University School of Medicine, Atlanta, GA, USA. Electronic address:

Background: Medial epicondylitis and lateral epicondylitis are among the most common elbow pathologies affecting people aged between 40 and 50 years. Although epicondylitis is often a self-limiting condition that improves with conservative treatment, the condition can be difficult to eradicate. The purpose of this study was to compare the effectiveness of platelet-rich plasma (PRP) injections and ultrasound-guided percutaneous tenotomy (Tenex) for the treatment of medial or lateral epicondylitis. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.032DOI Listing
January 2019
2.289 Impact Factor

Can extracorporeal shock-wave therapy be used for the management of lateral elbow tendinopathy?

World J Methodol 2018 Nov 29;8(3):37-39. Epub 2018 Nov 29.

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

Lateral elbow tendinopathy (LET) is one of the two most common tendinopathies of the upper limb. The most effective treatment in the management of LET is the exercise program. Clinicians combine exercise program with other physiotherapy, electrotherapeutic and no, techniques. Read More

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http://www.wjgnet.com/2222-0682/full/v8/i3/37.htm
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http://dx.doi.org/10.5662/wjm.v8.i3.37DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275556PMC
November 2018
13 Reads

Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis.

Acta Orthop Traumatol Turc 2018 Sep 28;52(5):357-362. Epub 2018 Jun 28.

Bezmialem Vakıf University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey.

Objective: The aim of this study was to compare the efficacy of extracorporeal shock wave therapy (ESWT) and therapeutic ultrasound (US) in the treatment of lateral epicondylosis (LE).

Methods: Our study enrolled 50 patients with LE. Patients were randomized into two groups. Read More

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http://dx.doi.org/10.1016/j.aott.2018.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204478PMC
September 2018
3 Reads
0.554 Impact Factor

Tendinosis-like changes in denervated rat Achilles tendon.

BMC Musculoskelet Disord 2018 Nov 30;19(1):426. Epub 2018 Nov 30.

Department of Integrative Medical Biology, Section for Anatomy, Umeå University, Johan Bures väg 12, 901 87, Umeå, Sweden.

Background: Tendon disorders are common and lead to significant disability and pain. Our knowledge of the 'tennis elbow', the 'jumpers knee', and Achilles tendinosis has increased over the years, but changes in denervated tendons is yet to be described in detail. The aim of the present study was to investigate the morphological and biochemical changes in tendon tissue following two weeks of denervation using a unilateral sciatic nerve transection model in rat Achilles tendons. Read More

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http://dx.doi.org/10.1186/s12891-018-2353-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267070PMC
November 2018
3 Reads

First clinical experience with a new injectable recombinant human collagen scaffold combined with autologous platelet-rich plasma for the treatment of lateral epicondylar tendinopathy (tennis elbow).

J Shoulder Elbow Surg 2019 Mar 26;28(3):503-509. Epub 2018 Nov 26.

Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Background: Lateral epicondylitis is a tendinopathy of the common extensor origin at the elbow. When traditional conservative treatment fails, more effective therapies are needed. Vergenix Soft Tissue Repair (STR) Matrix (CollPlant Ltd. Read More

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http://dx.doi.org/10.1016/j.jse.2018.09.007DOI Listing
March 2019
12 Reads

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
3 Reads

Relationship between ultrasound detected tendon abnormalities, and sensory and clinical characteristics in people with chronic lateral epicondylalgia.

PLoS One 2018 24;13(10):e0205171. Epub 2018 Oct 24.

Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.

Objective: To investigate the relationship between tendon structural changes determined by static ultrasound images (US) and sensory changes using quantitative sensory testing (QST), and clinical measures in lateral epicondylalgia.

Materials And Methods: Both elbows of 66 adult participants with a clinical diagnosis of lateral epicondylalgia were investigated. Using a standardised ultrasound image rating scale, common extensor hypoechogenicity, heterogenicity, neovascularity, and bony abnormalities at the enthesis were scored, and tendon thickness (longitudinal and transverse plane) was measured by a trained assessor. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205171PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200215PMC
April 2019
15 Reads

Clinical Application of Real-Time Sonoelastography for Evaluation of Medial Epicondylitis: A Pilot Study.

Ultrasound Med Biol 2019 01 22;45(1):246-254. Epub 2018 Oct 22.

Department of Orthopaedic Surgery, Inje University College of Medicine, Haeundae Paik Hospital, Busan, Republic of Korea.

