Treatment of tennis elbow: the evidence

Mellor, Simon

doi:10.1136/bmj.327.7410.330

Cited by 16 publications

(11 citation statements)

References 4 publications

(2 reference statements)

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“…Corticosteroid injection enabled a rapid but temporary improvement in the first month. 12 Autologous blood injection stimulates the inflammatory cascade within the degenerated tendon by providing cellular and humoral mediators for regeneration. 6 Ultrasonographic evidence of tendon reparation, such as decreased interstitial clefts and anechoic foci within the tendon, and decreased pathological vascularity have been reported.…”

Section: Discussionmentioning

confidence: 99%

Injection of Autologous Blood versus Corticosteroid for Lateral Epicondylitis: A Randomised Controlled Study

Arik

Köse

Güler

et al. 2014

J Orthop Surg (Hong Kong)

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Purpose.To compare the efficacy of autologous blood injection versus corticosteroid injection for lateral epicondylitis. Methods. 21 men and 59 women (mean age, 45.2 years) presenting with lateral epicondylitis were randomised to receive either autologous blood injection (2 ml of autologous venous blood mixed with 1 ml of 2% prilocaine hydrochloride) or corticosteroid injection (1 ml of 40 mg methylprednisolone acetate mixed with 1 ml of 2% prilocaine hydrochloride) given by a single physician. Patients were assessed before (day 0) and after (days 15, 30, and 90) treatment for elbow pain (using a visual analogue scale [VAS]), function (using the patient-rated tennis elbow evaluation [PRTEE] questionnaire), and grip strength (using a hydraulic hand dynamometer). Patients were followed up at 6 months by telephone to assess elbow pain using the VAS. Results. No complications (infection, skin atrophy, neurovascular damage, or tendon rupture) were

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Section: Discussionmentioning

confidence: 99%

Injection of Autologous Blood versus Corticosteroid for Lateral Epicondylitis: A Randomised Controlled Study

Arik

Köse

Güler

et al. 2014

J Orthop Surg (Hong Kong)

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“…Le traitement par ondes de choc a fait l'objet de nombreuses publications dans la littérature depuis une dizaine d'années [20][21][22][23]. Les ondes de choc extracorporelles sont une catégorie d'ondes acoustiques discontinues de très haute énergie.…”

Section: Traitements Locaux Non Infiltratifsunclassified

“…Les études comparant l'efficacité de l'acupuncture classique à un placebo ou à l'absence de traitement [18,22,24] montrent, au mieux, un effet légèrement supérieur de l'acupuncture sur le placebo et uniquement à court terme. Dans cette indication, l'acupuncture reste donc un traitement purement symptomatique et de courte durée de la douleur.…”

Section: Traitements Locaux Non Infiltratifsunclassified

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Tendinopathies du coude

Haddad

2012

Revue du Rhumatisme Monographies

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“…22,25 Several treatment options are available, including corticosteroid injections, surgery, and physiotherapeutic interventions, but there is insufficient evidence for success of any specific inter vention approach. 1,10,11,20 Another widely applied treatment strategy is the use of orthotic devices. A recent review article showed no advantages in pain, grip strength, and subjective outcome measures when using counterforce braces or wrist splints in the treatment of lateral epicondylalgia.…”

mentioning

confidence: 99%

A Dynamic Extensor Brace Reduces Electromyographic Activity of Wrist Extensor Muscles in Patients With Lateral Epicondylalgia

Faes¹,

Elk²,

Lint³

et al. 2006

J Orthop Sports Phys Ther

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Study Design: Semiexperimental study. Objective: To investigate the effect of an external wrist extension force on extensor muscle activity during hand gripping in patients with lateral epicondylalgia. Background: Lateral epicondylalgia or ''tennis elbow'' is a common, often disabling ailment affecting millions of people. An optimal treatment strategy remains to be identified. The use of an external wrist extension force may reduce the extensor muscle activity during gripping in these patients. Methods: Muscle activity of the extensor carpi radialis brevis (ECRB), extensor digitorum communis (EDC), and extensor carpi radialis longus (ECRL) was measured using surface EMG. Subjects gripped at an intensity of 10%, 20%, and 30% of the maximum voluntary contraction (MVC) force with and without the dynamic extensor brace and with and without an applied external wrist extension force of 1%, 2%, and 3% of MVC. Results: At all levels of MVC gripping, the EMG signal of the ECRB and EDC were significantly lower for gripping with than without brace. An extension force of 3% of the MVC force significantly reduced the EMG signal of all muscles in almost all measurement conditions. Conclusions: The results of this study indicate that the dynamic extensor brace as well as the external extension force significantly reduced the EMG signal of the wrist extensor muscles during gripping in patients with lateral epicondylalgia. Based on these results, the dynamic extensor brace could be a promising new intervention for lateral epicondylalgia.

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Treatment of tennis elbow: the evidence

Cited by 16 publications

References 4 publications

Injection of Autologous Blood versus Corticosteroid for Lateral Epicondylitis: A Randomised Controlled Study

Injection of Autologous Blood versus Corticosteroid for Lateral Epicondylitis: A Randomised Controlled Study

Tendinopathies du coude

A Dynamic Extensor Brace Reduces Electromyographic Activity of Wrist Extensor Muscles in Patients With Lateral Epicondylalgia

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