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lateral epicondylitis

M Burnier, G Buisson, A Ricard, V Cunin, J P Pracros, F Chotel
INTRODUCTION: Among the various elbow injuries in children that initially have normal radiographs, a certain number of occult fractures are only diagnosed correctly after the fact, during a follow-up visit. PURPOSE: This study evaluated the diagnostic contribution of ultrasonography in the treatment of acute elbow injuries in children and the strategic and economic impact of using this tool alongside radiography. MATERIALS AND METHODS: During this prospective study performed between January 1 and April 1 2014, elbow ultrasonography was performed within 6 days in all children under 15 years of age with a suspected occult fracture...
September 30, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Shinichi Yoshiya
When considering the femoral attachment location for an anterolateral ligament reconstruction, the femoral attachment site should be positioned proximally and posteriorly to the lateral epicondyle to restore the physiologic length change of the native ligament. However, the clinical significance of the anterolateral ligament in patients having anterior cruciate ligament reconstructive surgery remains controversial.
October 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
François Segretin, Guillaume Paris, Sarah Cheriet, Yohann Delarue
OBJECTIVE: The chronic lateral epicondylitis is a common pathology with an economic impact. Actually, many costly therapies are prescribed without evidence of their effectiveness. Physical therapies seem to be neglected. However, they can correct actions at risk and involve the patient in his rehabilitation. MATERIAL/PATIENTS AND METHODS: This study evaluated the effectiveness of a standardized 2 month rehabilitation program composed of: an outpatient group education session, 18 liberal physical therapy sessions with correction of the posture of the trunk and shoulder, eccentric strengthening of the supinator muscles and the wrist extensor muscles, stretching, and some self daily exercises (transverse friction massage and stretching) according to Pernot-Comtet protocol...
September 2016: Annals of Physical and Rehabilitation Medicine
Diana Barayeva, Yudell Edelstein, Susan M Stickevers
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Yao-Hong Guo, Ta-Shen Kuan, Kuan-Lin Chen, Wei-Chih Lien, Pei-Chun Hsieh, I-Chieh Hsieh, Szu-Hao Chiu, Yu-Ching Lin
OBJECTIVES: To compare the effects of two different injection sites of low doses of botulinum toxin type A with steroid in treating lateral epicondylalgia. DESIGN: Double-blind, randomized, active drug-controlled trial. SETTING: Tertiary medical center. PARTICIPANTS: Twenty-six patients with lateral epicondylalgia for more than six months were recruited from hospital-based outpatient population. A total of 66 patients were approached, and 40 were excluded...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
Jacques E Chelly
No abstract text is available yet for this article.
September 19, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Camilo Partezani Helito, Julio Augusto do Prado Torres, Marcelo Batista Bonadio, José Aderval Aragão, Lucas Nogueira de Oliveira, Renato José Mendonça Natalino, José Ricardo Pécora, Gilberto Luis Camanho, Marco Kawamura Demange
BACKGROUND: The anterolateral ligament (ALL) of the knee has recently been described in detail. Most studies of the ALL have been conducted in adults; therefore, little is known about the anatomy and histology of the ALL in younger patients, and nothing is known about the fetal presence of the ALL. PURPOSE: To evaluate the ALL in human fetuses to determine its presence or absence and to describe its microscopic anatomy and histological features compared with the findings of studies conducted in adults...
September 13, 2016: American Journal of Sports Medicine
Jae-Gyum Kim, Dasom Kim, Hung Youl Seok, Yoohwan Kim, Kyung-Sook Yang, Im Joo Rhyu, Byung-Jo Kim
OBJECTIVE: To determine the most reliable method to measure the length of the radial nerve during a nerve conduction study (NCS). DESIGN: Cadaveric investigation SETTING: A practical anatomy research laboratory in a university SUBJECTS: 10 fresh cadavers INTERVENTIONS: Design of measurement methods using cadaver dissection and compare the measured values to the true length in 18 arms of nine cadavers. MAIN OUTCOME MEASURES: Four points (A, B, C, and D) were determined: A) proximal stimulation point in NCS, B) point at the elbow crease, C) point in the mid-forearm, D) distal stimulation point 5 cm above the extensor indicis (EI)...