The aim of this study was to evaluate the diagnostic potential of real-time sonoelastography (RSE) in medial epicondylitis by comparing clinically diagnosed patients and patients without medial elbow pain. From July 2016 to December 2017, gray-scale sonographic findings (swelling, cortical irregularity, hypo-echogenicity, calcification and tear), color Doppler findings (hyperemia) and sonoelastographic findings (elastographic grade on a 3-point visual scale and strain ratio from two regions of interest) for 63 elbows of 56 patients were compared. Twenty-four patients with 29 imaged elbows were clinically diagnosed with medial epicondylitis, and 32 patients with 34 imaged elbows had no medial elbow pain. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2018.09.010DOI Listing
January 2019
5 Reads

Tendon neuroplastic training for lateral elbow tendinopathy: 2 case reports.

Authors:
Patrick Welsh

J Can Chiropr Assoc 2018 Aug;62(2):98-104

Department of Graduate Studies, Canadian Memorial Chiropractic College.

Objective: To report 2 cases of lateral elbow tendinopathy treated with a novel adaptation of tendon neuroplastic training (TNT).

Clinical Features: A 61-year-old male machine operator presented with one year of bilateral lateral elbow pain related to his occupation of using torque wrenches. A 37-year-old male electrician presented with two months of recurrent left lateral elbow pain related to repetitive motions of gripping and pulling at work. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173218PMC
August 2018
8 Reads

Ultrasonography has high positive predictive value for medial epicondyle lesions among adolescent baseball players.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 3. Epub 2018 Oct 3.

Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123, Dapi Road, Niaosong District, Kaohsiung, Taiwan, Republic of China.

Purpose: Only few studies have investigated medial epicondyle (MEC) lesions, particularly in the 12-18 age group. To the best of our knowledge, no study has compared ultrasonography (US), radiography and magnetic resonance imaging (MRI) in detecting MEC lesions. The aims of this study were to examine the value of US for detecting MEC lesions and to investigate correlations among diagnostic tools. Read More

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http://dx.doi.org/10.1007/s00167-018-5178-xDOI Listing
October 2018
8 Reads

Disease Burden of Medial Epicondylitis in the USA Is Increasing: An Analysis of 19,856 Patients From 2007 to 2014.

HSS J 2018 Oct 21;14(3):233-237. Epub 2018 May 21.

1Department of Orthopaedic Surgery, University of Virginia School of Medicine, PO Box 800159, Charlottesville, VA 22908 USA.

Background: Medial epicondylitis (ME), or "golfer's elbow," is often treated initially by conservative means. Up to 15% of recalcitrant cases require surgical intervention, according to small sample populations, but no national study has determined the incidence of the diagnosis or corroborated the rate of surgical intervention.

Purpose/question: We sought to review the annual incidence of ME, surgical rates, and health care costs in a population setting. Read More

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http://link.springer.com/10.1007/s11420-018-9617-5
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http://dx.doi.org/10.1007/s11420-018-9617-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148579PMC
October 2018
6 Reads

Platelet-Rich Plasma for Elbow Pathologies: a Descriptive Review of Current Literature.

Curr Rev Musculoskelet Med 2018 Dec;11(4):598-606

Laboratory of Applied Biomechanics, Department of Biomedical Sciences for Health, UniversitàdegliStudi di Milano, Via Mangiagalli 31, 20133, Milan, Italy.

Purpose Of Review: Platelet-rich plasma is used in many orthopedic pathologies such as tendinopathies and ligament injuries. The clinical results reported in the scientific literature are, however, confusing. The aim of this manuscript is to provide a narrative literature review regarding the role of PRP in the most common elbow soft tissue pathologies. Read More

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http://dx.doi.org/10.1007/s12178-018-9520-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220004PMC
December 2018
27 Reads

Prospective randomized controlled trial in the treatment of lateral epicondylitis with a new dynamic wrist orthosis.

Eur J Med Res 2018 Sep 15;23(1):43. Epub 2018 Sep 15.

Orthopaedic-Surgery Centre (OCC), Tübingen, Germany.

Background: In the treatment of lateral epicondylitis (LE), the role of a new dynamic wrist orthosis is unclear.

Patients And Methods: Patients suffering from a LE longer than 3 months were multicentrically and prospectively randomized into a physiotherapeutic group (PT group) and in a physiotherapy group plus wrist orthosis (PT + O group). Physiotherapy consisted of daily eccentric strengthening exercises under initial professional supervision. Read More

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http://dx.doi.org/10.1186/s40001-018-0342-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138897PMC
September 2018
5 Reads

[Ultrasound diagnostics for myotendinous injuries and insertion tendinopathies of the elbow joint].

