The Basic Science of Lateral Epicondylosis: Update for the Future

Bishai, Shariff K.; Plancher, Kevin D.

doi:10.1097/01.bto.0000252115.76643.78

Cited by 25 publications

(20 citation statements)

References 27 publications

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“…The term Tennis elbow is not too apt since this disorder is commoner in occupations which involve repetitive forearm rotational activities. It has been estimated that only 5-10% of cases occur in tennis players [13]. In our series, 52% cases were manual workers most of them mechanics, 24% were homemakers mostly females and rest 24% were involved in sedentary life style with teachers constituting a substantial 8%.…”

Section: Discussionmentioning

confidence: 54%

Comparison of short term results of single injection of autologous blood and steroid injection in tennis elbow: a prospective study

Jindal

Gaury²,

Banshiwal

et al. 2013

J Orthop Surg Res

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BackgroundIt has been recently reported that local injection of autologous blood in tennis elbow offers a significant benefit by virtue of various growth factors contained therein. The objective of our study was assessment of efficacy of autologous blood injection versus local corticosteroid injection in the treatment of tennis elbow.Methods and trial designA single blinded, prospective parallel group trial was undertaken. 50 consecutive patients of untreated lateral epicondylitis were enrolled. Randomisation was done on alternate basis and two groups were constituted, first one receiving steroid injection and second one injection of autologous blood. Both groups were evaluated at 2 and 6 weeks for pain relief and stage of disease.ResultsBaseline evaluation showed no difference between the two groups (chi square test, P > 0.05). Between group analysis at 2 weeks showed no difference in pain relief and Nirschl stage (unpaired t test, P > 0.05). Evaluation at 6 weeks demonstrated a significant decrease in pain levels and stage of disease in blood group (unpaired t test, p < 0.05).ConclusionsAutologous blood injection was more effective than steroid injection in the short term follow up in tennis elbow.

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Section: Discussionmentioning

confidence: 54%

Comparison of short term results of single injection of autologous blood and steroid injection in tennis elbow: a prospective study

Jindal

Gaury²,

Banshiwal

et al. 2013

J Orthop Surg Res

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“…These findings are contradictory to the widely used term epicondylitis, which describes an inflammatory condition 9 . It has recently been recommended that the term epicondylitis be replaced with epicondylosis, a more accurate descriptor of the underlying degenerative process, or the generalized term epicondylalgia 9,10 . A significant number of treatments are offered for LE, ranging from medical interventions such as surgery and medication to physical therapy including modalities, exercise, and manual therapy 3,5,11,12 .…”

mentioning

confidence: 99%

A Systematic Review of the Effectiveness of Manipulative Therapy in Treating Lateral Epicondylalgia

Herd¹,

Meserve²

2008

Journal of Manual & Manipulative Therapy

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“…In a study done by Bishai S.K. et al [12] 5-10% of tennis players present with lateral epicondylitis. In our series, 56% cases were manual workers, 26% were house wives and 18% in others mostly in teachers.…”

Section: Discussionmentioning

confidence: 99%

Prospective comparative study of local steroid and autologous blood injection in the treatment of lateral epicondylitis

Kerakkanavar

Patil

Pramodkumar³

2018

Int. J. Orthop. Sci.

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Background: Tennis elbow (Lateral epicondylitis) frequently encountered myotendinosis affecting around 3 -5% of population. Its an ECRB insertion overuse injury at the lateral epicondyle of humerus affecting dominant arm. Non-operative treatment is successful in 80% of patients with tennis elbow. Recent research papers indicates autologous blood injection at the insertion of ECRB proved to be effective in decreasing pain in intermediate and long term period Aims and objectives: To compare the effectiveness of steroid and autologous blood local injection in terms of controlling pain and disability in short term. Methods: This was a single blinded randamised control study done in Rajarajeshwari medical college and hospital, Bengaluru. Total no. of 40 patients, divided in to 2 groups. One group injected at the site of lateral epicondyle with steroid (methyl prednisolone acetate-40mg) and another group with autologous blood (2ml of venous blood). Patients were followed up at 1 st , 4 th , and 12 th week, pain and disability assessed with visual analogue scale (VAS) and Nirschl staging. Results: At 1st week corticosteroid injection group (Group I) recorded a statistically significant decrease in pain (VAS Score) compared to autologous blood injection group. At 4th week both group patients had decrease in pain and disability but statistically not significant when compared to each other. At 12th week review, autologous blood injection group (Group II) recorded statistically significant decrease in pain (P-0.0146) and disability (P-0.0001) compared to corticosteroid injection group. Conclusion: Since autologous blood injection at the lateral epicondyle on OPD basis showed significant improvement in pain and disability, we recommend using same for the treatment of tennis elbow.

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The Basic Science of Lateral Epicondylosis: Update for the Future

Cited by 25 publications

References 27 publications

Comparison of short term results of single injection of autologous blood and steroid injection in tennis elbow: a prospective study

Comparison of short term results of single injection of autologous blood and steroid injection in tennis elbow: a prospective study

A Systematic Review of the Effectiveness of Manipulative Therapy in Treating Lateral Epicondylalgia

Prospective comparative study of local steroid and autologous blood injection in the treatment of lateral epicondylitis

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