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lateral epicondylitis

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https://www.readbyqxmd.com/read/29768379/usefulness-of-polydeoxyribonucleotide-as-an-alternative-to-corticosteroids-in-patients-with-lateral-epicondyitis-a-case-series
#1
Goo Joo Lee, Donghwi Park
RATIONALE: Local corticosteroid injections are commonly used as an easy, cost-effective treatment for patients with lateral epicondylitis (LE). Despite their strong anti-inflammatory effect, repeated injections of corticosteroids are not recommended in LE because they can aggravate tearing of the tendons. PATIENT CONCERNS: A 65-year-old (Case1) man and a 59-year-old (Case2) man had a 2-month history of right lateral elbow pain exacerbation. DIAGNOSES: Lateral epicondylitis with hypervascularity of the common extensor tendon...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29734945/subtle-elbow-instability-associated-with-lateral-epicondylitis
#2
Sang Ho Kwak, Seung-Jun Lee, Hee Seok Jeong, Min Uk Do, Kuen Tak Suh
BACKGROUND: In lateral epicondylitis, even in the absence of apparent instability, subtle instability can be found under anesthesia. We wanted to ascertain the following: (1) how many elbows surgically treated with lateral epicondylitis showed subtle instability during examination under anesthesia (EUA), (2) how effective magnetic resonance imaging (MRI) was in predicting subtle instability, and (3) if any difference existed in preoperative clinical data between elbows with and without subtle instability during EUA...
May 7, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29734897/favorable-responsiveness-of-the-hand10-questionnaire-to-assess-treatment-outcomes-for-lateral-epicondylitis
#3
Takanobu Nishizuka, Katsuyuki Iwatsuki, Shigeru Kurimoto, Michiro Yamamoto, Tetsuro Onishi, Hitoshi Hirata
BACKGROUND: The aim of our study was to compare the responsiveness of the Hand10 questionnaire and the Pain visual analogue scale (VAS) for the assessment of lateral epicondylitis. METHODS: The standardized response mean and effect size were used as indicators of responsiveness, measured at baseline and after 6 months of treatment. Among the 54 patients enrolled, 28 were treated using a forearm band, compress and stretching, with the other 26 patients treated using compress and stretching...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29713193/supracondylar-process-syndrome-two-cases-of-median-nerve-neuropathy-due-to-compression-by-the-ligament-of-struthers
#4
Hyun-Chul Shon, Ji-Kang Park, Dong-Soo Kim, Sang-Woo Kang, Kook-Jong Kim, Seok-Hyun Hong
The supracondylar process is a beak-shaped bony process on the anteromedial aspect of the distal humerus. The ligament of Struthers is a fibrous band extending from the tip of the process to the medial epicondyle. The median nerve and brachial artery pass under the ligament of Struthers and consequently can be compressed, causing supracondylar process syndrome. As a rare cause of proximal median nerve entrapment, supracondylar process syndrome is triggered when the median nerve is located in the superficial or deep layer of the ligament of Struthers as a result of anatomical variation...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29706713/effects-of-eccentric-control-exercise-for-wrist-extensor-and-shoulder-stabilization-exercise-on-the-pain-and-functions-of-tennis-elbow
#5
Ju-Hyun Lee, Tae-Ho Kim, Kyu-Bong Lim
[Purpose] This study aimed to conduct experiments to examine the effects of wrist eccentric control exercise or shoulder stabilization exercises after a basic direct treatment of the elbow in the treatment of tennis elbow patients in terms of pain and grip strength. [Subjects and Methods] The subjects were divided into two groups: one group conducted wrist eccentric control exercise and was comprised of 5 male and 4 female subjects, and the other group received shoulder stabilization exercise and was comprised of 5 male and 4 female subjects...
April 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29700856/defining-the-width-of-the-normal-tibial-plateau-relative-to-the-distal-femur-critical-normative-data-for-identifying-pathologic-widening-in-tibial-plateau-fractures
#6
Adam M Johannsen, Austin M Cook, Michael Gardner, Julius A Bishop
INTRODUCTION: Tibial plateau widening in the setting of fracture is an indication for surgical treatment, and restoring width is an important goal of surgery. In order to identify and correct pathological widening, the width of the normal tibial plateau must first be defined. The aim of this study was to establish normative data for the width of the tibial plateau relative to the distal femur to enable surgeons to identify and correct pathological widening in the setting of tibial plateau fracture...
April 26, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29686971/snapping-elbow-a-guide-to-diagnosis-and-treatment
#7
Jonathan Jetsmark Bjerre, Finn Elkjær Johannsen, Martin Rathcke, Michael Rindom Krogsgaard
AIM: To develop practical guidelines for diagnosis and treatment of the painful snapping elbow syndrome (SE). METHODS: Clinical studies were searched in the databases PubMed and Scopus for the phrases "SE", "snapping triceps", "snapping ulnar nerve" and "snapping annular ligament". A total of 36 relevant studies were identified. From these we extracted information about number of patients, diagnostic methods, patho-anatomical findings, treatments and outcomes...