Authors:
J Doll C Fischer

Radiologe 2018 Nov;58(11):991-995

Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.

Introduction: Acute capsular injuries of the elbow joint and its ligaments predominantly occur after joint dislocation or subluxation. Together with lateral and medial epicondylitis they represent a common injury pattern in radiology, orthopedic and trauma surgery.

Clinical Issue: Because of the complexity of the elbow joint, knowledge of the elbow dislocation and injury pattern as well as the anatomy is essential in order to adequately estimate the injury severity and joint stability. Read More

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http://link.springer.com/10.1007/s00117-018-0455-8
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http://dx.doi.org/10.1007/s00117-018-0455-8DOI Listing
November 2018
22 Reads

Efficacy of platelet-rich plasma as conservative treatment in orthopaedics: a systematic review and meta-analysis.

Blood Transfus 2018 11 3;16(6):502-513. Epub 2018 Sep 3.

Italian National Blood Centre, National Institute of Health, Rome, Italy.

Background: The aim of this systematic review and meta-analysis was to evaluate the benefit of platelet-rich plasma (PRP) in non-surgical orthopaedic procedures.

Material And Methods: We searched the Cochrane Wounds Specialized Register, CENTRAL, MEDLINE (through PUBMED), Embase, and SCOPUS. We also searched clinical trials registries for ongoing and unpublished studies and checked reference lists to identify additional studies. Read More

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http://dx.doi.org/10.2450/2018.0111-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214820PMC
November 2018
10 Reads
1 Citation
2.372 Impact Factor

Psychologic Factors Do Not Affect Placebo Responses After Upper Extremity Injections: A Randomized Trial.

Clin Orthop Relat Res 2018 Nov;476(11):2219-2228

Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Background: Studies on how psychologic factors influence the placebo effect have shown conflicting results in an experimental setting. Pessimists are more likely to experience a nocebo effect (feel worse after an inert intervention), whereas other studies suggest that patients with more symptoms of depression or anxiety or greater neuroticism have a greater response to a placebo. This is important because treatment benefits are potentiated by placebo effects, and optimal utilization of this phenomenon may improve clinical outcomes. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259991PMC
November 2018
7 Reads

Surgical management of lateral epicondylitis combined with ligament insufficiency.

J Shoulder Elbow Surg 2018 Oct 28;27(10):1907-1912. Epub 2018 Aug 28.

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Lateral collateral ligament (LCL) insufficiency may occur in patients with chronic lateral epicondylitis (LE). We report on 14 consecutive patients with chronic LE and LCL insufficiency.

Methods: We performed a retrospective review of 14 patients with LE and LCL insufficiency diagnosed between 2006 and 2015. Read More

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http://dx.doi.org/10.1016/j.jse.2018.06.011DOI Listing
October 2018
17 Reads

Comprehensive Review of the Elbow Physical Examination.

J Am Acad Orthop Surg 2018 Oct;26(19):678-687

From the Department of Orthopedics, Washington University Saint Louis, St. Louis, MO.

Physical examination of the elbow is a critical component in formulating an accurate diagnosis. Various special physical examinations have been described to improve the clinician's ability to establish an accurate diagnosis. A comprehensive approach to the physical examination of the elbow, including special tests, may facilitate improved diagnosis of elbow pathology. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00622DOI Listing
October 2018
4 Reads

Pragmatic Combinations of Acupuncture Points for Lateral Epicondylalgia are Unreliable in the Physiotherapy Setting.

J Acupunct Meridian Stud 2018 Dec 7;11(6):367-374. Epub 2018 Aug 7.

Laboratory of Computational Simulation and Modeling in Rehabilitation, Postgraduate Program in Rehabilitation Sciences, Augusto Motta University Center, Praça das Nações, 34, Bonsucesso, Rio de Janeiro, RJ, 21041-010, Brazil; Salgado de Oliveira University, Rua Marechal Deodoro 263, Centro, Niterói, RJ, 24030-060, Brazil. Electronic address:

This study describes the reliability of pragmatic combinations of acupuncture points for lateral epicondylalgia (LE) as prescribed by physiotherapists who were experts in acupuncture. Raters (n = 14; 33-59 years) independently prescribed acupuncture points for 30 simulated human patients with LE who were surveyed via a printed questionnaire. The frequency and cooccurrence of acupuncture points prescribed for patients with lateral epicondylitis were assessed. Read More

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http://dx.doi.org/10.1016/j.jams.2018.07.006DOI Listing
December 2018
4 Reads

Effectiveness and Safety of Shockwave Therapy in Tendinopathies.

