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elbow epicondylitis

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https://www.readbyqxmd.com/read/28094190/three-or-more-preoperative-injections-is-the-most-significant-risk-factor-for-revision-surgery-after-operative-treatment-of-lateral-epicondylitis-an-analysis-of-3863-patients
#1
Ryan M Degen, Jourdan M Cancienne, Christopher L Camp, David W Altchek, Joshua S Dines, Brian C Werner
BACKGROUND: This study was conducted to identify the rate of failure of operative treatment of lateral epicondylitis, defined as progression to ipsilateral revision surgery, and associated patient-specific risk factors for failure. METHODS: A national database was used to identify patients undergoing surgical treatment of lateral epicondylitis from 2005 to 2012. Patients undergoing concomitant procedures were excluded. Patients who then required subsequent ipsilateral extensor carpi radialis brevis débridement or release within 2 years were identified using similar methods...
January 13, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28089807/ultrasonography-detects-ulnar-nerve-dislocation-despite-normal-electrophysiology-and-magnetic-resonance-imaging
#2
Jared M Pisapia, Zarina S Ali, Eric D Hudgins, Viviane Khoury, Gregory G Heuer, Eric L Zager
BACKGROUND: Dislocation of the ulnar nerve (UN) occurs in a subset of patients with ulnar neuropathy. Electrodiagnostic and magnetic resonance imaging (MRI) studies are performed to support the clinical diagnosis. We report the case of a patient with ulnar neuropathy with normal electrodiagnostic and MRI studies but with ultrasound (US) showing UN dislocation, which prompted successful treatment by UN submuscular transposition. CASE DESCRIPTION: A healthy 15 year-old female softball player presented with right medial elbow pain and paresthesias of the fourth and fifth digits...
January 12, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28060194/chronic-lateral-epicondylalgia-does-not-exhibit-mechanical-pain-modulation-in-response-to-noxious-conditioning-heat-stimulus
#3
Edwin Choon Wyn Lim, Michele Sterling, Bill Vicenzino
The impaired attenuation of pain by the application of a noxious conditioning stimulus at a segmentally distinct site, known as conditioned pain modulation, has been implicated in clinical pain states. Chronic lateral epicondylalgia (LE), which is characterized by lower pressure pain thresholds at sites remote to the affected elbow and spinal cord hyperexcitability, is a clinical pain state that might plausibly involve less efficacious conditioned pain modulation. This study aimed to determine if LE exhibits a less efficacious conditioned pain modulation compared to healthy controls...
January 3, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/28058481/extensor-tendinopathy-of-the-elbow-assessed-with-sonoelastography-histologic-correlation
#4
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/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#5
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27875620/a-reliable-technique-for-us-guided-perineural-injection-in-ulnar-neuropathy-at-the-elbow
#6
Ulrike M Hamscha, Ines Tinhofer, Stefan Heber, Wolfgang Grisold, Wolfgang J Weninger, Stefan Meng
INTRODUCTION: Ulnar neuropathy at the elbow (UNE) is a common peripheral compression neuropathy and in most cases occurs at 2 sites, the retroepicondylar groove or the cubital tunnel. With regard to a potential therapeutic approach with perineural corticosteroid injection the aim of this study was to evaluate the distribution of injection fluid applied at a standard site. METHODS: We performed ultrasound-guided (US-guided) perineural injections to the ulnar nerve halfway between the olecranon and the medial epicondyle in 21 upper limbs from 11 non-embalmed cadavers...
November 22, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27859367/complete-dislocation-of-the-ulnar-nerve-at-the-elbow-a-protective-effect-against-neuropathy
#7
A Arturo Leis, Benn E Smith, Heidi E Kosiorek, Gregor Omejec, Simon Podnar
INTRODUCTION: Recurrent complete ulnar nerve dislocation has been perceived as a risk factor for development of ulnar neuropathy at the elbow (UNE). However, the role of dislocation in the pathogenesis of UNE remains uncertain. METHODS: We studied 133 patients with complete ulnar nerve dislocation to determine if this condition is a risk factor for UNE. In all, the nerve was palpated as it rolled over the medial epicondyle during elbow flexion. RESULTS: Of 56 elbows with unilateral dislocation UNE localized contralaterally in 17 (30...
November 18, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27847851/surgical-treatment-of-tennis-elbow-minimal-incision-technique
#8
Morteza Nakhaei Amroodi, Ali Mahmuudi, Mostafa Salariyeh, Arash Amiri
BACKGROUND: When non-operative treatment of tennis elbow fails; a surgical procedure can be performed to improve the associated symptoms. Different surgical techniques for treatment of lateral epicondylitis are prescribed. The purpose of this study was to evaluate the clinical outcomes of surgical treatment for tennis elbow based on small incision techniques. METHODS: This technique was performed on 24 consecutive patients between June 2011 and July 2013. Outcomes were assessed using the Patient-Rated Tennis Elbow Evaluation (PRTEE), Nirschl's staging system and visual analog scale (VAS) for pain and satisfaction criteria...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27816532/visualization-of-the-soft-tissues-at-the-lateral-and-medial-epicondyles-of-the-elbow
#9
Kimia Kani, Jack Porrino, Nirvikar Dahiya, Mihra Taljanovic, Hyojeong Mulcahy, Felix Chew
No abstract text is available yet for this article.