September 6, 2016: Archives of Physical Medicine and Rehabilitation
Sung-Dae Choung, Kyue-Nam Park, Si-Hyun Kim, Oh-Yun Kwon
BACKGROUND: Overuse of the extensor carpi radialis (ECR) may play a role in the development of lateral epicondylitis (LE). However, no studies have investigated the muscle activity ratio between the ECR and extensor carpi ulnaris (ECU) associated with the kinematics during wrist extension in workers with LE. OBJECTIVE: We compared the ratio (ECR/ECU) of muscle activity between the ECR and ECU and the kinematics of the wrist during wrist extension between workers with and without LE...
September 7, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Fabio Massimo Perrotta, Davide Astorri, Marcello Zappia, Alfonso Reginelli, Luca Brunese, Ennio Lubrano
The aim of this study was to evaluate the rate of power Doppler ultrasound (PDUS) abnormalities at entheseal sites in patients with early psoriatic arthritis (PsA) naïve to traditional and biologic DMARDs and to compare the PDUS findings with clinical examination. PsA patients with early disease and naïve to traditional and biologic DMARDs were consecutively enrolled in this study. Patients underwent PDUS examination of the following bilateral entheseal sites: common extensor tendon at its insertion at the lateral humeral epicondyle; quadriceps tendon at its insertion at the superior pole of the patella; patellar tendon at its insertion at the tibial tuberosity; medial collateral ligament at its proximal insertion and Achilles tendon at its insertion at the calcaneus...
November 2016: Rheumatology International
Burak Altintas, Stefan Greiner
BACKGROUND: Lateral epicondylitis is a common disease of the common extensor origin at the lateral humerus. Despite its common self-limitation it can lead to chronic therapy-resistant pain with remarkable functional disability of the affected arm. OBJECTIVES: Different conservative and operative treatment options of lateral epicondylitis are described and compared regarding benefits and risks. Additionally, recent surgical techniques and their complications are mentioned...
October 2016: Der Orthopäde
L Soeur, P Desmoineaux, A Devillier, N Pujol, P Beaufils
BACKGROUND: When managed conservatively, lateral epicondylitis often subsides only after considerable time, during which social and occupational activities are severely disrupted. If conservative management fails, a recently introduced option is arthroscopic release of the extensor carpi radialis brevis (ECRB). The primary objective of this study was to compare clinical outcomes of this procedure according to preoperative symptom duration. HYPOTHESIS: Earlier arthroscopic release is associated with better functional outcomes...
October 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Felice Sirico, Flavia Ricca, Franca DI Meglio, Daria Nurzynska, Clotilde Castaldo, Rocco Spera, Stefania Montagnani
BACKGROUND: Lateral epicondylitis is a common painful elbow disorder. Several approaches to treatment have been proposed, with a local injection of corticosteroids being the most frequently used. Recent insights into the pathophysiology encouraged the introduction of autologous blood injections as an alternative treatment method. AIM: The aim of this meta-analysis is to summarize quantitatively the evidence regarding the efficacy of corticosteroids and autologous blood injections for treatment of pain in lateral epicondylitis...
September 1, 2016: European Journal of Physical and Rehabilitation Medicine
Badri R Mohandhas, Navnit Makaram, Tim S Drew, Weijie Wang, Graham P Arnold, Rami J Abboud
BACKGROUND: Lateral epicondylitis (LE) occurs in almost half of all tennis players. Racket-string tension is considered to be an important factor influencing the development of LE. No literature yet exists that substantiates how string-tension affects force transmission to the elbow, as implicated in LE development. We establish a quantitative relationship between string-tension and elbow loading, analyzing tennis strokes using rackets with varying string-tensions. METHODS: Twenty recreational tennis players simulated backhand tennis strokes using three rackets strung at tensions of 200 N, 222 N and 245 N...
