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lateral elbow tendinopathy

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https://www.readbyqxmd.com/read/28540316/ultrasonographic-characteristics-of-the-common-extensor-tendon-of-the-elbow-in-asymptomatic-individuals-thickness-color-doppler-activity-and-bony-spurs
#1
Thøger P Krogh, Ulrich Fredberg, Christian Ammitzbøl, Torkell Ellingsen
BACKGROUND: Ultrasonography (US) of the common extensor tendon (CET) of the elbow is often part of the assessment of patients with lateral epicondylitis. This US assessment is currently based on general tendinopathy references and not well-defined US entities. PURPOSE: To describe CET thickness, color Doppler activity, and bony spurs on US in asymptomatic volunteers and to investigate the influence of sex, age, height, body mass index (BMI), weight, and elbow dominance on the measurements...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28344444/distribution-of-platelet-rich-plasma-after-ultrasound-guided-injection-for-chronic-elbow-tendinopathies
#2
Gi-Young Park, Dong Rak Kwon, Hee Kyung Cho, Jinyoung Park, Jung Hyun Park
Characteristics of the spreads of platelet-rich plasma (PRP) are not widely known despite commonly use. This study aims to evaluate whether PRP stays within the injected area by using ultrasonography, to improve understanding of the spreads of intratendinous injected PRP. Thirty-nine patients (15 males, 24 females; mean age, 49.3 years), who had symptoms on their elbows (> 6 months) and diagnosed as lateral (25 elbows) or medial (14 elbows) tendinopathies of elbow, were included. The severity of tendon pathology was assessed by ultrasonography as tear or no tear...
March 2017: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/28276986/platelet-rich-plasma-versus-steroid-on-lateral-epicondylitis-meta-analysis-of-randomized-clinical-trials
#3
Bobin Mi, Guohui Liu, Wu Zhou, Huijuan Lv, Yi Liu, Qipeng Wu, Jing Liu
OBJECTIVES: Lateral epicondylitis (LE) is a common tendinopathy for which an effective treatment is still unknown. The purpose of this meta-analysis was to compare the effectiveness of platelet rich plasma (PRP) vs steroid in reducing pain and improving function of the elbow in the treatment of LE. METHODS: A systematic search of the literature was conducted to identify related articles published from January 1980 to September 2016 in Pubmed, Embase, the Cochrane Library and SpringerLink...
May 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28077355/no-evidence-for-the-use-of-stem-cell-therapy-for-tendon-disorders-a-systematic-review
#4
Haiko I M F L Pas, Maarten H Moen, Hidde J Haisma, Marinus Winters
INTRODUCTION: Stem cells have emerged as a new treatment option for tendon disorders. We systematically reviewed the current evidence for stem cell therapy in tendon disorders. METHODS: Randomised and non-randomised controlled trials, cohort studies and case series with a minimum of 5 cases were searched in MEDLINE, CENTRAL, EMBASE, CINAHL, PEDro and SPORTDiscus. In addition, we searched grey literature databases and trial registers. Only human studies were included and no time or language restrictions were applied to our search...
January 11, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28058481/extensor-tendinopathy-of-the-elbow-assessed-with-sonoelastography-histologic-correlation
#5
Andrea S Klauser, Mathias Pamminger, Ethan J Halpern, Mohamed M H Abd Ellah, Bernhard Moriggl, Mihra S Taljanovic, Christian Deml, Judit Sztankay, Guenther Klima, Werner R Jaschke
PURPOSE: To compare agreement between conventional B-mode ultrasound (US) and compression sonoelastography (SEL) of the common extensor tendons of the elbow with histological evaluation. MATERIALS AND METHODS: Twenty-six common extensor tendons were evaluated in 17 cadavers (11 females, median age 85 years and 6 males, median age 80 years). B-mode US was graded into: Grade 1, homogeneous fibrillar pattern; grade 2, hypoechoic areas and/or calcifications <30%; and grade 3 > 30%...
January 5, 2017: European Radiology
https://www.readbyqxmd.com/read/27833925/lateral-elbow-tendinopathy-development-of-a-pathophysiology-based-treatment-algorithm
#6
Gev Bhabra, Allan Wang, Jay R Ebert, Peter Edwards, Monica Zheng, Ming H Zheng
Lateral elbow tendinopathy, commonly known as tennis elbow, is a condition that can cause significant functional impairment in working-age patients. The term tendinopathy is used to describe chronic overuse tendon disorders encompassing a group of pathologies, a spectrum of disease. This review details the pathophysiology of tendinopathy and tendon healing as an introduction for a system grading the severity of tendinopathy, with each of the 4 grades displaying distinct histopathological features. Currently, there are a large number of nonoperative treatments available for lateral elbow tendinopathy, with little guidance as to when and how to use them...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27823901/comparison-of-effects-of-eccentric-training-eccentric-concentric-training-and-eccentric-concentric-training-combined-with-isometric-contraction-in-the-treatment-of-lateral-elbow-tendinopathy
#7
Dimitrios Stasinopoulos, Ioannis Stasinopoulos
STUDY DESIGN: RCT. INTRODUCTION: Lateral elbow tendinopathy is a common clinical condition. eccentric exercises. eccentric-concentric loading and, isometric exercises are indicated to reduce and manage tendon pain. PURPOSE OF THE STUDY: To compare the effectiveness of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. METHODS: A randomized clinical trial was carried out in a rheumatology and rehabilitation center...
