2,276 results match your criteria Medial Epicondylitis


Do hand therapists have a role in workplace-based education to manage tennis elbow? Beliefs about effective treatments among Australian hand therapists and medical practitioners.

Work 2020 Jul 2. Epub 2020 Jul 2.

School of Occupational Therapy, Social Work, and Speech Pathology, Curtin University, Perth, WA, Australia.

Background: Lateral elbow tendinopathy (LET), commonly known as tennis elbow, is a prevalent work-related upper extremity musculoskeletal disorder. Medical practitioners and hand therapists manage LET with commonly available clinic-based treatments, despite no sound evidence to suggest long-term relief and functional restoration for workers with LET. Workplace-based rehabilitation is effective for injured workers with other health conditions, but no studies have investigated this rehabilitation approach in the management of LET. Read More

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http://dx.doi.org/10.3233/WOR-203196DOI Listing

Supraspinatus Muscle Tendon Lesion and Its Relationship with Long Head of the Biceps Lesion.

Rev Bras Ortop (Sao Paulo) 2020 Jun 27;55(3):329-338. Epub 2020 Feb 27.

Departamento de Ortopedia e Traumatologia, Centro de Traumatologia do Esporte (CETE), Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.

 To identify the clinical, radiological, and arthroscopic correlation of long head of the biceps tendon injuries and their influence on pain when associated with rotator cuff injuries.  Between April and December 2013, 50 patients were evaluated, including 38 (76%) women and 12 (24%) men, with a mean age of 65.1 years old. Read More

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http://dx.doi.org/10.1055/s-0039-3402472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316548PMC

Effect of autologous adipose-derived mesenchymal stem cell therapy in combination with autologous platelet-rich plasma in the treatment of elbow tendinopathy.

BMJ Case Rep 2020 Jun 30;13(6). Epub 2020 Jun 30.

Melbourne Stem Cell Centre, Box Hill North, Victoria, Australia.

Tendinopathy is a common condition of both the athletic and general population and can be associated with significant pain and disability. The ability of mesenchymal stem cells (MSCs) to differentiate along a mesodermal cell lineage, including tenocytes, and secrete various bioactive regenerative and anti-inflammatory molecules has seen them considered as a future reparative therapy for tendinopathy. Preclinical trials with MSCs have shown promising positive functional and structural outcomes in several connective tissue related conditions. Read More

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http://dx.doi.org/10.1136/bcr-2020-234592DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328806PMC

[Damage to periarticular soft tissues in real clinical practice: frequency, nature, effectiveness of non - steroidal anti - inflammatory drugs].

Ter Arkh 2019 Dec 15;91(12):21-28. Epub 2019 Dec 15.

Nasonova Research Institute of Rheumatology.

Damage to periarticular soft tissues is a common pathology that causes severe pain and impaired function of the musculoskeletal system.

Aim: To determine the frequency, nature and clinical features of damage to periarticular soft tissues in real clinical practice, as well as the effectiveness of non - steroidal anti - inflammatory drugs (NSAIDs) in the debut of treatment of this pathology.

Materials And Methods: During the observational study, the frequency of defeat of the periarticular soft tissues in the structure of visits to 68 outpatient orthopedic surgeons in different cities of Russia for 1 month was estimated. Read More

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http://dx.doi.org/10.26442/00403660.2019.12.000377DOI Listing
December 2019

Grip strength is more sensitive to changes in elbow position than isolated wrist extension strength in patients with lateral elbow tendinopathy.

J Hand Ther 2020 Jun 18. Epub 2020 Jun 18.

Department of Physical Therapy, University of Dayton, Dayton, OH, USA. Electronic address:

Study Design: This is an observational study.

Introduction: Because isometric wrist extension minimizes the effects of other muscles, the sensitivity of wrist extension strength testing on patients with lateral elbow tendinopathy (LET) should be evaluated.

Purpose Of The Study: The purpose of the study was to compare the effects of the elbow position on wrist extension and grip strength in patients with LET. Read More

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http://dx.doi.org/10.1016/j.jht.2020.03.019DOI Listing

Therapeutic tape use for lateral elbow tendinopathy: A survey of Australian healthcare practitioners.

