Abstract
Our results suggest the presence of central and peripheral sensitization mechanisms in individuals with either LE or CTS....
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PMID: 21041964
PDF is available here.
Abstract
Elbow injuries in the pediatric and adolescent population represent a spectrum of pathology that can be categorized as medial tension injuries, lateral compression injuries, and posterior shear injuries. Early and accurate diagnosis can improve outcomes for both nonoperative and operative treatments...
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PMID: 20883904
PDF is available here.
Abstract
Epicondylitis is a diagnostic term that describes a pattern of pain and tenderness localized to the medial or lateral epicondyles of the distal humerus. The pathoanatomy, clinical presentation, and treatment of these disorders is described. Nonoperative treatment, operative techniques, postoperative...
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PMID: 20883898
PDF is available here.
Abstract
Isokinetic eccentric training of the wrist extensors has recently been shown to be effective in treating chronic lateral epicondylosis. However, isokinetic dynamometry is not widely available or practical for daily exercise prescription. Therefore, the objective of this study was to assess the effic...
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PMID: 20579907
PDF is available here.
Abstract
The study provides new key information regarding mechanical pain hyperalgesia in experimentally induced LE. Topographical pressure pain sensitivity maps from the elbow region revealed heterogeneously distributed mechanical sensitivity before and during DOMS. The most sensitive localizations for PPT...
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PMID: 19996999
PDF is available here.
Abstract
Recent evidence suggests that many localized tendinopathies are related more to degenerative than inflammatory processes. With this realization, there is increased emphasis on finding new modalities to treat tendinopathies and other localized musculoskeletal conditions that rely on other than anti-i...
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PMID: 20010297
PDF is available here.
Abstract
We suggest that the treatment of choice for lateral epicondylitis be autologous blood injection.
Copyright 2010, SLACK Incorporated....
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PMID: 20192142
PDF is available here.
Abstract
The effective rate was 82. 9% in continuous wave group, and 84. 1% in rarefaction wave group, with no significant difference in statistical analysis (P>0.05). The healing rate was 56. 8% in rarefaction wave group, better than 31. 7% in continuous wave group (P<0.05). The VAS scores were significantl...
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PMID: 20353114
PDF is available here.
Abstract
This revealed a widespread mechanical hypersensitivity in patients with LE, which suggest that central sensitization mechanisms are involved in patients with unilateral LE. The generalized decrease in PPT levels was associated with elbow pain intensity, supporting a role of peripheral sensitization...
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PMID: 19692795
PDF is available here.
Abstract
Both open and arthroscopic Nirschl procedures are valid and reliable treatments for patients with refractory lateral epicondylitis. The patients in the open group have a better function in the return-to work and sports postoperatively than the arthroscopic group....
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PMID: 19781238
PDF is available here.
Abstract
All cases of lateral epicondylitis surgically treated in Dr. Pruzansky's office practice between October 1986 and December 2005 yielded 24 elbows for this study. Patients were treated with surgical débridement and direct repair to bone through bone tunnels (18 elbows), repair with suture anchors (3...
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PMID: 19649347
PDF is available here.
Abstract
We have reviewed the findings in a consecutive series of 117 elbow arthroscopies performed on patients with lateral elbow pain resistant to conservative treatment. We found established degenerative changes involving articular cartilage in 68 patients (59%). In 60 of these 68 patients (88%) the degen...
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PMID: 19358396
PDF is available here.
Abstract
We analyzed patients that, over the period of 15 years, reported to "Praxis" clinic for elbow pain treatment (Epicondylitis humeri radialis). Of the total number of 228 patients, 126 were male, 101 female while one patient was younger than 14. Initial analysis established that average overall health...
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PMID: 19284391
PDF is available here.
Abstract
Taking Verhaar therapy effect appraisal system of tennis-ball elbow to evaluate elbow function. After 7 days of therapy, the results were excellent in 13 cases, good in 16, fair in 4, poor in 9 in the routine group; and excellent in 38, good in 4 and fair in 2 in treatment group; and the effect in t...
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PMID: 19281013
PDF is available here.
Abstract
BACKGROUND: Corticosteroid injection and physiotherapy are two commonly prescribed interventions for management of lateral epicondylalgia. Corticosteroid injections are the most clinically efficacious in the short term but are associated with high recurrence rates and delayed recovery, while physiot...
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PMID: 19552805
PDF is available here.
Abstract
We conclude that the "knife and fork" technique is a simple and dependable day case procedure. In the present National Health Service (NHS) era of tariff and "payment by results", this approach is more cost effective than an arthroscopic alternative....
