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elbow epicondylitis

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https://www.readbyqxmd.com/read/28734535/transcatheter-arterial-embolization-of-abnormal-vessels-as-a-treatment-for-lateral-epicondylitis-refractory-to-conservative-treatment-a-pilot-study-with-a-2-year-follow-up
#1
Wataru Iwamoto, Yuji Okuno, Noboru Matsumura, Takao Kaneko, Hiroyasu Ikegami
BACKGROUND: Abnormal vessels and accompanying nerves are possible sources of pain with lateral epicondylitis. The purpose of this study was to describe the safety and efficacy of transcatheter arterial embolization (TAE) for lateral epicondylitis resistant to conservative treatment. METHODS: This prospective study was conducted in 24 patients with lateral epicondylitis resistant to conservative treatments for more than 3 months, with a symptom duration longer than 6 months, and with moderate to severe pain who were treated with TAE between March 2013 and October 2014...
August 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28734534/elbow-vascularized-composite-allotransplantation-surgical-anatomy-and-technique
#2
Zvi Steinberger, Heng Xu, Nikolas H Kazmers, Stephanie Thibaudeau, Russel G Huffman, L Scott Levin
BACKGROUND: Elbow reconstruction with vascularized composite allotransplantation (VCA) may hold promise in treating end-stage arthritis as no current treatment is both functional and durable. We describe the vascular and gross anatomy of the elbow in the context of VCA procurement and propose a step-by-step surgical technique for human elbow VCA. METHODS: We injected latex in the arterial tree of 16 fresh adult cadaveric upper extremities. We identified and measured arteries and nerves and their branch points relative to the medial epicondyle...
August 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28720043/open-arthroscopic-and-percutaneous-surgical-treatment-of-lateral-epicondylitis-a-systematic-review
#3
Matthew B Burn, Ronald J Mitchell, Shari R Liberman, David M Lintner, Joshua D Harris, Patrick C McCulloch
BACKGROUND: Approximately 10% of patients with lateral epicondylitis go on to have surgical treatment; however, multiple surgical treatment options exist. The purpose of this study was to review the literature for the clinical outcomes of open, arthroscopic, and percutaneous treatment of lateral epicondylitis. The authors hypothesized that the clinical outcome of all 3 analyzed surgical treatments would be equivalent. METHODS: A systematic review was performed using PubMed, Cochrane Central Register of Controlled Trials, and Google Scholar in July 2016 to compare the functional outcome, pain, grip strength, patient satisfaction, and return to work at 1-year follow-up for open, arthroscopic, and percutaneous treatment of lateral epicondylitis...
March 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28718329/assessment-of-forearm-rotational-control-using-4-upper-extremity-immobilization-constructs
#4
Ayesha M Rahman, Nicole Montero-Lopez, Richard M Hinds, Michael Gottschalk, Eitan Melamed, John T Capo
BACKGROUND: Forearm immobilization techniques are commonly used to manage distal radius, scaphoid, and metacarpal fractures. The purpose of our study was to compare the degree of rotational immobilization provided by a sugar-tong splint (STS), short arm cast (SAC), Munster cast (MC), and long arm cast (LAC) at the level of the distal radioulnar joint (DRUJ), carpus, and metacarpals. METHODS: Seven cadaveric upper extremity specimens were mounted to a custom jig with the ulnohumeral joint fixated in 90° of flexion...
February 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
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...
July 4, 2017: European Radiology
https://www.readbyqxmd.com/read/28620677/efficacy-of-peloid-therapy-in-patients-with-chronic-lateral-epicondylitis-a-randomized-controlled-single-blind-study
#6
Burcu Metin Ökmen, Rıza Eröksüz, Lale Altan, Meliha Kasapoğlu Aksoy
The aim of this study was to assess the effect of peloid on pain, functionality, daily life activities, and quality of life of lateral epicondylitis (LE) patients. In this randomized, controlled, single-blind study, 75 patients who were diagnosed with chronic LE were enrolled to the study. Patients were randomized into two groups using the random number table. The patients in the first group (group 1) (n = 33), were given lateral epicondylitis band (LEB) (during the day for 6 weeks) + peloid therapy (five consecutive days a week for 2 weeks), and the second group (group 2) (n = 32), received LEB treatment alone...
