Strahlentherapie der Epicondylopathia humeri

Heyd, Reinhard; Schopohl, B.; Kirchner, JoAnn; Strassmann, Gerd; Hd, Böttcher

doi:10.1055/s-2008-1047604

Cited by 12 publications

(8 citation statements)

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“…Initially, no significant local radiation reactions were observed 125 , 126 , 129 , 131 . No systemic radiation sequelae such as secondary malignancies 131 were reported, although this finding is subject to the rather short follow-up period.…”

Section: Conservative Treatmentmentioning

confidence: 96%

“…In case of inadequate response, a second series could be repeated 6-12 weeks later [130], although prospectively no benefit was shown for single doses of 0.5 vs. 1.0 Gy [129]. The short-term positive effect on pain (6-8 weeks) was found to depend on the trial design, with a range of 44.3-91 % [125,126,128,129]. Long-term outcomes revealed success rates of 57.5 % after 26-30 months [126] and 74 % after four years [131].…”

Section: Radiotherapymentioning

confidence: 99%

“…Regardless of the known high spontaneous remission rate and thus the uncontrolled placebo effect, both the short-and long-term effect of the treatment was rated as positive. The rate of short-term treatment failure was as high as 31.1 % [125] and 18 % in the long-term course with the need for surgical intervention [131].…”

Section: Radiotherapymentioning

confidence: 99%

“…Serie konnte bei unzureichendem Ansprechen nach 6 – 12 Wochen wiederholt werden 130 , wobei prospektiv keine Vorteile bei Einzeldosen von 0,5 vs. 1,0 Gy im Vergleich gezeigt werden konnten 129 . Der kurzzeitige, positive Schmerzeffekt (6 – 8 Wochen) wurde designabhängig mit einer Range von 44,3 – 91% ermittelt 125 , 126 , 128 , 129 . Langzeitergebnisse zeigten Erfolgsraten von 57,5% nach 26 – 30 Monaten 126 und 74% nach 4 Jahren 131 .…”

Section: Konservative Therapieunclassified

“…Relevante lokale Strahlenreaktionen wurden initial nicht beobachtet 125 , 126 , 129 , 131 . Auch systemische Strahlenfolgen wie sekundäre Malignome 131 wurden nicht verzeichnet, wobei dieser Befund durch die relativ kurzen Follow-up-Zeiten zu relativieren ist.…”

Section: Konservative Therapieunclassified

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Epicondylopathia humeri radialis

Leschinger

Tischer

Doepfer³

et al. 2021

Z Orthop Unfall

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Background Lateral epicondylitis is a common orthopaedic condition often massively restricting the quality of life of the affected patients. There are a wide variety of treatment options – with varying levels of evidence. Method The following statements and recommendations are based on the current German S2k guideline Epicondylopathia radialis humeri (AWMF registry number: 033 – 2019). All major German specialist societies participated in this guideline, which is based on a systematic review of the literature and a structured consensus-building process. Outcomes Lateral epicondylitis should be diagnosed clinically and can be confirmed by imaging modalities. The Guidelines Commission issues recommendations on clinical and radiological diagnostic workup. The clinical condition results from the accumulated effect of mechanical overload, neurologic irritation and metabolic changes. Differentiating between acute and chronic disorder is helpful. Prognosis of non-surgical regimens is favourable in most cases. Most cases spontaneously resolve within 12 months. In case of unsuccessful attempted non-surgical management for at least six months, surgery may be considered as an alternative, if there is a corresponding structural morphology and clinical manifestation. At present, it is not possible to recommend a specific surgical procedure. Conclusion This paper provides a summary of the guideline with extracts of the recommendations and statements of its authors regarding the pathogenesis, prevention, diagnostic workup as well as non-surgical and surgical management.

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