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PMID: 19096844
PDF is available here.
Abstract
The elbow is one of the most commonly injured joints in sports activities. In particular, weight lifters, golfers, tennis players, and pitchers are affected. Injuries in sports involving overhead throwing are commonly based on the pathophysiologic model of valgus extension overload syndrome. The inj...
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PMID: 18946648
PDF is available here.
Abstract
High bone uptake of (99m)Tc-HDP among patients with chronic epicondylitis was associated with better muscle strength, work ability, and arm function. In chronic cases, a higher degree of bone uptake of (99m)Tc-HDP may thus indicate a healing response in the bone tissue....
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PMID: 18996248
PDF is available here.
Abstract
Neovascularity identified with power Doppler ultrasonography when compared to grey scale changes (alone or in combination with Doppler) was diagnostically superior in identifying chronic tennis elbow. The lack of both neovascularity and grey scale changes on ultrasound examination also substantially...
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PMID: 18308874
PDF is available here.
Abstract
What is the evidence for using steroid injection to treat lateral epicondylar pain in the general practice setting? In reviewing four randomised controlled trials, this article concludes that steroid injection is indicated if rapid pain relief is desired in the short term. The evidence for steroid i...
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PMID: 19037467
PDF is available here.
Abstract
A total of 27 of 31 patients reported that their LE had become much better or that all the pain had gone. The Quick DASH score decreased from 66 preoperatively to 13 at the follow-up (p < 0.001). Surgery achieved its maximal effect on average four weeks after surgery. Two patients experienced that t...
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PMID: 18940169
PDF is available here.
Abstract
Fifty-six patients who suffered from chronic persistent tennis elbow of more than six months duration were randomly assigned to two active treatment groups. Group 1 (n = 29) received high-energy extracorporeal shock wave treatment (ESWT; 1,500 shocks) at 18 kV (0.22 mJ/mm(2)) without local anaesthes...
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PMID: 17551726
PDF is available here.
Abstract
The groups did not differ on demographic or clinical characteristics at baseline and there were significant improvements in almost all outcome measures for both groups over the 6-month followup period, but there were no differences between the groups even after adjusting for duration of symptoms. CO...
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PMID: 18792997
PDF is available here.
Abstract
SUMMARY: Surgical decompression of radial tunnel syndrome (RTS) remains controversial because the results are unpredictable. This study is a retrospective analysis of the long term outcomes of RTS release and a comparison of our findings with previous studies. Thirty-three extremities in 31 patients...
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PMID: 17855177
PDF is available here.
Abstract
Despite the activity of the musculature around the elbow and the high angular velocity and stresses, distal biceps tendon injury is rare in the overhead athlete. The biomechanics of the throwing motion and electromyographic studies of the elbow provide useful clues as to why the biceps stays relativ...
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PMID: 18703969
PDF is available here.
Abstract
Patients with a positive EGT result had better response to treatments. Among them, injection plus physiotherapy was the most successful, then brace plus physiotherapy, physiotherapy, and brace injection was the worst treatment modality. Response to treatment was comparable in all groups between EGT...
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PMID: 18813410
PDF is available here.
Abstract
The purpose of this study was to survey the prevalence of pain in the cervical and thoracic spine (C2-T7) in persons with and without lateral elbow pain. Thirty-one subjects with lateral elbow pain and 31 healthy controls participated in the study. The assessment comprised a pain drawing, provocatio...
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PMID: 17942362
PDF is available here.
Abstract
We investigated the effectiveness of braces in the treatment of lateral epicondylitis and compared the effects of two different types of most frequently used braces. A total of 50 patients (seven males and 43 females) with an age range of 34 to 60 who had the diagnosis of lateral epicondylitis were...
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PMID: 18365136
PDF is available here.
Abstract
Both clinically and statistically significant improvements in average grip strength were found (treatment group: 28% increase; placebo group: 2.5% decrease; P=0.04), functional activity (treatment group: 110% increase; placebo group: 22% increase; P= 0.003), pain intensity (treatment group: 3.1 poin...
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PMID: 18586811
PDF is available here.
Abstract
There are numerous treatments for lateral epicondylitis and no single intervention has been proven to be the most efficient. Therefore, future research is needed to provide a better understanding of beneficial treatment options for people living with this condition....
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PMID: 18515912
PDF is available here.
Abstract
Prolotherapy with dextrose and sodium morrhuate was well tolerated, effectively decreased elbow pain, and improved strength testing in subjects with refractory lateral epicondylosis compared to Control group injections....