Musculoskelet Sci Pract 2020 Aug 30;48:102160. Epub 2020 Mar 30.

School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia. Electronic address:

Background: Lateral elbow tendinopathy (LET) is a common musculoskeletal condition that can be treated with therapeutic tape. However, little is known of taping practices for LET in a clinical setting.

Objectives: To examine Australian healthcare practitioners' taping techniques, clinical reasoning, and information sources regarding therapeutic tape use for LET. Read More

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http://dx.doi.org/10.1016/j.msksp.2020.102160DOI Listing

Prevalence of lateral epicondylosis in veteran manual wheelchair users participating in adaptive sports.

J Spinal Cord Med 2020 Jun 12:1-7. Epub 2020 Jun 12.

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Determine the prevalence of lateral epicondylosis (LE) of the dominant elbow in manual wheelchair users based on ultrasound assessment and physical exam. Prospective, cross-sectional. National Veteran Wheelchair Games 2018 and 2019 (event medical services). Read More

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http://dx.doi.org/10.1080/10790268.2020.1771243DOI Listing

Prospective Evaluation of Changes in Pain Levels, Quality of Life and Functionality After Low Dose Radiotherapy for Epicondylitis, Plantar Fasciitis, and Finger Osteoarthritis.

Front Med (Lausanne) 2020 19;7:195. Epub 2020 May 19.

Center for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau, Switzerland.

The objective benefits of low dose radiotherapy (LDRT) for non-malignant joint disorders are controversial. This study evaluated changes in pain, quality of life (QoL) and function after LDRT for epicondylitis, plantar fasciitis, and finger osteoarthritis. Patients over 40 years old with epicondylitis, plantar fasciitis, and finger osteoarthritis were had pain following at least 6 months of conservative therapy. Read More

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http://dx.doi.org/10.3389/fmed.2020.00195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249275PMC

Clinical Value of Ultrasonographic Assessment in Lateral Epicondylitis Versus Asymptomatic Healthy Controls.

Am J Sports Med 2020 Jul 2;48(8):1873-1883. Epub 2020 Jun 2.

Diagnostic Centre, Silkeborg Regional Hospital, Silkeborg, Denmark.

Background: Ultrasonography (US) is often used in the assessment of lateral epicondylitis (LE). The strength of evidence supporting its role is, however, not well-documented.

Purpose: To describe and compare the US tendinopathic changes observed in patients with LE and the general population, including any correlation between patient characteristics and US outcomes. Read More

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http://dx.doi.org/10.1177/0363546520921949DOI Listing

Evaluation of the Effectiveness of Orthokine Therapy: Retrospective Analysis of 1000 Cases.

Ortop Traumatol Rehabil 2020 Apr;22(2):107-119

Katedra i Zakład Farmakologii Doświadczalnej i Klinicznej, Warszawski Uniwersytet Medyczny, Warszawa, Polska.

Background: Osteoarthritis is a global health problem. Approaches to symptomatic treatment of its consequences in-clude biological methods, including autologous serum. The aim of the study was to evaluate the effectiveness of Orthokine therapy in our experience. Read More

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http://dx.doi.org/10.5604/01.3001.0014.1167DOI Listing

Suprapectoral versus subpectoral tenodesis for Long Head Biceps Brachii tendinopathy: A systematic review and meta-analysis.

Orthop Traumatol Surg Res 2020 Jun 24;106(4):693-700. Epub 2020 May 24.

Department of Orthopedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, P.O.Box 95500, 1090HM, Amsterdam. The Netherlands.

Background: Suprapectoral long head biceps (LHB) tenodesis and subpectoral LHB tenodesis are both commonly performed surgical procedures. Due to the more proximal position of the suprapectoral tenodesis site this technique may be accompanied with more postoperative pain in the bicipital groove and cramping pain in the biceps muscle. We hypothesized that subpectoral tenodesis is associated with a better clinical outcome than suprapectoral tenodesis. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.01.004DOI Listing

Evaluating the immediate effect of forearm and wrist orthoses on pain and function in individuals with lateral elbow tendinopathy: A systematic review.

