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Tennis elbow ultrasound

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https://www.readbyqxmd.com/read/29886446/ultrasound-guided-tendon-fenestration-versus-open-release-surgery-for-the-treatment-of-chronic-lateral-epicondylosis-of-the-elbow-protocol-for-a-prospective-randomised-single-blinded-study
#1
Eugen Lungu, Philippe Grondin, Patrice Tétreault, François Desmeules, Guy Cloutier, Manon Choinière, Nathalie J Bureau
INTRODUCTION: Chronic lateral epicondylosis (CLE) of the elbow is a prevalent condition among middle-aged people with no consensus on optimal care management but for which surgery is generally accepted as a second intention treatment. Among conservative treatment options, ultrasound (US)-guided fenestration has shown encouraging results that should be explored before surgery is considered. The primary objective of this study is to compare the efficacy of US-guided fenestration with open-release surgery in patients with failure to improve following a minimum 6 months of conservative treatment...
June 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29320964/autologous-us-guided-prp-injection-versus-us-guided-focal-extracorporeal-shock-wave-therapy-for-chronic-lateral-epicondylitis-a-minimum-of-2-year-follow-up-retrospective-comparative-study
#2
Mattia Alessio-Mazzola, Ilaria Repetto, Besmir Biti, Roberto Trentini, Matteo Formica, Lamberto Felli
PURPOSE: To compare the efficacy of two independent groups of patients treated with ultrasound (US)-guided extracorporeal shock wave (ESW) therapy and with US-guided injection of platelet-rich plasma (PRP) for chronic lateral epicondylitis (LE) with a minimum of 2-year follow-up. METHODS: We retrospectively evaluated 63 patients treated for chronic LE (31 patients with autologous US-guided PRP injection and 32 patients with US-guided focal ESW therapy) from 2009 to 2014...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29189597/ultrasonic-percutaneous-tenotomy-of-common-extensor-tendons-for-recalcitrant-lateral-epicondylitis
#3
Christopher T Battista, Matthew A Dorweiler, Michael L Fisher, Bernard F Morrey, Matthew P Noyes
Tennis elbow is a common musculoskeletal condition affecting middle-aged patients with symptoms usually lasting from 6 months to 2 years. The vast majority of individuals will respond to conservative therapy; however, some will require surgical intervention. A new treatment system has been developed for use with ultrasound guidance in the ultrasonic microresection of tendinopathic tissue. This technology has been implemented in the TX1 Tissue Removal System and is used to treat various tendinopathies by debridement using targeted ultrasonic energy...
March 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29154232/radial-extracorporeal-shockwave-therapy-and-ultrasound-therapy-in-the-treatment-of-tennis-elbow-syndrome
#4
COMPARATIVE STUDY
Agnieszka Kubot, Andrzej Grzegorzewski, Marek Synder, Wiesław Szymczak, Piotr Kozłowski
BACKGROUND: Both ultrasound and radial shockwave therapies are used to treat tennis elbow syndrome. The aim of this study was to compare the therapeutic efficacy of both therapies by assessing the reduction in pain intensity and frequency, restoration of mobility, and reduction in the need for pain medication. MATERIAL AND METHODS: The study enrolled 60 people, who were randomly divided into two groups of 30 patients: those treated by radial shockwave therapy and those treated by ultrasound therapy...
October 31, 2017: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28677063/ultrasound-guided-percutaneous-bone-drilling-for-the-treatment-of-lateral-epicondylitis
#5
Sang Ho Yoo, Jang Gyu Cha, Bo Ra Lee
OBJECTIVE: To determine the clinical efficacy of sonographically-guided percutaneous bone drilling of the lateral epicondyle (LE) for the treatment of patients with LE. METHODS: We included 24 patients with LE who reported pain in this study. All patients underwent sonographically-guided percutaneous bone drilling of the lateral epicondyle. Follow-up sonography and physical examinations were performed 1, 3 and 6 months after the procedure. The outcome measures included sonographic findings, visual analogue scale (VAS) score, maximum voluntary grip strength (MVGS) and patient-related tennis elbow evaluation (PRTEE) score...
