Lateral epicondylitis: New evidence for work relatedness

Descatha, Alexis; Dale, Ann Marie; Silverstein, Barbara; Rempel, David

doi:10.1016/j.jbspin.2014.10.013

Cited by 15 publications

(8 citation statements)

References 16 publications

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“…In contrast to the age and sex characteristics reflecting those at all BEACH encounters, the TE encounters were almost 10 times as likely as non-TE encounters to be work related (as measured by workers compensation payment, S2 Table). This is not unexpected as work related factors feature strongly in this condition [1]. …”

Section: Discussionmentioning

confidence: 71%

“…Tennis elbow is frequently a consequence of participation in activities that involve unaccustomed (i.e. inadequately prepared for) repetitive manual tasks that require gripping an implement, often in awkward wrist positions, such as in meat processing, gardening, building, and tennis[1]. It is relatively common, although rates depend upon the specific population.…”

Section: Introductionmentioning

confidence: 99%

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No abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling

et al. 2017

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ObjectiveEvaluate general practitioner (GP) management of tennis elbow (TE) in Australia.MethodsData about the management of TE by GPs from 2000 to 2015 were extracted from the Bettering the Evaluation of Care of Health program database. Patient and GP characteristics and encounter management data were classified by the International Classification of Primary Care, version 2, and reported using descriptive statistics with point estimates and 95% confidence intervals.ResultsTE was managed by GPs 242,000 times per year on average. Patients were mainly female (52.3%), aged between 35 and 64 years (mean: 49.3 yrs), had higher relative risks of concomitant disorders (e.g. carpal tunnel syndrome and other tendonitis) and their TE was 10 times more likely to be work related than problems managed for patients who did not have TE. Use of diagnostic tests was low, implying a clinical examination based diagnosis of TE. Management was by procedural treatments (36 per 100 TE problems), advice, education or counselling (25 per 100), and referral to other health care providers (14 per 100, mainly to physiotherapy). The rate of local injection did not change over the 15 years and was performed at similar rates as physiotherapy referral.ConclusionThe high risk of comorbidities and work relatedness and no abatement in the reasonably high rate of local injections (which is contrary to the evidence from clinical trials) provides support for the development and dissemination of TE clinical guidelines for GPs.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

No abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling

et al. 2017

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“…However, the case definition of the four included studies was based on symptoms and physical examination signs, but not confirmed by imaging techniques (such as US or MRI). This means that, even if the term “epicondylitis” was used, these studies were actually investigating the putative occupational origin of referred or provoked epicondylalgia 38 . It could be argued that sometimes it is not possible to collect state‐of‐the‐art diagnosis and it is quite common to use surrogate for diagnosis in large scale epidemiological studies.…”

Section: Discussionmentioning

confidence: 99%

Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis

Curti

Mattioli

Bonfiglioli

et al. 2021

Journal of Occupational Health

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Objectives To evaluate the evidence of an association between occupational and non‐occupational exposure to biomechanical risk factors and lateral elbow tendinopathy, medial elbow tendinopathy, and olecranon bursitis. Methods We carried out a systematic review of the literature. We searched MEDLINE (up to November 2019) and checked the reference lists of relevant articles/reviews. We aimed to include studies where (a) the diagnosis was based on physical examination (symptoms plus clinical signs) and imaging data (if any); and (b) the exposure was evaluated with video analysis and/or direct measurements. A quality assessment of the included studies was performed along with an evaluation of the level of evidence of a causal relationship. Results We included four studies in the qualitative synthesis: two prospective cohorts and two cross‐sectional studies. All the included studies investigated “lateral/medial epicondylitis”, albeit the diagnosis was not supported by imaging techniques. Two cohort studies suggested that a combination of biomechanical risk factors for wrist/forearm is associated with increased risk of “lateral epicondylitis”. This association was not observed in the two included cross‐sectional studies. The cohort studies suggested that a Strain Index score higher than 5 or 6.1 could double the risk of “lateral epicondylitis”. No association with increased risk of “medial epicondylitis” was observed. Conclusions There is limited evidence of a causal relationship between occupational exposure to biomechanical risk factors and lateral elbow tendinopathy. For medial elbow tendinopathy, the evidence is insufficient to support this causal relationship. No studies on olecranon bursitis and biomechanical overload were identified.

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“…Meta-analyses have also revealed a significant relationship between shoulder disorders and hand force exertion, but with moderate evidence (11), and between CTS and force (10). In addition, a summary study based on three longitudinal MSD studies provided strong evidence for a relationship between lateral epicondylalgia and occupational exposure to high hand force (49).…”

Section: Comparison With Previous Literaturementioning

confidence: 99%

Upper-extremity musculoskeletal disorders: how many cases can be prevented? Estimates from the COSALI cohort

Nambiema¹,

Bodin²,

Fouquet³

et al. 2020

Scand J Work Environ Health

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This is the first cohort study estimating the number of potentially preventable cases of work-related upper-extremity musculoskeletal disorders (UEMSD) in a working population. A large number of incident UEMSD were attributable to occupational exposures. Theoretically, they could have been prevented by reducing exposures related to physical exertion and awkward postures and improving social support from co-workers and supervisors.

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Lateral epicondylitis: New evidence for work relatedness

Cited by 15 publications

References 16 publications

No abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling

No abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling

Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis

Upper-extremity musculoskeletal disorders: how many cases can be prevented? Estimates from the COSALI cohort

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