Musculoskelet Sci Pract 2020 Jun 5;47:102147. Epub 2020 Mar 5.

Central Queensland University, School of Health, Medical and Applied Sciences, Department of Health and Exercise Science, Bundaberg, 4670, Queensland, Australia. Electronic address:

Background: Lateral elbow tendinopathy is associated with pain during gripping, with forearm/wrist orthoses prescribed for treatment.

Objectives: To investigate the immediate effects of forearm and/or wrist orthoses on outcome measures of pain and function in individuals with lateral elbow tendinopathy.

Design: Systematic review METHODS: Four electronic databases were searched to identify randomised controlled trials reporting the immediate effects of forearm and/or wrist orthoses on pain and function in individuals with lateral elbow tendinopathy. Read More

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http://dx.doi.org/10.1016/j.msksp.2020.102147DOI Listing

US-guided percutaneous irrigation of calcific tendinopathy of the rotator cuff in patients with or without previous external shockwave therapy.

Radiol Med 2020 May 25. Epub 2020 May 25.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Objectives: To compare the outcome of US-guided percutaneous irrigation of calcific tendinopathy (US-PICT) of the rotator cuff in patients with or without previous external shockwave therapy (ESWT).

Methods: We analyzed all patients treated with US-PICT from March 1, 2016, to October 1, 2019, with shoulder pain refractory to conservative management for rotator cuff calcific tendinopathy, diagnosed with ultrasound. Each patient was examined using the Constant-Murley Score (CMS) questionnaire (score 0-100) before and after treatment. Read More

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http://dx.doi.org/10.1007/s11547-020-01229-4DOI Listing

Orthobiologics in Elbow Injuries.

Clin Sports Med 2020 Jul;39(3):717-732

American Sports Medicine Institute, 805 St Vincent's Drive Suite 100, Birmingham, AL 35205, USA.

Orthobiologics are exciting tools providing promising results for difficult orthopedic conditions. In the elbow there is high-level evidence for their use in lateral epicondylopathy and encouraging evidence for other elbow pathologies. This article provides an in-depth review of the current literature for the use of orthobiologics in elbow injuries. Read More

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http://dx.doi.org/10.1016/j.csm.2020.02.008DOI Listing

Injuries and Conditions Affecting the Elbow Flexor/Pronator Tendons.

Clin Sports Med 2020 Jul;39(3):549-563

Department of Orthopedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH-11, New York, NY 10032, USA.

Common flexor-pronator tendon injuries and medial epicondylitis can be successfully treated nonoperatively in most cases. Operative treatment is reserved for patients with continued symptoms despite adequate nonoperative treatment or in high-level athletes with complete rupture of the common flexor-pronator tendon. The physical examination and workup of patients with flexor-pronator tendon injuries should focus on related or concomitant pathologies of the medial elbow. Read More

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http://dx.doi.org/10.1016/j.csm.2020.02.001DOI Listing

Efficacy of Stem Cell Therapy for Tendon Disorders: A Systematic Review.

Orthop J Sports Med 2020 Apr 30;8(4):2325967120915857. Epub 2020 Apr 30.

The Sports Physician Group, Department of Sports Medicine, OLVG West, Amsterdam, the Netherlands.

Background: Stem cell therapy is an emerging treatment for tendon disorders.

Purpose: To systematically review the efficacy of stem cell therapy for patients with tendon disorders.

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

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http://dx.doi.org/10.1177/2325967120915857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7227154PMC

Ulnar nerve subluxation and dislocation: a review of the literature.

Neurosurg Rev 2020 Apr 27. Epub 2020 Apr 27.

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, 131 S. Robertson St. Suite 1300, New Orleans, LA, 70112, USA.

The pathogenesis of ulnar nerve subluxation and dislocation is widely debated. Upon elbow flexion, the ulnar nerve slips out of the groove for the ulnar nerve, relocates medial or anterior to the medial epicondyle, and returns to its correct anatomical position upon extension. This chronic condition can cause neuritis or neuropathy; however, it has also been suggested that it protects against neuropathy by reducing tension along the nerve. Read More

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http://dx.doi.org/10.1007/s10143-020-01286-3DOI Listing

The influence of fatty infiltration and muscle atrophy of the rotator cuff muscles on midterm functional outcomes in total shoulder resurfacing at six years' follow-up.