November 4, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27810264/the-nirschl-procedure-versus-arthroscopic-extensor-carpi-radialis-brevis-d%C3%A3-bridement-for-lateral-epicondylitis
#8
Bong Cheol Kwon, Jin Young Kim, Kun-Tae Park
BACKGROUND: The Nirschl technique and arthroscopic débridement are common surgical procedures for chronic lateral elbow tendinopathy. The purpose of this study was to compare outcomes following the use of these techniques to treat chronic lateral elbow tendinopathy. METHODS: We retrospectively reviewed 59 elbows of 55 patients who did not improve after conservative treatment. Twenty-nine elbows of 26 patients were treated with the Nirschl procedure (Nirschl group), and 30 elbows of 29 patients were treated with arthroscopic débridement (arthroscopy group)...
January 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27769841/cross-cultural-adaptation-and-validation-of-the-patient-rated-tennis-elbow-evaluation-questionnaire-on-lateral-elbow-tendinopathy-for-french-speaking-patients
#9
Jean-François Kaux, François Delvaux, Jean Schaus, Christophe Demoulin, Médéa Locquet, Fanny Buckinx, Charlotte Beaudart, Nadia Dardenne, Julien Van Beveren, Jean-Louis Croisier, Bénédicte Forthomme, Olivier Bruyère
STUDY DESIGN: Translation and validation of algo-functional questionnaire. INTRODUCTION: The lateral elbow tendinopathy is a common injury in tennis players and physical workers. The Patient-Rated Tennis Elbow Evaluation (PRTEE) Questionnaire was specifically designed to measure pain and functional limitations in patients with lateral epicondylitis (tennis elbow). First developed in English, this questionnaire has since been translated into several languages. PURPOSE OF THE STUDY: The aims of the study were to translate and cross-culturally adapt the PRTEE questionnaire into French and to evaluate the reliability and validity of this translated version of the questionnaire (PRTEE-F)...
October 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27705066/home-exercises-versus-on-site-rehabilitation-in-the-management-of-lateral-elbow-tendinopathy-a-critically-appraised-topic
#10
Joseph M Day, Robert Barry Dale, Elizabeth Kennedy
No abstract text is available yet for this article.
September 26, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27665095/platelet-rich-plasma-in-tendon-related-disorders-results-and-indications
#11
REVIEW
Giuseppe Filardo, Berardo Di Matteo, Elizaveta Kon, Giulia Merli, Maurilio Marcacci
PURPOSE: Platelet-rich plasma (PRP) is currently the most exploited strategy in the clinical practice to provide a regenerative stimulus for tendon healing. The aim of the present study was to systematically review the available evidence on the treatment of the main tendon disorders where PRP is currently applied. METHODS: A systematic review of the literature was performed on the use of PRP as a treatment for tendinopathies focusing on the following sites: Achilles tendon, patellar tendon, rotator cuff tendons, and lateral elbow tendons...
September 24, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27622145/lateral-elbow-tendinopathy-evidence-of-physiotherapy-management
#12
EDITORIAL
Stasinopoulos Dimitrios
Lateral elbow tendinopathy (LET) is a common musculoskeletal/sports injury. A plethora of physiotherapy techniques has been proposed in the management of LET. The exercise programme is the most common treatment in the management of LET. The optimal protocol of exercise programme is still unknown. The effectiveness of the exercise programme is low when it is applied as monotherapy. Therefore, exercise programme is combined with other physiotherapy modalities such as soft tissue techniques, external support, acupuncture, manual therapy and electrotherapy, in the treatment of LET...
August 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27429562/a-systematic-review-of-dextrose-prolotherapy-for-chronic-musculoskeletal-pain
#13
REVIEW
Ross A Hauser, Johanna B Lackner, Danielle Steilen-Matias, David K Harris
OBJECTIVE: The aim of this study was to systematically review dextrose (d-glucose) prolotherapy efficacy in the treatment of chronic musculoskeletal pain. DATA SOURCES: Electronic databases PubMed, Healthline, OmniMedicalSearch, Medscape, and EMBASE were searched from 1990 to January 2016. STUDY SELECTION: Prospectively designed studies that used dextrose as the sole active prolotherapy constituent were selected. DATA EXTRACTION: Two independent reviewers rated studies for quality of evidence using the Physiotherapy Evidence Database assessment scale for randomized controlled trials (RCTs) and the Downs and Black evaluation tool for non-RCTs, for level of evidence using a modified Sackett scale, and for clinically relevant pain score difference using minimal clinically important change criteria...
