Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

Ranger, Tom; Braybon, Wendy; Purdam, Craig; Cook, Jillianne Leigh

doi:10.1123/jsr.2013-0073

Cited by 4 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Erak, Day and Wand [30] demonstrated a biomechanical basis for the involvement of the superficial head of supinator in the aetiology of lateral epicondylitis, whilst Stroyan and Wilk [31] suggested that supinator has a role in the stability of the radio-humeral and superior radio-ulnar joints particularly with tasks in pronation, such as gripping and lifting. More recently Ranger et al [32] suggested that the radial head may act as a cam in pronation, mitigating the load on the origin of extensor carpi radialis brevis (ECRB), all of which certainly require consideration clinically. In Phase three all 56 patients received strengthening exercises, 55 of which were commenced on the standardised isometric loading programme.…”

Section: Discussionmentioning

confidence: 99%

A service evaluation and improvement project: a three year systematic audit cycle of the physiotherapy treatment for Lateral Epicondylalgia

Barratt

Selfe

2018

Physiotherapy

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A service evaluation and improvement project: a three year systematic audit cycle of the physiotherapy treatment for Lateral Epicondylalgia

Barratt

Selfe

2018

Physiotherapy

View full text Add to dashboard Cite

show abstract

“…In chronic tendinopathy, the range of motion into end-range wrist flexion and pronation may be limited at the start of exercise training due to possible local compression effects 95 , 96 , 97 , 98 .…”

Section: Conservative Treatmentmentioning

confidence: 99%

“…Bei der chronischen Tendinopathie kann das Bewegungsausmaß in die endgradige Handgelenkflexion und Pronation zu Beginn der Trainingstherapie aufgrund möglicher lokaler Kompressionseffekte limitiert werden 95 , 96 , 97 , 98 .…”

Section: Konservative Therapieunclassified

Epicondylopathia humeri radialis

Leschinger

Tischer

Doepfer³

et al. 2021

Z Orthop Unfall

View full text Add to dashboard Cite

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.

show abstract

“…Exercises should also address motor control impairments, 23,85 such as dissociation of wrist from finger extension (FIGURE 5) and retraining of wrist alignment during gripping. Concentric and/or eccentric exercise of the wrist extensors is advocated for patients with degenerative-stage tendinopathy, 21 commencing with the elbow in flexion and restricting end-of-range wrist flexion, when the ECRB tendon may be exposed to greater compression and more pain 33,90 (FIGURE 6). A similar approach restricting full ankle dorsiflexion during eccentric exercises was more successful for patients with insertional Achilles tendi-exercise has been shown to lead to greater and faster regression of pain, 83 less sick leave, fewer medical consultations, and increased work ability.…”

mentioning

confidence: 99%

Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All

Coombes¹,

Bisset²,

Vicenzino³

2015

J Orthop Sports Phys Ther

153

129

View full text Add to dashboard Cite

Synopsis Clear guidelines for the clinical management of individuals with lateral elbow tendinopathy (LET) are hampered by many proposed interventions and the condition's prognosis, ranging from immediate resolution of symptoms following simple advice in some patients to long-lasting problems, regardless of treatment, in others. This is compounded by our lack of understanding of the complexity of the underlying pathophysiology of LET. In this article, we collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation, such as the presence of neck pain, tendon tears, or central sensitization, are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. A preliminary algorithm, including targeted interventions, for the management of subgroups of patients with LET based on identified prognostic factors is proposed. Further research is needed to evaluate whether such an approach may lead to improved outcomes and more efficient resource allocation. J Orthop Sports Phys Ther 2015;45(11):938-949. Epub 17 Sep 2015. doi:10.2519/jospt.2015.5841.

show abstract

Forearm Position’s Alteration of Radial-Head Impingement on Wrist-Extensor Tendons

Abstract: The authors recommend that the effect of radial-head position and its relationship to the area of tendon pathology be considered clinically in the rehabilitation of patients suffering from lateral epicondylalgia.

Cited by 4 publications

References 20 publications

A service evaluation and improvement project: a three year systematic audit cycle of the physiotherapy treatment for Lateral Epicondylalgia

A service evaluation and improvement project: a three year systematic audit cycle of the physiotherapy treatment for Lateral Epicondylalgia

Epicondylopathia humeri radialis

Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All

Contact Info

Product

Resources

About