January 2018: European Radiology
https://www.readbyqxmd.com/read/28590765/ultrasonographic-evaluation-of-acupuncture-effect-on-common-extensor-tendon-thickness-in-patients-with-lateral-epicondylitis-a-randomized-controlled-study
#6
RANDOMIZED CONTROLLED TRIAL
Fatma Gülçin Ural, Gökhan Tuna Öztürk, Hüma Bölük, Selami Akkuş
OBJECTIVE: To explore the effect of acupuncture on common extensor tendon (CET) thickness in patients with lateral epicondylitis (LE). Additionally, to identify whether clinical and ultrasonographic changes showed any correlation. METHODS: Forty-one patients were randomly assigned to acupuncture and control groups. Conventional treatment (rest, NSAİİ, bracing, exercise) methods for LE were applied to all patients. In addition to this, the acupuncture treatment was applied to the acupuncture group...
October 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28588166/comparative-efficacy-of-local-steroid-and-therapeutic-ultrasound-for-quicker-functional-improvement-in-tennis-elbow
#7
M S Rahman, A K Salek, M A Ullah
Lateral epicondylitis or Tennis elbow is very common repetitive stress injury or cumulative trauma disorder among active professionals and tennis players. Local steroid injection can provide quick functional improvement as sought by most of the patients. Therapeutic ultrasound and eccentric exercises can also improve the function. This study was carried out to see the comparative efficacy of these two modalities of treatments in terms of quicker functional improvement and this randomized interventional clinical trial was carried out in a private rehabilitation hospital in Dhaka...
April 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28553852/an-anatomical-study-of-additional-radial-wrist-extensors-including-a-unique-extensor-carpi-radialis-accessorius
#8
Charles Timothy West, David Ricketts, Cecilia Brassett
BACKGROUND: In this study, 82 forearms from 41 cadavers were dissected to establish the incidence of variant additional radial wrist extensors. Three variants have been described in the literature: extensor carpi radialis intermedius (ECRI), extensor carpi radialis accessorius (ECRA) and extensor carpi radialis tertius (ECRT). MATERIALS AND METHODS: Of the 41 cadavers studied, 5/41 (12%) had an additional radial wrist extensor. Of these 5 individuals, 2 had bilateral additional muscles and 3 were unilateral...
May 29, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28433443/arthroscopic-debridement-versus-platelet-rich-plasma-injection-a-prospective-randomized-comparative-study-of-chronic-lateral-epicondylitis-with-a-nearly-2-year-follow-up
#9
RANDOMIZED CONTROLLED TRIAL
Giovanni Merolla, Fabio Dellabiancia, Annamaria Ricci, Maria Pia Mussoni, Simonetta Nucci, Gustavo Zanoli, Paolo Paladini, Giuseppe Porcellini
PURPOSE: The purpose of this prospective, randomized study was to compare the efficacy of autologous platelet-rich plasma (PRP) injections and arthroscopic lateral release in treating chronic lateral epicondylitis (LE). METHODS: Patients who had a clinical diagnosis of LE confirmed by ultrasound (US) were included in this study. A total of 101 patients received arthroscopic release (n = 50) or US-guided PRP injections (n = 51). Outcomes were assessed using a visual analog scale for pain, the Patient-Rated Tennis Elbow Evaluation (PRTEE), and a calibrated hand dynamometer for grip strength...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28089102/comparison-of-corticosteroid-autologous-blood-or-sclerosant-injections-for-chronic-tennis-elbow
#10
RANDOMIZED CONTROLLED TRIAL
R Branson, K Naidu, C du Toit, A H Rotstein, R Kiss, D McMillan, L Fooks, B K Coombes, B Vicenzino
OBJECTIVES: To compare three different ultrasound-guided injections for chronic tennis elbow. DESIGN: Assessor-blinded, randomized controlled comparative trial. METHODS: 44 patients with clinically diagnosed tennis elbow, confirmed by Doppler ultrasound, received under ultrasound guidance, a single corticosteroid injection (n=14), or two injections (separated by 4 weeks) of either autologous blood (n=14) or polidocanol (n=16). Clinical and ultrasound examination was performed at baseline, 4, 12 and 26 weeks...