Shoulder Elbow 2020 Apr 14;12(2):91-98. Epub 2018 Nov 14.

Bristol Royal Infirmary, Bristol, UK.

Background: We report functional outcomes at six years in patients with varying degrees of fatty infiltration and atrophy of the rotator cuff muscles who have undergone anatomic total shoulder replacement.

Methods: A retrospective analysis of case notes and magnetic resonance imaging scans of patients undergoing total shoulder replacement for primary glenohumeral arthritis was performed. Patients were grouped based upon their pre-operative magnetic resonance imaging findings for fatty infiltration, muscle area and tendinopathy. Read More

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http://dx.doi.org/10.1177/1758573218811655DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153209PMC

Invited commentary on "Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials" (Int J Surg. 2020 Mar 9. [Epub ahead of print]).

Authors:
Bo Chen Yongke Shao

Int J Surg 2020 06 15;78:43. Epub 2020 Apr 15.

Department of Orthopedics, Yuyao People's Hospital, Yuyao City, Zhejiang Province, 315400, China. Electronic address:

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http://dx.doi.org/10.1016/j.ijsu.2020.03.073DOI Listing

Genetic factors in rotator cuff pathology: potential influence of col 5A1 polymorphism in outcomes of rotator cuff repair.

BMC Med Genet 2020 04 17;21(1):82. Epub 2020 Apr 17.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Rome, Italy.

Background: Investigations in genetics have provided valuable information about the correlation between gene variants and tendinopathy. Single Nucleotide Polymorphisms of COL5A1 gene are reported to be involved in Achilles tendinopathy, chronic degenerative tendon changes at the elbow, and other tendinopathies. The influence of Single Nucleotide Polymorphisms of COL5A1 was previously analyzed in rotator cuff disease with confounding results. Read More

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http://dx.doi.org/10.1186/s12881-020-01022-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7165385PMC

Influence of genetic factors in elbow tendon pathology: a case-control study.

Sci Rep 2020 Apr 16;10(1):6503. Epub 2020 Apr 16.

Center for Translational Research in Physiotherapy. Physiotherapy area. Miguel Hernandez University, Elche, Spain.

Elbow tendinopathy is a common pathology of the upper extremity that impacts both athletes and workers. Some research has examined the genetic component as a risk factor for tendinopathy, mainly in the lower limbs. A case-control study was designed to test for a relationship between certain collagen gene single nucleotide polymorphisms (SNPs) and elbow tendon pathology. Read More

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http://dx.doi.org/10.1038/s41598-020-63030-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162873PMC

Obesity Increases the Risk of Tendinopathy, Tendon Tear and Rupture, and Postoperative Complications: A Systematic Review of Clinical Studies.

Clin Orthop Relat Res 2020 Apr 14. Epub 2020 Apr 14.

M. Macchi, S. Elli, University of Milan, Milan, Italy M. Spezia, University of Padua, Padua, Italy G. Schiaffini, Università Roma "La Sapienza," Rome, Italy E. Chisari, University of Catania, Catania, Italy.

Background: Inflammation and mechanical demands play a role in the development of tendon conditions and the dysregulation of tendon healing. In patients with obesity, high levels of pro-inflammatory cytokines and a high mechanical demand promote chronic low-grade inflammation. Although controversial results have been reported, we aimed to summarize current evidence while highlighting the role of obesity in tendinopathy. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001261DOI Listing
April 2020
2.765 Impact Factor

Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: A systematic review with meta-analysis.

J Hand Ther 2020 Apr 10. Epub 2020 Apr 10.

Department of Occupational Therapy, Tufts University, Medford, MA, USA.

Study Design: Meta-analysis.

Introduction: Lateral elbow tendinopathy is a common condition with an annual incidence of up to 3% of the population. Eccentric strengthening has shown promise as a method to treat lateral elbow tendinopathy, but is unclear if it is superior to other forms of treatment. Read More

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http://dx.doi.org/10.1016/j.jht.2020.02.002DOI Listing

Patient-centred outcomes in lateral elbow tendinopathy: A systematic review of available evidence in UK populations.