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PMID: 18469566
PDF is available here.
Abstract
Tennis elbow typically presents as pain and localized tenderness at the lateral aspect of the elbow. It is the most common diagnosis related to the elbow. Microtrauma at the vicinity of the Extensor Carpi Radialis Brevis muscle is postulated to be the cause of this clinical entity. Initial treatment...
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PMID: 18686818
PDF is available here.
Abstract
We describe a unique extra-articular approach for arthroscopic lateral release for lateral epicondylitis. An arthroscopic extra-articular approach allows better direct visualization of diseased structures with a 30 degrees arthroscope and only requires a small hole in the joint capsule. The camera i...
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PMID: 18375283
PDF is available here.
Abstract
Our results indicate that ultrasonography is informative and accurate for the detection of clinical medial epicondylitis. Therefore, ultrasonography should be considered as an initial imaging method for evaluating medial epicondylitis....
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PMID: 18374006
PDF is available here.
Abstract
US and CD guided intratendinous injections gave pain relief in patients with tennis elbow. Polidocanol and lidocaine plus epinephrine injections gave similar results....
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PMID: 18216158
PDF is available here.
Abstract
For the selected orthopedic diseases (medial and lateral epicondylitis, myofascial pain syndrome of the neck, back and shoulder and osteoarthritis), meta-analyses, systematic reviews and eight randomized controlled studies were found. All other published studies used laser therapy without considerat...
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PMID: 17530300
PDF is available here.
Abstract
The mean pain score at rest was 0; with activities of daily living, 1.0; and with work or sports, 1.9. The mean functional score was 11.7 out of a possible 12 points. No patient required further surgery or repeat injections after surgery. One patient continued to wear a counterforce brace with heavy...
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PMID: 18202296
PDF is available here.
Abstract
The mean age of the study group was 46 years (range, 23-70 years) with 45 men and 38 women. Eighty-seven of the procedures were primary, and 5 were revision tennis elbow surgeries. Concomitant procedures were performed in 30 patients including ulnar nerve release in 24 patients, medial tennis elbow...
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PMID: 18055917
PDF is available here.
Abstract
The latency of UL-WMSDs is influenced by the level of exposure to risk, measured by means of the OCRA index. Shorter latency times were found for wrist/hand tendonitis, with a mean latency time of 5.4 years and with a greater sensitivity to the level of exposure assessed with the OCRA index value. T...
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PMID: 18828534
PDF is available here.
Abstract
This study evaluates if the Disabilites of the Arm, Shoulder and Hand (DASH) questionnaire is an adequately responsive outcome measure in lateral extensor release for tennis elbow. To measure responsiveness (sensitivity to clinical change), 21 patients with operated tennis elbow completed the DASH q...
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PMID: 19051471
PDF is available here.
Abstract
The application of a manipulation at the cervical spine produced an immediate bilateral increase in PPT in patients with LE. No significant changes for HPT and CPT were found. Finally, cervical manipulation increased PFG on the affected side, but not the maximum grip force on the unaffected arm. Fut...
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PMID: 19028251
PDF is available here.
Abstract
We conducted an anatomical study of arthroscopic surgery for lateral epicondylitis. Currently, the pathogenesis suggests that lateral epicondylitis is caused by extra-articular lesions or intra-articular lesions. We anatomically and histologically examined the relationship between extensor carpi rad...
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PMID: 19054839
PDF is available here.
Abstract
The test-retest reliability, using the PRTEE-S (Patientskattad Utvärdering av Tennisarmbåge) intraclass correlation coefficient, was 0.95 and the internal consistency was 0.94. The PRTEE-S correlated well with the Disabilities of the Arm, Shoulder, and Hand questionnaire (r = 0.88) and the Rol...
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PMID: 18534009
PDF is available here.
Abstract
18 randomised placebo-controlled trials (RCTs) were identified with 13 RCTs (730 patients) meeting the criteria for meta-analysis. 12 RCTs satisfied half or more of the methodological criteria. Publication bias was detected by Egger's graphical test, which showed a negative direction of bias. Ten of...
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PMID: 18510742
PDF is available here.
Abstract
Symptoms of lateral epicondylitis (LE) are attributed to degenerative changes and inflammatory reactions in the common extensor tendon induced by microscopic tears in the tissue after repetitive or overload functions of the wrist and hand extensor muscles. Conventional treatments, provided on the pr...
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PMID: 18215746
PDF is available here.