July 2016: Shoulder & Elbow
J Rodriguez Miralles, L Natera Cisneros, A Escolà, J C Fallone, M Cots, X Espiga
INTRODUCTION: Two types of ganglion cysts at the elbow have been described depending on their anatomic location. Type A ganglion cyst is located proximal to the arcade of Frohse, and type B distal to it. Compressive neuropathies of the radial nerve at the level of the radial tunnel may lead to two different clinical entities with different clinical manifestations. These different conditions depend on which branch is involved. Although compression of the deep motor branch due to a ganglion cyst has been previously described, affection of the superficial sensory branch is considered much rarer...
October 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
Joseph R Maccio, Sarah Fink, Richard Yarznbowicz, Stephen May
BACKGROUND: lateral epicondylalgia (LE) is a musculoskeletal diagnosis that causes pain and dysfunction in the lateral aspect of the elbow. Mechanical diagnosis and therapy (MDT) is an orthopaedic classification and treatment system based on mechanical and symptomatic response to repeated and sustained end-range movement. There has been no investigation of the association between MDT and patients diagnosed with LE. CASE DESCRIPTION: this report presents three patients matching the currently accepted diagnostic criteria for LE, two with a diagnosis of lateral epicondylitis (tennis elbow) from a medical doctor...
July 2016: Journal of Manual & Manipulative Therapy
Brandon J Erickson, Peter N Chalmers, Gregory L Cvetanovich, Rachel M Frank, Anthony A Romeo, Joshua D Harris
The purpose of this article is to perform a systematic review and meta-analysis of elbow arthroscopy literature to answer the following questions: "Across the world, what demographic of patients are undergoing elbow arthroscopy, what are the most common indications for elbow arthroscopy, and how good is the evidence?" The authors hypothesized that patients who undergo elbow arthroscopy will be chiefly age <40 years, the most common indication for elbow arthroscopy will be a release/débridement, and the evidence regarding elbow arthroscopy will be poor...
July 2016: American Journal of Orthopedics
Ryan A Mlynarek, Andrew W Kuhn, Asheesh Bedi
The use of platelet-rich plasma (PRP) injections in the treatment of musculoskeletal conditions has become more prevalent in recent years. Current literature has exhibited that PRP injections are relatively safe and can potentially accelerate or augment the soft tissue healing process. This review presents the most current literature update on the use of PRP in the treatment of rotator cuff tears, osteoarthritis of the knee, ulnar collateral ligament tears, lateral epicondylitis, hamstring injuries, and Achilles tendinopathy...
July 2016: American Journal of Orthopedics
Mohammad M Alzahrani, Saad M Alqahtani, Michael Tanzer, Reggie C Hamdy
INTRODUCTION: Forceful and repetitive maneuvers constitute the majority of pediatric orthopedic surgical tasks, thus subjecting surgeons to the risk of musculoskeletal (MSK) injuries during their years in practice. The aim of this study was to assess the prevalence, characteristics and impact of MSK disorders among pediatric orthopedic surgeons. METHODS: A modified version of the physical discomfort survey was sent to surgeons who were members of the Pediatric Orthopedic Society of North America (POSNA) via e-mail...
October 2016: Journal of Children's Orthopaedics
Eda Gürçay, Özgür Zeliha Karaahmet, Murat Kara, Şule Şahin Onat, Ayşe Merve Ata, Ece Ünlü, Levent Özçakar
OBJECTIVE: To evaluate the possible radial nerve entrapment of patients with unilateral refractory lateral epicondylitis (LE) by using ultrasound (US) and electroneuromyography. DESIGN: Cross-sectional study. SETTING: Three physical medicine and rehabilitation departments. SUBJECTS: Consecutive 44 patients (15 M, 29 F) with unilateral refractory LE. METHODS: All patients underwent detailed clinical, electrophysiological and ultrasonographic evaluations...
July 31, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
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