Shoulder Elbow 2019 Dec 16;11(6):440-449. Epub 2018 Aug 16.

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

Background: For Patient-Reported Outcome Measures to be useful, they must have evidenced reliability, validity and responsiveness in both the condition and population of interest. The aim of this study is to systematically review the evidence for Patient-Reported Outcome Measures in UK patients with lateral elbow tendinopathy.

Methods: A systematic search was performed in Ovid MEDLINE, Embase and CINAHL. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094069PMC
December 2019

An Invited Commentary on "Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials" (Int J Surg 2020;76:190-199) "Is Kinesio taping more than a placebo in lateral epicondylitis?

Int J Surg 2020 05 1;77:145. Epub 2020 Apr 1.

Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated, Sixth People's Hospital, Shanghai, 200233, China. Electronic address:

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http://dx.doi.org/10.1016/j.ijsu.2020.03.057DOI Listing

An invited commentary on "Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials" [Int. J. Surg. 76 (2020) 190-199].

Int J Surg 2020 05 1;77:173. Epub 2020 Apr 1.

Department of Anesthesiology of Sichuan Provincial People's Hospital, Sichuan, 610072, China. Electronic address:

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http://dx.doi.org/10.1016/j.ijsu.2020.03.063DOI Listing

Platelet-Rich Plasma Is an Equal Alternative to Surgery in the Treatment of Type 1 Medial Epicondylitis.

Orthop J Sports Med 2020 Mar 25;8(3):2325967120908952. Epub 2020 Mar 25.

Department of Orthopaedics, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Background: Medial epicondylitis (ME) is characterized as an overuse injury resulting in pathological alterations of the common flexor tendon at the elbow. Platelet-rich plasma (PRP) has recently become of interest in the treatment of musculoskeletal conditions as an alternative to operative management.

Purpose: To compare the outcomes of recalcitrant type 1 ME after treatment with either PRP or surgery. Read More

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http://dx.doi.org/10.1177/2325967120908952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7097873PMC

Ultrasound-Guided Percutaneous Tenotomy for Gluteal Tendinopathy.

Orthop J Sports Med 2020 Mar 19;8(3):2325967120907868. Epub 2020 Mar 19.

Jack Hughston Memorial Hospital, Phenix City, Alabama, USA.

Background: Gluteal tendinopathy is a common cause of lateral hip pain. Percutaneous ultrasonic tenotomy (PUT) has been used successfully for the treatment of tendinopathy of the elbow, knee, and ankle, but its use in the hip has not been described.

Purpose: To evaluate the efficacy of PUT in patients who did not respond to nonsurgical management of gluteal tendinopathy. Read More

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http://dx.doi.org/10.1177/2325967120907868DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082875PMC

Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials.

Int J Surg 2020 Apr 10;76:190-199. Epub 2020 Mar 10.

Department of General Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University, No. 54, Youdian Road, Shangcheng District, Hangzhou City, Zhejiang Province, 310006, China. Electronic address:

Background: The efficacy of Kinesio tape (KT) in lateral epicondylitis (LE) is widely discussed, but the results of these studies are conflicting. We perform this meta-analysis from randomized controlled trials (RCTs) in order to evaluate the efficacy and safety of KT in the treatment of LE.

Methods: A comprehensive search of the published literature in PUBMED, EMBASE, and Cochrane Library databases was implemented. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.02.044DOI Listing

The Patient-Rated Tennis Elbow Evaluation Questionnaire was successfully translated to Persian.

J Hand Ther 2020 Mar 7. Epub 2020 Mar 7.

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

Introduction: The Patient-Rated Tennis Elbow Evaluation (PRTEE) is designed to evaluate pain and disability in subjects with lateral elbow tendinopathy. This questionnaire is available in Swedish, Italian, and some other languages. A Persian language version of the questionnaire is needed for both research and clinical purposes. Read More

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http://dx.doi.org/10.1016/j.jht.2019.12.005DOI Listing
March 2020
1.810 Impact Factor

Intralesional corticosteroid-induced hypopigmentation and atrophy.

Dermatol Online J 2020 Jan 15;26(1). Epub 2020 Jan 15.