June 15, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28603702/comparison-the-effect-of-extra-corporeal-shockwave-therapy-with-low-dosage-versus-high-dosage-in-treatment-of-the-patients-with-lateral-epicondylitis
#7
Parisa Taheri, Masoud Emadi, Jafar Poorghasemian
BACKGROUND: One of the most common reasons of elbow and forearm pain is lateral epicondylitis diagnosed based on clinical examination. The extracorporeal shock wave therapy is applied for less invasive treatments with different dosages. This study aimed to investigate the effects of high- and low-dose ESW in treating the lateral epicondylitis. MATERIALS AND METHODS: This clinical trial was done in Al Zahra medical center on 40 patients who were selected randomly and divided into two groups...
2017: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28589876/short-term-results-after-arthroscopic-resection-of-synovial-plicae-in-the-radiohumeral-joint-a-case-series-of-64-procedures
#8
Jens Brahe Pedersen, Pia Kjær Kristensen, Peter Mønsted, Theis Muncholm Thillemann
INTRODUCTION: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results after arthroscopic plica resection of the elbow. METHODS: In this case series, we included a consecutive series of 64 arthroscopies (60 patients) with arthroscopic plica resection of the elbow...
2017: SICOT-J
https://www.readbyqxmd.com/read/28589162/age-specific-prevalence-and-clinical-characteristics-of-humeral-medial-epicondyle-apophysitis-and-osteochondritis-dissecans-ultrasonographic-assessment-of-4249-players
#9
Kenichi Otoshi, Shinichi Kikuchi, Kinshi Kato, Ryohei Sato, Takahiro Igari, Takahiro Kaga, Shinichi Konno
BACKGROUND: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. PURPOSE: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. STUDY DESIGN: Descriptive epidemiology study...
May 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28588166/comparative-efficacy-of-local-steroid-and-therapeutic-ultrasound-for-quicker-functional-improvement-in-tennis-elbow
#10
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/28584745/autologous-platelet-rich-plasma-versus-corticosteroid-in-the-management-of-elbow-epicondylitis-a-randomized-study
#11
Ankit Varshney, Rajesh Maheshwari, Anil Juyal, Atul Agrawal, Prabhnoor Hayer
INTRODUCTION: Elbow epicondylar tendinitis is a common problem for patients whose activities require strong gripping or repetitive wrist movements in the day-to-day activities of life. Histologic specimens from chronic cases confirm that tendinitis is not an acute inflammatory condition but rather a failure of the normal tendon repair mechanism associated with angiofibroblastic degeneration. Tendon regeneration may be improved by injecting autologous growth factors obtained from the patient's own blood...
April 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/28578766/editorial-commentary-elbow-lateral-epicondylitis-tennis-elbow-surgery-works-but-is-not-often-indicated
#12
EDITORIAL
Gary G Poehling
In the small percentage of patients who do not respond to nonoperative approaches to tennis elbow, surgery-whether it is open, arthroscopic, or percutaneous-provides near 90% satisfaction rates.
June 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28577784/autologous-blood-and-platelet-rich-plasma-injections-for-treatment-of-lateral-epicondylitis
#13
REVIEW
James H Calandruccio, Murphy M Steiner
Lateral epicondylitis (tennis elbow) is a frequent cause of elbow pain; most patients (80%-90%) are successfully treated with standard nonoperative methods (rest, nonsteroidal anti-inflammatory drugs, bracing, and physical therapy). Autologous blood injections and platelet-rich plasma injections are the two most frequently used orthobiologic techniques in the treatment of lateral epicondylitis. Studies of the effectiveness of autologous blood injections and platelet-rich plasma report varying outcomes, some citing significant clinical relief and others reporting no beneficial effect...