April 18, 2018: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29667850/a-survey-of-fellowship-trained-upper-extremity-surgeons-on-treatment-of-lateral-epicondylitis
#8
Steven R Niedermeier, Nisha Crouser, Amy Speeckaert, Kanu S Goyal
BACKGROUND: The aim of the study is to investigate current management strategies for lateral epicondylitis by fellowship-trained upper extremity surgeons. METHODS: A 17-question survey of treatment approaches and outcomes related to lateral epicondylitis was sent to 3354 surgeons using the American Society for Surgery of the Hand and American Shoulder and Elbow Surgeons member databases. RESULTS: Six hundred twelve upper extremity surgeons completed the survey...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29657476/platelet-rich-plasma-injections-for-lateral-epicondylitis-of-the-elbow-reduce-the-need-for-surgical-intervention
#9
Graham Hastie, Mazen Soufi, James Wilson, Bibhas Roy
Objective: We aimed to assess the effectiveness of PRP injections in lateral epicondylitis of the elbow as it was felt after PRP introduction the numbers of patients requiring surgery for had reduced. Methods: We conducted a retrospective review of cases from the 1st January 2008 to 31st December 2015. The numbers of patients undergoing surgical release and the numbers of patients requiring PRP injections were recorded each year and the numbers of patients requiring surgery was compared pre and post PRP injection to ascertain if PRP introduction reduced surgical intervention...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657450/current-advances-in-the-treatment-of-medial-and-lateral-epicondylitis
#10
REVIEW
Sandip P Tarpada, Matthew T Morris, Jayson Lian, Sina Rashidi
Despite advances elucidating the causes of lateral and medial epicondylitis, the standard of care remains conservative management with NSAIDs, physical therapy, bracing, and rest. Scar tissue formation provoked by conservative management creates a tendon lacking the biomechanical properties and mechanical strength of normal tendon. The following review analyzes novel therapies to regenerate tendon and regain function in patients with epicondylitis. These treatments include PRP injection, BMAC, collagen-producing cell injection, and stem cell treatments...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29652763/-forearm-based-turnover-muscle-flaps-for-elbow-soft-tissue-reconstruction-a-comparison-of-regional-coverage-based-on-distal-flap-perfusion
#11
Yash J Avashia, Ronnie L Shammas, Luke P Poveromo, Travis J Dekker, Jacob W Brubacher, Marc J Richard, David S Ruch, Suhail K Mithani
BACKGROUND: Elbow wounds pose a reconstructive challenge. Prior studies have described the vascular anatomy of both the brachioradialis (BR) and flexor carpi ulnaris (FCU) muscle flaps. The goal of this study was to describe the distal flap perfusion of the flexor carpi radialis (FCR), with a direct comparison of the BR, FCU, and FCR muscle flaps for coverage around the elbow. METHODS: Six fresh-frozen upper extremity specimens were dissected for BR, FCR, and FCU flaps...
March 28, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29643577/effects-of-concentric-contraction-of-the-wrists-and-transcutaneous-electrical-nerve-stimulation-cycle-on-pain-and-muscle-strength-in-lateralepicondylitis-patients
#12
Yeong-Deok Choi, Myung-Joon Kim, Jung-Ho Lee
[Purpose] This study examined the effects of transcutaneous electrical nerve stimulation and concentric contraction of the muscles surrounding the elbow joints on pain and muscular strength in the elbow joints of patients with lateral epicondylitis. [Subjects and Methods] The subjects of this study were 30 patients who visited our hospital with the main complaint of lateral pain in the elbow joint. All subjects were randomly and equally assigned to an experimental group that conducted concentric contraction exercises in sync with a transcutaneous electrical nerve stimulation cycle and a control group that performed concentric contraction after the application of transcutaneous electrical nerve stimulation...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29622410/soft-tissue-atrophy-related-to-corticosteroid-injection-review-of-the-literature-and-implications-for-hand-surgeons
#13
REVIEW
Collier S Pace, Nadia P Blanchet, Jonathan E Isaacs
Corticosteroid injections (CIs) are frequently used by hand surgeons to treat a wide range of pathology including de Quervain tenosynovitis and lateral epicondylitis. Although generally viewed as a benign modality, and a way to potentially avoid or postpone surgical intervention, common complications from CI should be considered and discussed with patients before the procedure. One such complication is local soft tissue atrophy and hypopigmentation after injection. We discuss the incidence of soft tissue-related adverse effects from CI, the pathophysiology and influence of different steroid preparations on soft tissues, and potential treatment options once atrophy has occurred...
