Tennis elbow

As entesopatias são lesões de sobrecarga comuns em atletas recreacionais e profissionais. São causadas por uma combinação de fatores intrínsecos, como anormalidades biomecânicas do atleta, e extrínsecos como erros de treino. Geralmente são localizadas no membro sobrecarregado pela modalidade esportiva praticada pelo atleta. A investigação dos fatores causais é fundamental para o diagnóstico e tratamento bem sucedidos. Na investigação dos fatores intrínsecos, o reumatologista deve estar atento para as doenças sistêmicas inflamatórias, especialmente as espondiloartrites, uma vez que acometem preferencialmente jovens ativos fisicamente. O diagnóstico diferencial entre uma entesopatia de origem mecânica e uma entesite sendo a manifestação de artrite crônica é muitas vezes desafiador. Deve-se ainda levar em consideração a possibilidade de associação das condições. Unitermos: Entesopatia. Exercício físico. Atletas. Lesões de sobrecarga.

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“…Afeta de 1% a 3% da população geral 4 . O típico paciente na área esportiva é o homem entre 30 e 60 anos praticante de algum esporte.…”

Section: Cotovelo Epicondilite Lateral Ou "Tennis Elbow"unclassified

Diagnóstico diferencial das entesopatias. Parte 5 – Entesopatias do atleta

Lima

Jennings

2020

Rev Paul Reumatol

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“…It affects around 1 to 3% of adults [1], and has a higher incidence in patients whose activities require repetitive or excessive efforts [2] and, therefore, is an important cause of absenteeism [1], which leads to a socioeconomic impact. For these reasons, there are a large number of studies on the subject [3,4,13,[5][6][7][8][9][10][11][12]; in a quick search of the MEDLINE database (PubMed) in 2020, with the term LE, 2,459 studies were identi ed. Nevertheless, this re ects the uncertainty about the best way to manage this condition.…”

Section: Introductionmentioning

confidence: 99%

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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“…The main population of people affected by this injury is between 33-55 years; there is no change in incidence rate through gender [1]. Even though it affects 1-3% of the population, there is no universal treatment [3]. Many cases are self-limiting and are managed with pain medication, with most recovering in one year.…”

Section: Introductionmentioning

confidence: 99%

Tennis Elbow- Mini Review

Wadhawan

2021

OROAJ

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Lateral epicondylitis results in pain in the elbow during wrist and phalange extension, as tendinosis occurs due to an injury of the common extensor tendon. Mobility during extension movements causes pain when the extensor muscles extensor carpi radialis brevis, the extensor carpi radialis longus, the extensor carpi ulnaris, extensor digitorum, and the extensor digiti minimi are used. In the extensor muscles, the extensor carpi radialis brevis is the most commonly affected during lateral epicondylitis [4].

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Tennis elbow

Cited by 41 publications

References 75 publications

Diagnóstico diferencial das entesopatias. Parte 5 – Entesopatias do atleta

Diagnóstico diferencial das entesopatias. Parte 5 – Entesopatias do atleta

How One Treats Lateral Epicondylitis - A Survey Among Brazilian Orthopedists

Tennis Elbow- Mini Review

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