Lateral epicondylitis of the elbow

Vaquero-Picado, Alfonso; Barco, Raúl; Antuña, Samuel

doi:10.1302/2058-5241.1.000049

Cited by 122 publications

(110 citation statements)

References 51 publications

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“…It occurs equally in both gender, in 30-50 age group affecting between 1% and 3% of the population. 13 Presenting symptoms are painful and tender outer elbow. The gradual onset pain may extend to extensor compartment of forearm.…”

Section: Discussionmentioning

confidence: 99%

Efficacy, safety and tolerability of autologous platelet rich plasma injection in the treatment of lateral epicondylitis

Bhan

Kenjle

2019

Int J Res Orthop

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Background: To evaluate the effects of platelet-rich plasma (PRP) infiltration in patients with lateral epicondylitis of the elbow.Methods: A randomized, prospective study on 60 patients with lateral epicondylitis of the elbow was conducted at Ruby Hall Clinic, Pune. The patients were randomized and evaluated after receiving infiltration of three milliliters of PRP, or methyl prednisolone. The base-line evaluation was done using visual analog score (VAS) and modified Mayo performance index for elbow (MAYO). Re-evaluation was after 1 and 6 months of the procedure. Statistical analysis was done using independent t-test.Results: After 6 months of treatment with PRP, patients with lateral epicondylitis had a statistically significant improvement in their VAS (p<0.05) in contrast to steroid. However, no statistical difference in modified Mayo performance index was found between the two groups at 1 and 6 months after intervention.Conclusions: Treatment of patients with lateral epicondylitis with PRP reduces pain and is better tolerated than steroid therapy. Thus, the novel PRP therapy can be considered as a primary approach to treat patients of lateral epicondylitis conservatively.

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Section: Discussionmentioning

confidence: 99%

Efficacy, safety and tolerability of autologous platelet rich plasma injection in the treatment of lateral epicondylitis

Bhan

Kenjle

2019

Int J Res Orthop

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“…To date, no universally accepted regimen of treatment exists; however some general principles of treatment should be taken into consideration. The treatment of LE should be oriented to the management of pain, preservation of movement, improvement in grip strength and endurance, return to normal function and control of further clinical deterioration (20).…”

Section: █ Discussionmentioning

confidence: 99%

Investigation of lateral epicondylitis in neurosurgeons

Polat¹,

Tuncer²,

Katı³

et al. 2018

Turkish Neurosurgery

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and inappropriate posture, in addition to frequent repetition (4,6,7,18). The prevalence of LE in workers whose jobs require repetitive work ranges from 1.3% to 12.2% (10). LE has been defined as an occupational disease due to its increased workrelated incidence, although its prevalence is low in general population (0.7%-4.0%). LE has been considered, under the category of musculoskeletal diseases, among the top occupational diseases (2,16,18).There have been a limited number of studies investigating occupational diseases in doctors, particularly in surgeons (9,11,13). LE was detected in 13.5% of participants in a study investigating musculoskeletal occupational diseases in plastic surgeons (3). However, there have been no studies of LE in neurosurgeons, even though these professionals use an increasing number of instruments during surgeries. AIM:To investigate the frequency of lateral epicondylitis (LE), depending on the tasks performed by neurosurgeons, and to determine whether it can be accepted as an occupational disease depending on its frequency. MATERIAL and METHODS:All neurosurgery specialists enrolled in the Turkish Neurosurgical Society website were prospectively included. A questionnaire form was shared, and the subsequent responses were recorded. Those who provided incomplete responses were excluded from the study. The respondents diagnosed with LE were recorded. Exclusion criteria were investigated on complaints of pain. They were examined by an orthopedics and traumatology specialist with application of Thomsen test and necessary maneuvers. RESULTS:The study was conducted with 216 neurosurgeons. Those with more than 30 operations per month (p=0.002), those with a specialization duration of 10-20 years and >20 years (p=0.001), and those who specialized in spinal surgery (p=0.014) had a significantly higher prevalence of epicondylitis. Considering the relationship between lumbar/thoracic pedicle screw insertion and epicondylitis, the epicondylitis diagnosis rate was significantly higher in physicians inserting 20-60 screws per month than those inserting <20 screws (p=0.009).CONCLUSION: LE frequently occurs in neurosurgeons who regularly perform spinal instrumentation and appears to be an occupational disease. However, data obtained during the current study should be combined with findings from case-control studies of neurosurgeons.

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“…MEP, or "golfer's elbow", is the result of common flexor tendon (CFT) microtrauma and degeneration, and might affect <1% of the general population and as many as 3.8% to 8.2% of patients in occupational settings, and typically occurs from the fourth decade of life [7]. Lateral epicondylitis (LEP) is a common chronic inflammatory degeneration of the wrist extensor tendons at their insertion to the lateral epicondyle of the humerus, affecting 1%-3% of the general population, especially between the ages of 30 and 70, without gender predisposition [8]. Inflammation and chronic degeneration are the key conditions in these pathogeneses, and their natural history is influenced by the quality of the tendon tissue, along with mechanical overuse or misuse [3].…”

Section: Introductionmentioning

confidence: 99%

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

Testa

Vescio

Perez

et al. 2020

JCM

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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. Studies of any level of evidence, reporting clinical results, and dealing with ESWT therapy and RCT, SAIS, MEP, and LEP were included. Results: A total of 822 articles were found. At the end of the first screening, following the previously described selection criteria, we selected 186 articles eligible for full-text reading. Ultimately, after full-text reading, and reference list check, we selected 26 articles following previously written criteria. Conclusions: ESWT is a safe and effective treatment of soft tissue diseases of the upper limbs. Even in the minority cases when unsatisfied results were recorded, high energy shockwaves were nevertheless suggested in prevision of surgical treatment.

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Lateral epicondylitis of the elbow

Cited by 122 publications

References 51 publications

Efficacy, safety and tolerability of autologous platelet rich plasma injection in the treatment of lateral epicondylitis

Efficacy, safety and tolerability of autologous platelet rich plasma injection in the treatment of lateral epicondylitis

Investigation of lateral epicondylitis in neurosurgeons

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

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