July 2017: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/28558776/association-between-epicondylitis-and-cardiovascular-risk-factors-in-pooled-occupational-cohorts
#14
Kurt T Hegmann, Matthew S Thiese, Jay Kapellusch, Andrew Merryweather, Stephen Bao, Barbara Silverstein, Eric M Wood, Richard Kendall, James Foster, David L Drury, Arun Garg
BACKGROUND: The pathophysiology of lateral epicondylitis (LE) is unclear. Recent evidence suggests some common musculoskeletal disorders may have a basis in cardiovascular disease (CVD) risk factors. Thus, we examined CVD risks as potential LE risks. METHODS: Workers (n = 1824) were enrolled in two large prospective studies and underwent structured interviews and physical examinations at baseline. Analysis of pooled baseline data assessed the relationships separately between a modified Framingham Heart Study CVD risk score and three prevalence outcomes of: 1) lateral elbow pain, 2) positive resisted wrist or middle finger extension, and 3) a combination of both symptoms and at least one resisted maneuver...
May 30, 2017: BMC Musculoskeletal Disorders
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
#15
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/28503939/clarification-of-eponymous-anatomical-terminology-structures-named-after-dr-geoffrey-v-osborne-that-compress-the-ulnar-nerve-at-the-elbow
#16
Arvin R Wali, Brandon Gabel, Madhawi Mitwalli, R Shane Tubbs, Justin M Brown
BACKGROUND: In 1957, Dr Geoffrey Osborne described a structure between the medial epicondyle and the olecranon that placed excessive pressure on the ulnar nerve. Three terms associated with such structures have emerged: Osborne's band, Osborne's ligament, and Osborne's fascia. As anatomical language moves away from eponymous terminology for descriptive, consistent nomenclature, we find discrepancies in the use of anatomic terms. This review clarifies the definitions of the above 3 terms...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28503463/optimal-radial-motor-nerve-conduction-study-using-ultrasound-in-healthy-adults
#17
Jungho Yeo, Yuntae Kim, Sooa Kim, Kiyoung Oh, Hyungdong Kang
OBJECTIVE: To obtain reference values, to suggest optimal recording and stimulation site for radial motor nerve conduction study (RmNCS), and to analyze the correlation among RmNCS parameters, demographics and ultrasonography (US) findings. METHODS: A total of 55 volunteers participated in this study. We hypothesized that 'lateral edge of spiral groove (A)' was the optimal stimulation site, and the 'largest cross-sectional area (CSA) of extensor indicis proprius (EIP) muscle (B)' was the optimal recording site...
April 2017: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28503289/the-three-portal-technique-in-arthroscopic-lateral-epicondylitis-release
#18
Ashok Gowda, Gannon Kennedy, Stacey Gallacher, Jennie Garver, Theodore Blaine
Lateral epicondylitis, commonly referred to as tennis elbow, is a syndrome characterized by pain over the origin of the common extensor muscles of the fingers, hand and wrist at the lateral epicondyle. Reports of 70-90% response to conservative treatment at one year have been documented in the literature though refractory cases often require surgical management. Arthroscopic treatment of lateral epicondylitis allows for intra-articular visualization for concomitant pathology and localization of the Extensor Carpi Radialis Brevis tendon...
November 17, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/28491453/surgical-management-of-medial-humeral-epicondylitis-cubital-synovial-osteochondromatosis-and-humeroradial-subluxation-in-a-cat
#19
Karen L Perry
CASE SUMMARY: A 13-year-old domestic shorthair cat presented for evaluation of pain and difficulty ambulating. Orthopedic examination and CT facilitated a diagnosis of bilateral elbow synovial osteochondromatosis with medial humeral epicondylitis and concurrent osteoarthritis. Right humeroradial subluxation was evident on CT images, but no instability was evident preoperatively. Surgical treatment was elected, including external neurolysis of the ulnar nerve, removal of the areas of mineralization within the flexor carpi ulnaris muscle and medial arthrotomy to remove intra-articular mineralized bodies...
January 2017: JFMS open reports
https://www.readbyqxmd.com/read/28461918/lateral-epicondylitis-of-the-elbow
#20
REVIEW
Alfonso Vaquero-Picado, Raul Barco, Samuel A Antuña
Lateral epicondylitis, also known as 'tennis elbow', is a very common condition affecting mainly middle-aged patients.The pathogenesis remains unknown but there appears to be a combination of local tendon pathology, alteration in pain perception and motor impairment.The diagnosis is usually clinical but some patients may benefit from additional imaging for a specific differential diagnosis.The disease has a self-limiting course of between 12 and 18 months, but in some patients, symptoms can be persistent and refractory to treatment...
November 2016: EFORT open reviews
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