University of Wisconsin Department of Dermatology, Madison, WI.

Intralesional corticosteroids are associated with various, uncommon, local adverse events [1]. Atrophy and hypopigmentation most commonlyremain localized to sites of injection. However, outward radiation in a linear, streaky pattern has been reported and is termed "perilesional/perilymphatic hypopigmentation or atrophy [2]. Read More

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January 2020

Panorama of Infiltration for Painful Shoulder Among Shoulder Specialists.

Rev Bras Ortop (Sao Paulo) 2020 Feb 19;55(1):95-99. Epub 2019 Dec 19.

Centro de Traumatologia do Esporte, Departamento de Ortopedia e Traumatologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

 To assess how shoulder specialists have used infiltration in their daily practice.  A survey study in which shoulder and elbow specialists answered a questionnaire on the use of infiltration in painful shoulders.  Most of the doctors (45. Read More

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http://dx.doi.org/10.1055/s-0039-1697969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048563PMC
February 2020

Is Repetitive Workload a Risk Factor for Upper Extremity Musculoskeletal Disorders in Surgical Device Mechanics? A Cross-Sectional Analysis.

Int J Environ Res Public Health 2020 02 21;17(4). Epub 2020 Feb 21.

IAS-Group for Occupational Health Management, Koenigstrasse 6, 78532 Tuttlingen, Germany.

To assess the prevalence of upper extremity work-related musculoskeletal disorders (WMSDs) among surgical device mechanics compared to a control group, a total of 70 employees were included and assigned to three occupational groups (grinders, packers, and control). Personal factors, work exposure, manual skill, and complaints were assessed by two self-administered questionnaires and an industry test. WMSDs were diagnosed in a standardised clinical examination. Read More

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http://dx.doi.org/10.3390/ijerph17041383DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068592PMC
February 2020

Treatment of lateral epicondylitis with acupuncture and glucocorticoid: A retrospective cohort study.

Medicine (Baltimore) 2020 Feb;99(8):e19227

Department of Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou.

Lateral epicondylitis (LE) is a common musculoskeletal disorder for which an effective treatment strategy remains unknown. The goal of this study is to examine whether acupuncture is more effective than injection of glucocorticoid in adults with LE.Adults with LE received either acupuncture or injection of glucocorticoid were followed-up for 6 months. Read More

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http://dx.doi.org/10.1097/MD.0000000000019227DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034677PMC
February 2020

Extracorporeal Shockwave Therapy Treatment in Upper Limb Diseases: A Systematic Review.

J Clin Med 2020 Feb 6;9(2). Epub 2020 Feb 6.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico-Vittorio Emanuele, University of Catania, 95123 Catania, Italy.

Background Rotator cuff tendinopathy (RCT), subacromial impingement (SAIS), and medial (MEP) and lateral (LEP) epicondylitis are the most common causes of upper limb pain caused by microtrauma and degeneration. There are several therapeutic choices to manage these disorders: extracorporeal shockwave therapy (ESWT) has become a valuable option.

Methods: A systematic review of two electronic medical databases was performed by two independent authors, using the following inclusion criteria: RCT, SAIS, MEP, and LEP, ESWT therapy without surgical treatment, with symptoms duration more than 2 months, and at least 6 months of follow-up. Read More

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http://dx.doi.org/10.3390/jcm9020453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074316PMC
February 2020

Surgical treatment for long head of the biceps tendinopathy: a network meta-analysis.

J Shoulder Elbow Surg 2020 Jun 6;29(6):1289-1295. Epub 2020 Feb 6.

Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA. Electronic address:

Background: Surgical options for pathology affecting the long head of the biceps tendon (LHBT) include tenotomy and tenodesis, both of which can be performed with a variety of fixation methods. This study aimed to compare surgical treatment options for LHBT lesions using a network meta-analysis of published clinical studies.

Methods: A systematic review of the literature was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.1016/j.jse.2019.10.021DOI Listing

Superb microvascular imaging (SMI) in the evaluation of musculoskeletal disorders: a systematic review.

Radiol Med 2020 May 4;125(5):481-490. Epub 2020 Feb 4.

Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Luigi Mangiagalli 31, 20133, Milano, Italy.

Objectives: To systematically review the current literature concerning the role of superb microvascular imaging (SMI), a novel Doppler technique that enables detection of fine vessels and slow blood flow, in the evaluation of musculoskeletal disorders.

Methods: An online search of the literature was conducted for the period 2013 to April 2019 and included original articles written in English language. A data analysis was performed at the end of the literature search. Read More

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http://dx.doi.org/10.1007/s11547-020-01141-xDOI Listing

[Not a Chronic Tennis Elbow].

Authors:
Patrick Vavken

Praxis (Bern 1994) 2020 Feb;109(2):105-108

alphaclinic Zürich.

Not a Chronic Tennis Elbow Lateral elbow pain is a highly unspecific finding and may be caused by one of several possible differential diagnoses. Unfortunately, it is often assumed to be epicondylitis, commonly referred to as tennis elbow, although instability is a frequent cause in chronic cases. In the presented case, it is the less frequent nerve compression of the radial nerve which must also be considered, together with plica syndrome, osteochondritis dissecans and arthrosis of the radiocapitellar joint, as a differential diagnosis of lateral elbow pain. Read More

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http://dx.doi.org/10.1024/1661-8157/a003357DOI Listing
February 2020

Rethinking Patellar Tendinopathy and Partial Patellar Tendon Tears: A Novel Classification System.

Am J Sports Med 2020 02 8;48(2):359-369. Epub 2020 Jan 8.

Center for Shoulder, Elbow and Sports Medicine, Columbia University, New York, New York, USA.

Background: Patellar tendinopathy is an overuse injury of the patellar tendon frequently affecting athletes involved in jumping sports. The tendinopathy may progress to partial patellar tendon tears (PPTTs). Current classifications of patellar tendinopathy are based on symptoms and do not provide satisfactory evidence-based treatment guidelines. Read More

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http://dx.doi.org/10.1177/0363546519894333DOI Listing
February 2020

Double-Row Repair for Recalcitrant Medial Epicondylitis.

Orthop J Sports Med 2019 Dec 23;7(12):2325967119885608. Epub 2019 Dec 23.

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Background: Various techniques have been described for surgical treatment of recalcitrant medial epicondylitis (ME). No single technique has yet to be proven the most effective.

Purpose: To evaluate the clinical outcomes of a double-row repair for ME. Read More

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http://dx.doi.org/10.1177/2325967119885608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928541PMC
December 2019

Elbow Common Flexor Tendon Repair Technique.

Arthrosc Tech 2019 Nov 23;8(11):e1367-e1371. Epub 2019 Oct 23.

Department of Orthopedic Surgery, Columbia University Medical Center, New York, New York, U.S.A.

Medial epicondylitis, also known as "golfer's elbow," is a common orthopaedic condition that typically results from overuse of the flexor pronator mass. Repetitive eccentric loading of the muscles responsible for wrist flexion and forearm pronation leads to microtrauma and subsequent degeneration of the flexor pronator tendon. Patients with medial epicondylitis typically present in the fourth to sixth decade of life and have an insidious onset of medial elbow pain. Read More

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http://dx.doi.org/10.1016/j.eats.2019.07.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926370PMC
November 2019

Platelet-rich plasma vs corticosteroids for elbow epicondylitis: A systematic review and meta-analysis.

Medicine (Baltimore) 2019 Dec;98(51):e18358

Department of Orthopedics, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University.

Objective: The aim of this meta-analysis was to compare the effectiveness of platelet-rich plasma (PRP) vs corticosteroids for treatment of patients with lateral elbow epicondylitis.

Methods: A literature search was performed in EMBASE, Medline, the Cochrane Library and PubMed. Randomized controlled studies comparing PRP with corticosteroids for the treatment of epicondylitis were included. Read More

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http://dx.doi.org/10.1097/MD.0000000000018358DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940118PMC
December 2019
5.723 Impact Factor

Hand-Arm Vibration Assessment and Changes in the Thermal Map of the Skin in Tennis Athletes during the Service.

Int J Environ Res Public Health 2019 12 14;16(24). Epub 2019 Dec 14.