Mater Sociomed 2018 Jun;30(2):131-146

Laboratory of Physiology-Pharmacology, Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece.

Introduction: People suffering from tendinopathies exhibit reduced mobility due to the pain caused by the movement of the tendons involved. Recently, shockwave therapy has been used as a treatment option, which is non-invasive, simpler, faster and safer.

Aims: To record the intensity of the pain, the functionality of the upper and lower limbs and quality of life before treatment with shock waves, immediately after the treatment and the 4-week follow-up. Read More

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http://dx.doi.org/10.5455/msm.2018.30.141-146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029898PMC
June 2018
7 Reads

Response letter to the role of proprioception of lateral elbow tendinopathy.

J Hand Ther 2019 Jan - Mar;32(1):e4-e5. Epub 2018 Jul 17.

Department of Physical Therapy, University of Dayton, Dayton, OH, USA.

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http://dx.doi.org/10.1016/j.jht.2018.04.002DOI Listing
July 2018
4 Reads

The spread of Injectate after ultrasound-guided lateral elbow injection - a cadaveric study.

J Exp Orthop 2018 Jul 18;5(1):27. Epub 2018 Jul 18.

Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

Background: Injections into the tendinous portion of the common extensor origin are a common intervention in the treatment of Lateral Elbow Tendinopathy (LET). Clinical trials report a heterogeneous selection of injectate volumes and delivery techniques, with systematic reviews finding no clear consensus. The aim of this study was to assess the intratendinous distribution and surrounding tissue contamination of ultrasound-guided injections into the Common Extensor Tendon (CET) of the elbow. Read More

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http://dx.doi.org/10.1186/s40634-018-0142-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051955PMC
July 2018
22 Reads

The role of proprioception in the management of lateral elbow tendinopathy.

J Hand Ther 2019 Jan - Mar;32(1):e2-e3. Epub 2018 Jul 13.

EUC, Nicosia, Cyprus. Electronic address:

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http://dx.doi.org/10.1016/j.jht.2018.02.010DOI Listing
July 2018
9 Reads

Prominent synovial plicae in radiocapitellar joints as a potential cause of lateral elbow pain: clinico-radiologic correlation.

J Shoulder Elbow Surg 2018 Aug;27(8):1349-1356

Department of Orthopaedic Surgery, Samsung Medical Center, Sung Kyun Kwan University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: Thickened synovial plicae in the radiocapitellar joint have been reported as a cause of lateral elbow pain. However, few reports regarding diagnosis based on detailed physical examination and magnetic resonance imaging (MRI) findings are available. The aims of this study were to characterize the clinical manifestations of this syndrome and to investigate the clinical outcomes of arthroscopic surgery. Read More

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http://dx.doi.org/10.1016/j.jse.2018.04.024DOI Listing
August 2018
15 Reads

Anxiety related to De Qi psychophysical responses as measured by MASS: A sub-study embedded in a multisite randomised clinical trial.

Complement Ther Med 2018 Aug 22;39:24-35. Epub 2018 May 22.

School of Life Sciences, University of Technology Sydney, Sydney 2007, New South Wales, Australia. Electronic address:

Acupuncture has been broadly applied in the management of many diseases and conditions; however, its mechanism of action has been partially elucidated. Additionally, assessment of psychophysical responses in the acupuncture therapy is not common regarding anxiety disorder studies. Taken together, the therapeutic effect of acupuncture appears when De Qi psychophysical response is experienced following stimulation of the afferent sensory nerves. Read More

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http://dx.doi.org/10.1016/j.ctim.2018.05.009DOI Listing
August 2018
4 Reads
2.220 Impact Factor

Snapping at the Lateral Aspect of the Elbow: A Case Report and Review of the Literature.

JBJS Case Connect 2018 Jul-Sep;8(3):e48

Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.

Case: A 59-year-old man presented with snapping at the lateral aspect of the elbow and associated pain. Magnetic resonance imaging demonstrated extensor tendinopathy and thickening of the radial collateral ligament. Ultrasonography showed entrapment of a synovial fold in the radiohumeral joint. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00198DOI Listing
July 2018
3 Reads

Open vs Percutaneous vs Arthroscopic Surgical Treatment of Lateral Epicondylitis: An Updated Systematic Review.

Am J Orthop (Belle Mead NJ) 2018 Jun;47(6)

Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL.