June 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/26674710/ultrasonographic-diagnostics-of-pain-in-the-lateral-cubital-compartment-and-proximal-forearm
#11
REVIEW
Anna Dębek, Paweł Nowicki, Zbigniew Czyrny
Pain in the lateral compartment of the elbow joint and decreased strength of the extensor muscle constitute a fairly common clinical problem. These symptoms, occurring in such movements as inverting and converting the forearm, pushing, lifting and pulling, mostly affect people who carry out daily activities with an intense use of wrist, e.g. work on computer. Strains in this area often result from persistent overload and degeneration processes of the common extensor tendon and the radial collateral ligament...
June 2012: Journal of Ultrasonography
https://www.readbyqxmd.com/read/26602153/ultrasonic-percutaneous-tenotomy-for-recalcitrant-lateral-elbow-tendinopathy-sustainability-and-sonographic-progression-at-3-years
#12
Chusheng Seng, P Chandra Mohan, Suang Bee Joyce Koh, Tet Sen Howe, Yee Gen Lim, Brian P Lee, Bernard F Morrey
BACKGROUND: A previously published study found positive outcomes for a novel technique for ultrasound-guided percutaneous ultrasonic tenotomy, showing good tolerability, safety, and early efficacy within an office setting. PURPOSE: In this follow-up study, all 20 members of the original cohort were contacted after 3 years to explore the sustainability of symptomatic relief, functional improvement, and sonographic soft tissue response for percutaneous ultrasonic tenotomy...
February 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26468172/exercise-and-therapeutic-ultrasound-compared-with-corticosteroid-injection-for-chronic-lateral-epicondylitis-a-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Ardiana Murtezani, Zana Ibraimi, Teuta Osmani Vllasolli, Sabit Sllamniku, Shaip Krasniqi, Lulzim Vokrri
BACKGROUND: Lateral epicondylitis, or tennis elbow, is a common overuse syndrome of the extensor tendons of the forearm. When the condition is chronic or not responding to initial treatment, physical therapy is initiated. The objective of this study is to compare the effectiveness of corticosteroid injections with physiotherapeutic interventions (ultrasound and exercise) for the treatment of chronic lateral epicondylitis. MATERIAL AND METHODS: We performed a randomized controlled trial of 12 weeks' duration in patients with chronic lateral epicondylitis...
July 2015: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/26357440/analgesic-effect-of-extracorporeal-shock-wave-therapy-versus-ultrasound-therapy-in-chronic-tennis-elbow
#14
Paweł Lizis
[Purpose] This study compared the analgesic effects of extracorporeal shock wave therapy with those of ultrasound therapy in patients with chronic tennis elbow. [Subjects] Fifty patients with tennis elbow were randomized to receive extracorporeal shock wave therapy or ultrasound therapy. [Methods] The extracorporeal shock wave therapy group received 5 treatments once per week. Meanwhile, the ultrasound group received 10 treatments 3 times per week. Pain was assessed using the visual analogue scale during grip strength evaluation, palpation of the lateral epicondyle, Thomsen test, and chair test...
August 2015: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/26350485/inefficacy-of-ultrasound-guided-local-injections-of-autologous-conditioned-plasma-for-recent-epicondylitis-results-of-a-double-blind-placebo-controlled-randomized-clinical-trial-with-one-year-follow-up
#15
RANDOMIZED CONTROLLED TRIAL
Bernard Montalvan, Patrick Le Goux, Shahnaz Klouche, Delphine Borgel, Philippe Hardy, Maxime Breban
OBJECTIVES: The aim was to assess the efficacy of two intra-tendinous injections of platelet-rich plasma (PRP) on epicondylitis of recent evolution (≤3 months). METHODS: Our study was a double-blind placebo-controlled randomized trial. Two US-guided injections of either PRP (autologous conditioned plasma) or saline solution were performed with an interval of 4 weeks. The exclusion criterion was previous CS infiltration. Patients were monitored by an independent evaluator blinded to treatment at baseline and 1, 3, 6 and 12 months of follow-up...