2016: Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27331041/efficacy-of-betamethasone-valerate-medicated-plaster-on-painful-chronic-elbow-tendinopathy-a-double-blind-randomized-placebo-controlled-trial
#14
Antonio Frizziero, Araldo Causero, Stefano Bernasconi, Rocco Papalia, Mario Longo, Vincenzo Sessa, Francesco Sadile, Pasquale Greco, Umberto Tarantino, Stefano Masiero, Stefano Rovati, Valeria Frangione
OBJECTIVE: to investigate the efficacy and safety of a medicated plaster containing betamethasone valerate (BMV) 2.25 mg in patients with chronic elbow tendinopathy. METHODS: randomized, double-blind, placebo-controlled study with assignment 2:2:1:1 to BMV medicated plaster applied daily for 12 hours, daily for 24 hours or matched placebo. 62 patients aged ≥18 years with chronic lateral elbow tendinopathy were randomized. The primary efficacy variable was pain reduction (VAS) at day 28...
January 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/26844506/magnetic-resonance-imaging-of-patients-with-chronic-lateral-epicondylitis-is-there-a-relationship-between-magnetic-resonance-imaging-abnormalities-of-the-common-extensor-tendon-and-the-patient-s-clinical-symptom
#15
Liang Qi, Yu-Dong Zhang, Rong-Bin Yu, Hai-Bin Shi
The aim of the study is to determine the inter-reliability and intra-observer reliability of magnetic resonance imaging (MRI) for lateral epicondylitis and investigate whether there is a potential relationship between MRI abnormalities of the common extensor tendon (CET) and its clinical symptom.The study group comprised 96 consecutive patients (46 men and 50 women) with a clinical diagnosis of chronic lateral epicondylitis, which were examined on 3.0 T MR. An MRI scoring system was used to grade the degree of tendinopahty...
February 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26602153/ultrasonic-percutaneous-tenotomy-for-recalcitrant-lateral-elbow-tendinopathy-sustainability-and-sonographic-progression-at-3-years
#16
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/26471855/outcome-evaluation-in-tendinopathy-foundations-of-assessment-and-a-summary-of-selected-measures
#17
REVIEW
Joy C Macdermid, Karin Grävare Silbernagel
Synopsis Clinical measurement studies that address outcome evaluation for patients with tendinopathy should consider conceptual, clinical, practical, and measurement issues to guide the selection of valid measures. Clinical outcomes reported in research studies can provide benchmarks that assist with interpretation of scores during clinical decision making. Given the pathophysiology and functional impacts of tendinopathy, there is a need for outcome measures that assess physical impairments, activity performance, and patient-reported symptoms and function...
November 2015: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/26468991/sustained-acoustic-medicine-wearable-long-duration-ultrasonic-therapy-for-the-treatment-of-tendinopathy
#18
Thomas M Best, Bob Moore, Paddy Jarit, Claude T Moorman, George K Lewis
OBJECTIVES: The effectiveness of sustained acoustic medicine to alleviate pain and improve function in subjects with elbow or Achilles tendinopathy was evaluated through a level IV case series study. Subjects were trained to self-apply the wearable, long-duration, low-intensity ultrasonic device on their affected body part at home for 4 hours a day, at least 5 times per week over 6 weeks. Twenty-five subjects with clinician-diagnosed tendinopathy of the elbow (medial or lateral epicondyle) or Achilles tendon were enrolled...
November 2015: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/26403392/clinical-application-of-shock-wave-therapy-in-musculoskeletal-disorders-part-i
#19
REVIEW
R Saggini, A Di Stefano, A Saggini, R G Bellomo
The shock wave has been widely recognized in literature as a biological regulator; therefore we carried out a review on the activity performed by shock waves on the bone-myofascial tissue system. To date, the application of Shock Wave Therapy (SWT) in musculoskeletal disorders has been primarily used in the treatment of tendinopathies (proximal plantar fasciopathy, lateral elbow tendinopathy, calcific tendinopathy of the shoulder, and patellar tendinopathy, etc.) and bone defects (delayed- and non-union of bone fractures, avascular necrosis of femoral head, etc...
July 2015: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/26390275/evidence-of-nervous-system-sensitization-in-commonly-presenting-and-persistent-painful-tendinopathies-a-systematic-review
#20
REVIEW
Melanie L Plinsinga, Michel S Brink, Bill Vicenzino, C Paul van Wilgen
Study Design Systematic review. Objectives To elucidate if there is sensitization of the nervous system in those with persistent rotator cuff (shoulder), lateral elbow, patellar, and Achilles tendinopathies. Background Tendinopathy can be difficult to treat, and persistent intractable pain and dysfunction are frequent. It is hypothesized that induction or maintenance of persistent pain in tendinopathy may be, at least in part, based on changes in the nervous system. Methods The PRISMA guidelines were followed...
November 2015: Journal of Orthopaedic and Sports Physical Therapy
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