This study was performed to compare outcomes of open, arthroscopic, and percutaneous surgical techniques for lateral epicondylitis. We searched PubMed (MEDLINE) for literature published between January 1, 2004 and May 23, 2015 using these key words: lateral epicondylitis AND (surgery OR operative OR surgical OR open OR arthroscopic OR percutaneous). Meta-analyses were performed for outcomes reported in 3 studies using 2-sample and 2-proportion Z-tests. Read More

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http://dx.doi.org/10.12788/ajo.2018.0043DOI Listing
June 2018
6 Reads

Scapular muscles strengthening on pain, functional outcome and muscle activity in chronic lateral epicondylalgia.

J Orthop Sci 2018 Sep 28;23(5):777-782. Epub 2018 Jun 28.

Centre for Physiotherapy and Rehabilitation Sciences, Jamia Milllia Islamia, New Delhi, 110025 India. Electronic address:

Aim: The aim of the study was to investigate the effect of lower trapezius (LT), middle trapezius (MT) and serratus anterior (SA) strengthening on pain, pain free grip strength, functional outcome, scapular muscles strength, scapular position and electromyographic (EMG) activity of lower trapezius, serratus anterior, extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) in individuals with chronic lateral epicondylalgia (LE).

Methods: Twenty six patients with chronic lateral epicondylalgia were recruited. Subjects were divided into two groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183013
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http://dx.doi.org/10.1016/j.jos.2018.05.003DOI Listing
September 2018
51 Reads

Comparison of the Clinical Outcomes of Open Surgery Versus Arthroscopic Surgery for Chronic Refractory Lateral Epicondylitis of the Elbow.

Orthopedics 2018 Jul 26;41(4):237-247. Epub 2018 Jun 26.

Numerous surgical options have been introduced for the treatment of chronic refractory lateral epicondylitis of the elbow, but it remains unclear which option is superior. The clinical outcomes of an open surgery group and an arthroscopic surgery group were evaluated, and the results of the 2 procedures were compared. From among patients with lateral epicondylitis refractory to 6 months of conservative treatment, 68 patients satisfying study criteria were recruited. Read More

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http://dx.doi.org/10.3928/01477447-20180621-04DOI Listing
July 2018
4 Reads

Kinesio taping reduces elbow pain during resisted wrist extension in patients with chronic lateral epicondylitis: a randomized, double-blinded, cross-over study.

BMC Musculoskelet Disord 2018 Jun 19;19(1):193. Epub 2018 Jun 19.

Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, No.111, Hsing-Long Road, Section 3, Taipei, 116, Taiwan.

Background: Lateral epicondylitis is frequently seen in racquet sport players and the treatments are usually symptomatic rather than curative. Taping therapy is cheap and easy to apply in the sport field. In this study we valued the effectiveness of Kinesio taping (KT) on immediate pain control for patients with chronic lateral epicondylitis. Read More

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http://dx.doi.org/10.1186/s12891-018-2118-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010177PMC
June 2018
7 Reads

Ultrasound-guided tendon fenestration versus open-release surgery for the treatment of chronic lateral epicondylosis of the elbow: protocol for a prospective, randomised, single blinded study.

BMJ Open 2018 Jun 9;8(6):e021373. Epub 2018 Jun 9.

Department of Radiology, Centre Hospitalier de L'Universite de Montreal (CHUM), Montreal, Quebec, Canada.

Introduction: Chronic lateral epicondylosis (CLE) of the elbow is a prevalent condition among middle-aged people with no consensus on optimal care management but for which surgery is generally accepted as a second intention treatment. Among conservative treatment options, ultrasound (US)-guided fenestration has shown encouraging results that should be explored before surgery is considered. The primary objective of this study is to compare the efficacy of US-guided fenestration with open-release surgery in patients with failure to improve following a minimum 6 months of conservative treatment. Read More

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http://dx.doi.org/10.1136/bmjopen-2017-021373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009557PMC
June 2018
27 Reads

Clinical indications for musculoskeletal ultrasound updated in 2017 by European Society of Musculoskeletal Radiology (ESSR) consensus.

Eur Radiol 2018 Dec 6;28(12):5338-5351. Epub 2018 Jun 6.

Department of Health Sciences (DISSAL), University of Genoa, Via Pastore 1, 16132, Genova, Italy.

Objectives: To update the 2012 European Society of Musculoskeletal Radiology (ESSR) clinical consensus guidelines for musculoskeletal ultrasound referral in Europe.

Methods: Twenty-one musculoskeletal imaging experts from the ESSR participated in a consensus study based on a Delphic process. Two independent (non-voting) authors facilitated the procedure and resolved doubtful issues. Read More

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http://link.springer.com/10.1007/s00330-018-5474-3
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http://dx.doi.org/10.1007/s00330-018-5474-3DOI Listing
December 2018
22 Reads