A Survey of Fellowship-Trained Upper Extremity Surgeons on Treatment of Lateral Epicondylitis

Niedermeier, Steven R.; Crouser, Nisha; Speeckaert, Amy; Goyal, Kanu S.

doi:10.1177/1558944718770212

Cited by 15 publications

(21 citation statements)

References 4 publications

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“…We can compare our results to those of other populations in the indication of surgical treatment. In the study carried out with upper limb specialists in the USA, 5% of the participants do not recommend surgery, and of those who do, 75% prefer the open technique [23]. In the research with surgeons in the United Kingdom, 11% never recommend surgery, a result similar to that of our paper, with the majority waiting at least 12 months for this recommendation [24].…”

Section: Discussionsupporting

confidence: 77%

“…In respect to the use of oral and topical NSAIDs, evidence is limited for drawing conclusions about the bene ts or harm in the treatment of LE [31]. Physical therapy treatment was the most commonly recommended modality in our series as well as in similar studies [23,24]. In a meta-analysis [32], the bene t of using pain reduction physiotherapy has been demonstrated.…”

Section: Discussionmentioning

confidence: 81%

“…In addition, it can serve as a reference for the development of comparative studies, especially when there is no de nitive evidence about which are the best interventions, as in the case of LE treatment. Similar surveys have been conducted in other populations of professionals, on how the management of lateral epicondylitis is carried out, and they allow physicians to be aware of that, comparing the found results with the available evidences [23][24][25].…”

Section: Discussionmentioning

confidence: 86%

“…Another survey with orthopedists has shown the use of CS in in ltrations by around 71% of the professionals in the United States [23]. In the United Kingdom, 21% use it routinely for most patients, and only 40% never use it [24].…”

Section: Discussionmentioning

confidence: 99%

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How One Treats Lateral Epicondylitis - A Survey Among Brazilian Orthopedists

Lazarini

Zan

Belotti

et al. 2021

Preprint

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Background: Lateral epicondylitis (LE) or tennis elbow is the most common elbow painful condition. It affects around 1 to 3% of adults. There are various possibilities of treatment described in the literature, without evidence to support a gold standard management protocol. Therefore, the objective of this study is to evaluate how the Brazilian orthopedist diagnoses and treats lateral epicondylitis, to compare these results with the available evidence. Methods: This is an observational, analytical, cross-sectional study. A questionnaire has been prepared for information to the participants and with eight specific questions (2 on diagnosis and 6 on treatment). These had been answered voluntarily by participants at 3 major congresses of orthopedists in Brazil in 2018. The results were analyzed in accordance with the overall number of responses, and were evaluated among groups according to subspecialty. Results: We obtained a total of 501 questionnaires. Of these, 33 were excluded. The mean age was 38.67 years. The majority of respondents (91%) were male. We obtained 26.7% from specialists in hand surgery (Hand group), 36.5% from subspecialists in shoulder and elbow (Shoulder and Elbow group), and 36.8% were from generalists in orthopedics or from other subspecialties (General Orthopedists group). For diagnosis, 24.4% have not initially requested any imaging method. The most requested exam was ultrasonography (54.9%). The most prominent indication for initial treatment was physical therapy. For refractory cases, 78.3% of the respondents prefer doing a local infiltration. The most commonly used substance for local infiltrations is corticosteroids (89.6%). With respect to the surgical treatment option, 75.8% of those who recommend it prefer open techniques and 24.2% arthroscopic treatment. Of the total respondents, 12.8% do not recommend surgical treatment for LE. Conclusion: Most orthopedists begin the treatment of lateral epicondylitis with the use of non-steroidal anti-inflammatory drugs, physical therapy, and an indication of rest, but there is great variability between their recommendations. The use of corticosteroids for infiltration remains the main choice among Brazilian orthopedists, although evidence shows a better effect in the short term and a worse effect in the medium and long term, compared to other treatments.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

How One Treats Lateral Epicondylitis - A Survey Among Brazilian Orthopedists

Lazarini

Zan

Belotti

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…I read carefully the recently published article "A Survey of Fellowship-Trained Upper Extremity Surgeons on Treatment of Lateral Epicondylitis." 12 I would like to comment the following:…”

Section: Letter To the Editormentioning

confidence: 99%