April 3, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29599968/partial-avulsion-of-the-ulnaris-lateralis-and-enthesiopathy-of-the-lateral-epicondyle-of-the-humerus-in-a-thoroughbred-race-horse
#14
Neal Ashton
Background: There is relatively little literature on elbow disease in the horse. The only published reports on soft tissue conditions describe collateral ligament and biceps brachii injuries. Case presentation: A three-year old Thoroughbred gelding presented with a history of acute onset right forelimb lameness of less than one week duration, one month after commencing training in a National Hunt racing yard. Physical examination and peri-neural anaesthesia failed to localise the lesion...
2018: Irish Veterinary Journal
https://www.readbyqxmd.com/read/29567307/development-and-validation-of-a-subject-specific-moving-axis-tibiofemoral-joint-model-using-mri-and-eos-imaging-during-a-quasi-static-lunge
#15
C M Dzialo, P H Pedersen, C W Simonsen, K K Jensen, M de Zee, M S Andersen
The aims of this study were to introduce and validate a novel computationally-efficient subject-specific tibiofemoral joint model. Subjects performed a quasi-static lunge while micro-dose radiation bi-planar X-rays (EOS Imaging, Paris, France) were captured at roughly 0°, 20°, 45°, 60°, and 90° of tibiofemoral flexion. Joint translations and rotations were extracted from this experimental data through 2D-to-3D bone reconstructions, using an iterative closest point optimization technique, and employed during model calibration and validation...
March 10, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29567001/battling-the-opioid-epidemic-with-prospective-pain-threshold-measurement
#16
Brian T Nickel, Mitchell R Klement, William A Byrd, David E Attarian, Thorsten M Seyler, Samuel S Wellman
BACKGROUND: Responsible analgesic prescribing is paramount in the opioid epidemic era, yet no standardized protocol exists. We aim to (1) quantify and correlate outpatient opioid need after total knee and hip arthroplasties (TKA and THA) with preoperative objective pain pressure thresholds (PPTs) and subjective pain measures and (2) report incidence of nonsurgical opioid prescriptions 6 weeks postoperatively. METHODS: Prospectively, PPTs were measured using an algometer with a maximum force of 20 pounds in 160 consecutive patients (90 TKA and 70 THA)...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29561260/the-effect-of-corticosteroid-versus-platelet-rich-plasma-injection-therapies-for-the-management-of-lateral-epicondylitis-a-systematic-review
#17
Walid Ben-Nafa, Wendy Munro
INTRODUCTION: Lateral epicondylitis is a common musculoskeletal disorder of the upper limb. Corticosteroid injection has been widely used as a major mode of treatment. However, better understanding of the pathophysiology of the disease led to a major change in treating the disease, with new options including platelet-rich plasma (PRP) are currently used. Objectives/research aim: To systematically evaluate the effect of corticosteroid versus PRP injections for the treatment of LE. HYPOTHESIS: PRP injections provide longer-term therapeutic effect and less rate of complications compared to corticosteroid injection...
2018: SICOT-J
https://www.readbyqxmd.com/read/29552473/arthroscopic-repair-of-the-lateral-ulnar-collateral-ligament-of-the-elbow-using-a-knotless-suture-anchor
#18
Eugene T Ek, Kemble K Wang
The lateral collateral ligament (LCL) complex of the elbow plays a crucial role in the stability of the elbow joint, especially to varus loads. Deficiency of particularly the lateral ulnar collateral component of the LCL can lead to chronic posterolateral rotatory instability, which can be functionally debilitating and can lead to a rapid onset of early degenerative arthritis. Commonly, in the setting of acute rupture of the LCL, the ligament is repaired using an open technique with suture anchor fixation to the lateral epicondyle insertion point...
February 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29538382/a-systematic-review-of-randomised-controlled-trials-assessing-effectiveness-of-prosthetic-and-orthotic-interventions
#19
Aoife Healy, Sybil Farmer, Anand Pandyan, Nachiappan Chockalingam
BACKGROUND: Assistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world's population need a prosthesis or orthosis. OBJECTIVE: The objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions...
2018: PloS One
https://www.readbyqxmd.com/read/29523906/normal-imaging-laterality-on-magnetic-resonance-imaging-of-the-medial-epicondyle-of-the-elbow-on-the-dominant-side-of-adolescent-male-baseball-players
#20
Tomohiro Yoshizawa, Yoshikazu Okamoto, Kenta Tanaka, Takeshi Makihara, Tomoko Tonoe, Manabu Minami, Masashi Yamazaki
OBJECTIVE: Multimodality elbow screening of adolescent baseball players shows apparent laterality in morphology and signal intensity of the medial epicondyle on dedicated magnetic resonance imaging. We aimed to elucidate actual imaging laterality in the medial epicondyle by comparing magnetic resonance images of the dominant and contradominant elbows and to clarify the clinical meaning and mechanism of this phenomenon. MATERIALS AND METHODS: We used a 0.2-T dedicated magnetic resonance imaging scanner...
March 9, 2018: Skeletal Radiology
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