February 2016: Rheumatology
https://www.readbyqxmd.com/read/26202898/treatment-of-lateral-epicondylosis-by-using-allogeneic-adipose-derived-mesenchymal-stem-cells-a-pilot-study
#16
RANDOMIZED CONTROLLED TRIAL
Sang Yoon Lee, Won Kim, Chaiyoung Lim, Sun G Chung
Mesenchymal stem cell therapy is a novel regenerative approach for treating tendinopathy. Here, we evaluated the safety and efficacy of allogeneic adipose-derived mesenchymal stem cells (allo-ASC) in treating lateral epicondylosis (LE). Under ultrasound guidance, allo-ASCs mixed with fibrin glue were injected into the hypoechoic common extensor tendon lesions of 12 participants with chronic LE; 6 subjects each were administered 10(6) or 10(7) cells in 1 ml. Safety was evaluated at day 3 and weeks 2, 6, 12, 26, and 52 post-injection...
October 2015: Stem Cells
https://www.readbyqxmd.com/read/25968855/lateral-epicondylosis-emerging-management-options
#17
Carolyn Thompson, Christopher Visco
Lateral epicondylosis is one of the most prevalent disorders of the arm and results in significantly decreased function among the workforce and athletes. Historically, the disorder has been diagnosed clinically and treated as an inflammatory entity. Management strategies have included anti-inflammatory medications and techniques, including oral nonsteroidal anti-inflammatories, injected corticosteroid, and physical therapy with modalities. More recent literature postulates a degenerative or compressive etiology, directing some clinicians to try new, more regenerative management strategies such as platelet-rich plasma and stem cell injections...
May 2015: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/25946870/-elbow-tendinopathy
#18
A Dumusc, P Zufferey
The lateral and medial epicondylitis is often manifested in a professional or in a sport context leading to repetitive wrist movements. The diagnosis is primarily clinical. Additional tests are indicated in chronic evolution and in searching for differential diagnoses. Elbow X-ray can be completed with ultrasound or MRI, the most efficient but expensive diagnostic procedure. There is no consensus on treatment. After a period of rest, stretching then strengthening exercises are recommended. Corticosteroid injections may provide a short-term beneficial effect...
March 11, 2015: Revue Médicale Suisse
https://www.readbyqxmd.com/read/25908113/evidence-for-the-durability-of-autologous-tenocyte-injection-for-treatment-of-chronic-resistant-lateral-epicondylitis-mean-4-5-year-clinical-follow-up
#19
Allan Wang, Katherine Mackie, William Breidahl, Tao Wang, Ming H Zheng
BACKGROUND: Chronic lateral epicondylitis (LE) induces cell apoptosis and autophagy, which lead to the reduction of tendon-derived cells in the torn tendon. Our previous study has shown that ultrasound-guided autologous tenocyte injection (ATI) to the torn tendon in patients with chronic resistant LE significantly improves pain, function, and structural repair at 1 year. This report is the continued assessment of the clinical outcomes of these patients at mean 4.5-year follow-up. HYPOTHESIS: Improvements in LE clinical function and structural repair after ATI will be maintained at mean 4...
July 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25871464/an-investigation-of-the-asymptomatic-limb-in-unilateral-lateral-epicondylalgia
#20
Luke J Heales, Paul W Hodges, Bill Vicenzino
INTRODUCTION: Musculoskeletal ultrasound (MSUS) imaging is used to investigate features of tendinosis. Recent studies have reported tendon pathology not only in the symptomatic tendon but also in the contralateral asymptomatic tendon of animals and humans with unilateral Achilles tendinopathy. This study assessed the symptomatic and contralateral asymptomatic tendon in unilateral lateral epicondylalgia (LE) for features of tendinosis and compared with a pain-free control. METHODS: Twenty-nine participants with clinically diagnosed unilateral LE and 32 pain-free controls (matched for age, sex, and arm dominance) underwent a blinded bilateral MSUS examination of the common extensor tendon using a standardized protocol...
November 2015: Medicine and Science in Sports and Exercise
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