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Lateral Epicondylitis: Current Concept
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  • Journal title : Clinics in Shoulder and Elbow
  • Volume 17, Issue 3,  2014, pp.138-144
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/cise.2014.17.3.138
 Title & Authors
Lateral Epicondylitis: Current Concept
Jeon, In-Ho; Kekatpure, Aashay Laxmikant; Sun, Ji-Ho; Shim, Kyeong-Bo; Choi, Sung-Hoon; Lim, Sung-Joon; Chun, Jae-Myeung;
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Lateral epicondylitis is one of the most common causes of elbow pain and has been known to be caused by degeneration of the extensor carpi radialis brevis (ECRB). Nonoperative treatment should be tried first in all patients, because it has been deemed highly successful; however only few prospective studies suggest that symptoms frequently was completely resolved. Operative treatment is indicated for recalcitrant pain after failed conservative treatment, which involves excision of the pathologic portion of the ECRB and results in a high degree of subjective relief and functional restoration. We will review the pathology of the lateral epicondylitis and operative and nonoperative treatment of lateral epicondylitis.
Tennis elbow;Extensor carpi radialis brevis;Arthroscopic debridement;
 Cited by
Allander E. Prevalence, incidence, and remission rates of some common rheumatic diseases or syndromes. Scand J Rheumatol. 1974;3(3):145-53. crossref(new window)

Verhaar JA. Tennis elbow. Anatomical, epidemiological and therapeutic aspects. Int Orthop. 1994;18(5):263-7.

Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979;61(6):832-9. crossref(new window)

Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999;81(2):259-78. crossref(new window)

Boushel R, Langberg H, Green S, Skovgaard D, Bulow J, Kjaer M. Blood flow and oxygenation in peritendinous tissue and calf muscle during dynamic exercise in humans. J Physiol. 2000;524 Pt 1:305-13. crossref(new window)

Arnoczky SP, Tian T, Lavagnino M, Gardner K, Schuler P, Morse P. Activation of stress-activated protein kinases (SAPK) in tendon cells following cyclic strain: the effects of strain frequency, strain magnitude, and cytosolic calcium. J Orthop Res. 2002;20(5):947-52. crossref(new window)

Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am. 2005;87(1):187-202. crossref(new window)

Miller TT, Shapiro MA, Schultz E, Kalish PE. Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound. 2002;30(4):193-202. crossref(new window)

Levin D, Nazarian LN, Miller TT, et al. Lateral epicondylitis of the elbow: US findings. Radiology. 2005;237(1):230-4. crossref(new window)

Savnik A, Jensen B, Nørregaard J, Egund N, Danneskiold-Samsoe B, Bliddal H. Magnetic resonance imaging in the evaluation of treatment response of lateral epicondylitis of the elbow. Eur Radiol. 2004;14(6):964-9. crossref(new window)

Steinborn M, Heuck A, Jessel C, Bonel H, Reiser M. Magnetic resonance imaging of lateral epicondylitis of the elbow with a 0.2-T dedicated system. Eur Radiol. 1999;9(7):1376-80. crossref(new window)

Jafarian FS, Demneh ES, Tyson SF. The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. J Orthop Sports Phys Ther. 2009;39(6):484-9. crossref(new window)

Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med. 2005;39(7):411-22. crossref(new window)

Wolf JM, Ozer K, Scott F, Gordon MJ, Williams AE. Comparison of autologous blood, corticosteroid, and saline injection in the treatment of lateral epicondylitis: a prospective, randomized, controlled multicenter study. J Hand Surg Am. 2011;36(8):1269-72. crossref(new window)

Smidt N, van der Windt DA, Assendelft WJ, Devillé WL, Korthals-de Bos IB, Bouter LM. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet. 2002;359(9307):657-62. crossref(new window)

Sevier TL, Wilson JK. Treating lateral epicondylitis. Sports Med. 1999;28(5):375-80. crossref(new window)

Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Phys Ther. 1997;77:1090-6. crossref(new window)

Fyfe I, Stanish WD. The use of eccentric training and stretching in the treatment and prevention of tendon injuries. Clin Sports Med. 1992;11(3):601-24.