CEMMPRE, Department of Mechanical Engineering, University of Coimbra, 3004-531 Coimbra, Portugal.

During recent years the number of tennis athletes has increased significantly. When playing tennis, the human body is exposed to many situations which can lead to human injuries, such as the so-called tennis elbow (lateral epicondylitis). In this work a biomechanical analysis of tennis athletes, particularly during the service, was performed, considering three different types of over-grip and the presence of one anti-vibrator device. Read More

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http://dx.doi.org/10.3390/ijerph16245117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949913PMC
December 2019

Effect of platelet-rich plasma on the degenerative rotator cuff tendinopathy according to the compositions.

J Orthop Surg Res 2019 Dec 2;14(1):408. Epub 2019 Dec 2.

Department of Physical and Rehabilitation Medicine, Stem Cell & Regenerative Medicine Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 06351, South Korea.

Background: There are controversies about platelet-rich plasma (PRP) as an established treatment option for rotator cuff (RC) tendinopathy. The purpose of the study was to find the relation of cellular component with clinical efficacy in RC tendinopathy and to find the composition of PRP in treating RC tendinopathy.

Methods: A total 30 patients were recruited and divided into PRP and control groups. Read More

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http://dx.doi.org/10.1186/s13018-019-1406-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6889570PMC
December 2019

Use of Platelet-Rich Plasma for the Improvement of Pain and Function in Rotator Cuff Tears: A Systematic Review and Meta-analysis With Bias Assessment.

Am J Sports Med 2020 Jul 19;48(8):2028-2041. Epub 2019 Nov 19.

Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Background: Many clinical trials have investigated the use of platelet-rich plasma (PRP) to treat rotator cuff-related abnormalities. Several meta-analyses have been published, but none have focused exclusively on level 1 randomized controlled trials.

Purpose: To assess the efficacy of PRP for rotator cuff-related abnormalities and evaluate how specific tendon involvement, the inclusion of leukocytes, and the use of gel/nongel formulations affect pain and functional outcomes. Read More

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http://dx.doi.org/10.1177/0363546519881423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234896PMC

Lateral epicondylitis: the condition and current management strategies.

Br J Hosp Med (Lond) 2019 Nov;80(11):647-651

Trauma and Orthopaedic Upper Limb Consultant, Department of Trauma and Orthopaedic Surgery, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes.

Lateral epicondylitis or tennis elbow is a common condition estimated to affect between 1 and 3% of adults. As a result of its high prevalence, both primary and secondary care physicians are frequently presented with this problem, so knowledge of its presentation and up-to-date management strategies is essential. This review collates the most recent evidence on lateral epicondylitis to help the clinician perform assessments and make treatment decisions, based on the best current clinical practice. Read More

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http://dx.doi.org/10.12968/hmed.2019.80.11.647DOI Listing
November 2019
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[Analysis of factors influencing the efficacy of extracapsular arthroscopic surgery for refractory tennis elbow].

Zhonghua Wai Ke Za Zhi 2019 Nov;57(11):818-823

Institute of Sports Medicine,Peking University Third Hospital,Beijing 100191,China.

To investigate the mid-term efficacy of extracapsular arthroscopic surgery for refractory tennis elbow and explore prognostic factors. A retrospective study of 38 patients suffered from refractory tennis elbow and underwent extracapsular arthroscopic surgery performed by the same group of doctors during March 2012 to January 2016 at Institute of Sports Medicine, Peking University Third Hospital. There were 15 males and 23 females with age of 44. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-5815.2019.11.005DOI Listing
November 2019
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Comparison of arthroscopic debridement and open debridement in the management of lateral epicondylitis: A systematic review and meta-analysis.

Medicine (Baltimore) 2019 Nov;98(44):e17668

Department of Joint and Sports Medicine, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, China.

Background: Previous studies have reported that both arthroscopic debridement (AD) and open debridement (OD) of extensor carpi radialis brevis are effective in the treatment of lateral epicondylitis. Despite this, few studies have focused on the comparative outcomes of these 2 procedures. The aim of this study was to assess whether AD is superior to OD in managing lateral epicondylitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000017668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946356PMC
November 2019
1 Read