A Clinical Overview of the Natural Course and Management of Lateral Epicondylitis

Abstract

Lateral epicondylitis (LE), also often called tennis elbow, is a frequent cause of elbow pain. The most characteristic symptom of LE is pain and burning around the lateral epicondyle of the humerus that may radiate to the forearm or to the upper arm. Ultrasonography is a quick and noninvasive tool used to confirm (or exclude) the diagnosis of LE. Management of LE symptoms should be directed to the management of pain, protection of movement, and improvement of arm performance. Treatment of LE includes nonoperative techniques and surgery. [ Orthopedics . 202x;4x(x):xx–xx.]

Konservative Behandlung von chronischen Tendinopathien des Ellenbogens

“…Die laterale Epikondylopathie (LE) stellt eine häufige Ursache für muskuloskelettale Beschwerden am Ellenbogen dar und geht oft mit erheblichen Schmerzen und Funktionseinschränkungen einher [12]. Die Prävalenz für die LE liegt bei 1-3 % in der Allgemeinbevölkerung und sie tritt 7-10-mal häufiger auf als die mediale Epikondylopathie (ME) [13] [11]. Die höchste Inzidenz der LE liegt im Alter zwischen 35 und 55 Jahren.…”

Surgical Repair Technique for Proximal Extensor Carpi Radialis Brevis Tears

“…Contrary to the etymology of its name, the widely accepted theory behind the pathophysiology of lateral epicondylitis involves repetitive microtrauma to the muscles of the common extensor tendon, which ultimately leads to an impaired healing process called angiofibroblastic hyperplasia. 1 , 2 The subsequent degenerative tendinosis and fibrosis from these injuries is what drives the clinical manifestation of the symptoms found in lateral epicondylitis. As defined, lateral epicondylitis or epicondylosis results in structural changes to the tendon; however, this does not include a tear of the tendon.…”