Khan KM, Cook JL, Taunton JE, Bonar F. Overuse tendinosis, not tendinitis part 1: a new paradigm for a difficult clinical problem. Phys Sportsmed. 2000;28(5):38-48. crossref(new window)

Waseem M, Nuhmani S, Ram CS, Sachin Y. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil. 2012;25(2):131-42. crossref(new window)

Judson CH, Wolf JM. Lateral epicondylitis: review of injection therapies. Orthop Clin North Am. 2013;44(4):615-23. crossref(new window)

Krogh TP, Bartels EM, Ellingsen T, et al. Comparative effectiveness of injection therapies in lateral epicondylitis: a systematic review and network meta-analysis of randomized controlled trials. Am J Sports Med. 2013;41(6):1435-46. crossref(new window)

Krogh TP, Fredberg U, Stengaard-Pedersen K, Christensen R, Jensen P, Ellingsen T. Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial. Am J Sports Med. 2013;41(3):625-35. crossref(new window)

Peerbooms JC, Sluimer J, Bruijn DJ, Gosens T. Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am J Sports Med. 2010;38(2):255-62. crossref(new window)

Rompe JD, Hope C, Küllmer K, Heine J, Bürger R. Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow. J Bone Joint Surg Br. 1996;78(2):233-7.

Haake M, König IR, Decker T, Riedel C, Buch M, Muller HH; Extracorporeal Shock Wave Therapy Clinical Trial Group. Extracorporeal shock wave therapy in the treatment of lateral epicondylitis: a randomized multicenter trial. J Bone Joint Surg Am. 2002;84(11):1982-91. crossref(new window)

Speed CA, Nichols D, Richards C, et al. Extracorporeal shock wave therapy for lateral epicondylitis--a double blind randomised controlled trial. J Orthop Res. 2002;20(5):895-8. crossref(new window)

Othman AM. Arthroscopic versus percutaneous release of common extensor origin for treatment of chronic tennis elbow. Arch Orthop Trauma Surg. 2011;131(3):383-8. crossref(new window)

Kumar VS, Shetty AA, Ravikumar KJ, Fordyce MJ. Tennis elbow-- outcome following the Garden procedure: a retrospective study. J Orthop Surg (Hong Kong). 2004;12(2):226-9. crossref(new window)

Greco S, Nellans KW, Levine WN. Lateral epicondylitis: open versus arthroscopic. Oper Tech Orthop. 2009;19(4):228-34. crossref(new window)

Grifka J, Boenke S, Kramer J. Endoscopic therapy in epicondylitis radialis humeri. Arthroscopy. 1995;11(6):743-8. crossref(new window)

Byram IR, Kim HM, Levine WN, Ahmad CS. Elbow arthroscopic surgery update for sports medicine conditions. Am J Sports Med. 2013;41(9):2191-202. crossref(new window)

Baker CL Jr, Baker CL 3rd. Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Am J Sports Med. 2008;36(2):254-60. crossref(new window)

Savoie FH 3rd, VanSice W, O'Brien MJ. Arthroscopic tennis elbow release. J Shoulder Elbow Surg. 2010;19(2 Suppl):31-6.

Othman AM. Arthroscopic versus percutaneous release of common extensor origin for treatment of chronic tennis elbow. Arch Orthop Trauma Surg. 2011;131(3):383-8. crossref(new window)

Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, Tytherleigh- Strong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J. 2013;95(9):1158-64.

Kuklo TR, Taylor KF, Murphy KP, Islinger RB, Heekin RD, Baker CL Jr. Arthroscopic release for lateral epicondylitis: a cadaveric model. Arthroscopy. 1999;15(3):259-64. crossref(new window)

Timothy RS, Champ LB. Arthroscopic lateral release for treatment of tennis elbow. Arthroscopy. 1994;10(3):335-6.

Stapleton TR, Baker CL. Arthroscopic treatment of lateral epicondylitis: a clinical study. Arthroscopy. 1996;12(3):365-6.

Baker CL Jr, Murphy KP, Gottlob CA, Curd DT. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Shoulder Elbow Surg. 2000;9(6):475-82. crossref(new window)

Peart RE, Strickler SS, Schweitzer KM Jr. Lateral epicondylitis: a comparative study of open and arthroscopic lateral release. Am J Orthop (Belle Mead NJ). 2004;33(11):565-7.

Solheim E, Hegna J, Oyen J. Arthroscopic versus open tennis elbow release: 3- to 6-year results of a case-control series of 305 elbows. Arthroscopy. 2013;29(5):854-9. crossref(new window)

Cummins CA. Lateral epicondylitis: in vivo assessment of arthroscopic debridement and correlation with patient outcomes. Am J Sports Med. 2006;34(9):1486-91. crossref(new window)

Morrey BF, Sanchez-Sotelo J. The elbow and its disorders. 4th ed. Philadelphia: Saunders Elsevier; 2009. 626-42.