November 2, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27815973/validation-of-preoperative-nerve-conduction-studies-by-intraoperative-studies-in-patients-with-ulnar-neuropathy-at-the-elbow
#10
Gregor Omejec, Krešimir Božikov, Simon Podnar
OBJECTIVE: To validate the findings of preoperative motor short-segment nerve conduction studies (SSNCSs) by intraoperative SSNCSs in patients with cubital tunnel syndrome. METHODS: We prospectively recruited patients with ulnar neuropathy at the elbow (UNE) localized distal to the medial epicondyle (ME). Preoperatively, motor SSNCSs and ultrasonography (US) were performed. Immediately after surgical dissection of the humeroulnar aponeurotic arcade (HUA), intraoperative near-nerve motor SSNCSs were performed, and compared to preoperative findings...
December 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27810264/the-nirschl-procedure-versus-arthroscopic-extensor-carpi-radialis-brevis-d%C3%A3-bridement-for-lateral-epicondylitis
#11
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/27791975/wide-decompression-may-render-the-ulnar-nerve-unstable-a-cadaveric-study
#12
Andrew P Hurvitz, Brian T Fitzgerald, Leo T Kroonen
The purpose of this study was to evaluate for ulnar nerve instability following incrementally widened in situ decompression. A standard release of the ulnar nerve was performed in 16 cadaveric elbows, extending from 7cm distal to the medial epicondyle, and then released proximally for a total of 10 cm in 2-cm increments. Eight of the 16 elbows (50%) displayed subluxation of the ulnar nerve following complete in situ decompression. The rate of subluxation was found to increase with increasing length of proximal decompression...
December 0: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27780771/percutaneous-needle-tenotomy-for-the-treatment-of-lateral-epicondylitis-a-systematic-review-of-the-literature
#13
REVIEW
Ryan Mattie, Joseph Wong, Zachary McCormick, Sloane Yu, Mikhail Saltychev, Katri Laimi
OBJECTIVE: To analyze the literature to determine whether controlled studies on percutaneous tenotomy have been published, and if so, to systematically assess the efficacy of percutaneous tenotomy for the treatment of tendinosis at the lateral epicondyle of the elbow. DESIGN: Systematic review of the available literature. METHODS: Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE, CINAHL, and Web of Science databases were searched in November 2015, unrestricted by date...
October 22, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27777854/multimodal-approach-to-rehabilitation-of-the-patients-with-lateral-epicondylosis-a-case-series
#14
Alexandre Marcio Marcolino, Lais Mara Siqueira das Neves, Bruna Gabriela Oliveira, Aline Aguiar Alexandre, Guilherme Corsatto, Rafael Inacio Barbosa, Marisa de Cássia Registro Fonseca
PURPOSE: The objective of this study was to evaluate the effectiveness of mobilization with movement and kinesiotherapy in the treatment of patients with lateral epicondylosis. METHODS: This cases series included eight volunteers who had chronic lateral epicondylosis. The patients were treated with stretching, massage deep transverse at the lateral epicondyle and mobilization with movement associated with eccentric exercise. The mobilization with movement that consisted of a force of lateral glide of the proximal forearm...
2016: SpringerPlus
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
#15
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/27741036/outcomes-of-nonoperative-pediatric-medial-humeral-epicondyle-fractures-with-and-without-associated-elbow-dislocation
#16
Derrick M Knapik, Cameron L Fausett, Allison Gilmore, Raymond W Liu
BACKGROUND: Medial epicondyle fractures may occur in isolation or with associated elbow dislocation. In the absence of open fracture or fragment incarceration, nonoperative management with immobilization has been shown to result in generally successfully outcomes comparable with those reported after surgical fixation. However, no comparative investigation has assessed outcomes after nonoperative treatment based on the presence or absence of elbow dislocation. METHODS: A systematic review was conducted investigating all studies in the literature reporting nonoperative outcomes for isolated medial epicondyle fractures and fracture-dislocations...
October 12, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27697406/diagnostic-value-of-ultrasonography-in-elbow-trauma-in-children-prospective-study-of-34-cases
#17
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
https://www.readbyqxmd.com/read/27676721/rehabilitation-and-auto-exercises-protocol-in-patients-with-chronic-lateral-epicondylitis-6%C3%A2-months-follow-up
#18
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
https://www.readbyqxmd.com/read/27666156/comparison-between-steroid-and-2-different-sites-of-botulinum-toxin-injection-in-the-treatment-of-lateral-epicondylalgia-a-randomized-double-blind-active-drug-controlled-pilot-study
#19
Yao-Hong Guo, Ta-Shen Kuan, Kuan-Lin Chen, Wei-Chih Lien, Pei-Chun Hsieh, I-Chieh Hsieh, Szu-Hao Chiu, Yu-Ching Lin
OBJECTIVE: To compare the effects of 2 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: Patients with lateral epicondylalgia for >6 months were recruited from a hospital-based outpatient population (N=26). A total of 66 patients were approached, and 40 were excluded...
January 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27612940/a-method-of-radial-nerve-length-measurement-based-on-cadaveric-investigation
#20
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
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