Lateral Epicondylitis: Review and Current Concepts

Faro, Frances D.; Wolf, Jennifer Moriatis

doi:10.1016/j.jhsa.2007.07.019

Cited by 178 publications

(121 citation statements)

References 80 publications

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“…There is also good compatibility with findings from previous workplace studies [6,7] and with what has been observed in athletes [14] from overuse of the forearm extensor muscles and the resultant microtrauma that leads to angiofibroblastic tendinosis (biological plausibility) [14,15].…”

supporting

confidence: 82%

Lateral epicondylitis: New evidence for work relatedness

et al. 2015

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supporting

confidence: 82%

Lateral epicondylitis: New evidence for work relatedness

et al. 2015

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“…1 Research has shown that the physiology of LE involves microscopic tears with growth of regenerative tissue within the origin of the extensor carpi radialis brevis. 2 While the majority of individuals with LE do resolve their symptoms, 3 those who do not can experience chronic disease. 4 LE can result in lost playing time for athletes or perhaps even prematurely end a career.…”

Section: Clinical Scenariomentioning

confidence: 99%

Platelet-Rich Plasma Compared With Other Common Injection Therapies in the Treatment of Chronic Lateral Epicondylitis

Rodik

McDermott²

2016

Journal of Sport Rehabilitation

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Clinical Scenario: Lateral epicondylitis (LE) is a relatively common pathology capable of producing chronic debilitation in a variety of patients. A newer treatment for orthopedic conditions is platelet-rich plasma (PrP) local injection. Focused Clinical Question: Is PrP a more appropriate injection therapy for LE than other common injections such as corticosteroid or whole blood? Summary of Key Findings: Four studies were included: 1 randomized controlled trial (RCT), 2 double-blind RCTs, and 1 cohort study. Two studies involved comparisons of PrP injection to corticosteroid injection. One of the studies involved a 2-y follow-up while another involved a 1-y follow-up. Another study involved the comparison of PrP injection with whole-blood injection with a 6-mo follow-up. The final study included a PrP-injection group and control group. The 2 studies involving PrP vs corticosteroid injections with 2-y and 1-y follow-ups both favored PrP over corticosteroid injection in terms of pain reduction and function increases. The third study favored PrP injections over wholeblood injections at 6 mo regarding pain reduction. All studies demonstrated significant improvements with PrP over comparison injections or no injection. Clinical Bottom Line: PrP injections provide more favorable pain and function outcomes than whole blood and corticosteroid injections for 1-2 y after injection. Strength of Recommendation: Consistent findings from RCTs suggest level 1b evidence in support of PrP injection as a treatment for LE.

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“…Management of lateral epicondylitis is initially conservative and includes nonsteroidal antiinflammatory drugs, activity modification, physical therapy, splinting, peritendinous injection of steroid, and injection of autologous blood or platelet-rich plasma (22)(23)(24). However, surgery may be indicated in patients who fail to respond to conservative therapy, with debridement of the diseased portion of the tendon, surgical reattachment to the lateral humeral epicondyle (22,23,25).…”

Section: Lateral Epicondylitismentioning

confidence: 99%

“…However, surgery may be indicated in patients who fail to respond to conservative therapy, with debridement of the diseased portion of the tendon, surgical reattachment to the lateral humeral epicondyle (22,23,25). More recently radiofrequency microtenotomy of the common extensor tendon has lead to favorable results (24).…”

Section: Lateral Epicondylitismentioning

confidence: 99%

Magnetic resonance imaging of the elbow

Stevens

2010

Magnetic Resonance Imaging

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Elbow pain is frequently encountered in clinical practice and can result in significant morbidity, particularly in athletes. Magnetic resonance imaging (MRI) is an excellent diagnostic imaging tool for the evaluation of soft tissue and osteochondral pathology around the elbow. Recent advances in magnetic field strength and coil design have lead to improved spatial resolution and superior soft tissue contrast, making it ideal for visualization of complex joint anatomy. This article describes the normal imaging appearances of anatomy around the elbow and reviews commonly occurring ligamentous, myotendinous, neural, and bursal pathology around the elbow.

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Lateral Epicondylitis: Review and Current Concepts

Cited by 178 publications

References 80 publications

Lateral epicondylitis: New evidence for work relatedness

Lateral epicondylitis: New evidence for work relatedness

Platelet-Rich Plasma Compared With Other Common Injection Therapies in the Treatment of Chronic Lateral Epicondylitis

Magnetic resonance imaging of the elbow

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