Treatment of Epicondylalgia and Nerve Entrapments around the Elbow

نویسنده

  • Birgitta Svernlöv
چکیده

ABBREVIATIONS LIST OF PAPERS INTRODUCTION .........................................................................................................1 HISTORY .............................................................................................................................. 1 BACKGROUND ..........................................................................................................4 ANATOMY ............................................................................................................................ 6 The lateral epicondyle..................................................................................................... 6 The medial epicondyle .................................................................................................... 7 EPICONDYLALGIA ............................................................................................................ 9 Epidemiology and pathomechanics .............................................................................. 9 Diagnosis ........................................................................................................................ 12 TREATMENT METHODS ................................................................................................ 15 Natural course ................................................................................................................ 15 Conservative management .......................................................................................... 16 Eccentric (strengthening) exercise ............................................................................. 16 Eccentric exercises and stretching ............................................................................. 18 Stretching ........................................................................................................................ 19 Surgery ............................................................................................................................ 19 COMPRESSIVE OR ENTRAPMENT NEUROPATHIES AROUND THE ELBOW . 21 Epidemiology and pathomechanics ............................................................................ 21 Radial tunnel syndrome (RTS) .................................................................................... 21 Pronator syndrome (PS)............................................................................................... 22 Cubital tunnel syndrome (CuTS)................................................................................. 22 Diagnosis ........................................................................................................................ 23 Radial tunnel syndrome ................................................................................................ 23 Pronator syndrome ........................................................................................................ 24 Cubital tunnel syndrome............................................................................................... 26 TREATMENT METHODS ................................................................................................ 27 Conservative management .......................................................................................... 27 Radial tunnel syndrome ................................................................................................ 27 Pronator syndrome ........................................................................................................ 27 Cubital tunnel syndrome............................................................................................... 27 Surgery ............................................................................................................................ 28 Radial tunnel syndrome ................................................................................................ 28 Pronator syndrome ........................................................................................................ 29 Cubital tunnel syndrome............................................................................................... 29 METHODS FOR ASSESSMENTS OF OUTCOME..................................................... 30 Neurophysiological investigations............................................................................... 30 Visual analogue scale (VAS) ....................................................................................... 30

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Immediate Effects of Orthoses on Pain in People with Lateral Epicondylalgia

Objective. Tennis elbow is a common cause of upper limb dysfunction and a primary reason for pain at the lateral aspect of the elbow. The purpose of this study was to investigate the effects of three commonly used orthoses on pain severity. An elbow band, an elbow sleeve, and a wrist splint were assessed for their ability to reduce the level of reported pain. Method. A crossover randomized cont...

متن کامل

Influence of expectations plus mobilization with movement in patient with lateral epicondylalgia: a pilot randomized controlled trial

The aim of this study was to determine the influence of expectations plus mobilization with movement (MWM) in kinesiophobia, perceived disability and sensorimotor variables in patients with lateral epicondylalgia. A pilot randomized controlled trial in 24 patients with lateral epicondylalgia was conducted. Perceived pain, pain-free grip strength, pressure pain detection threshold, kinesiophobia...

متن کامل

Prevalence of Concurrent Disorders of Ulnar Nerve Entrapment at the Elbow and Carpal Tunnel Syndrome Ahvaz Imam Khomeini Hospital During 2009 to 2012

Carpal tunnel syndrome (CTS) is the most well-known and frequent form of median nerve entrapment, and accounts for 90% of all entrapment neuropathies. Entrapment neuropathies of the ulnar nerve are relatively common with ulnar neuropathy at the elbow more prevalent than ulnar neuropathy at the wrist. The diagnosis of ulnar neuropathy at the elbow is usually confirmed in a relatively straight – ...

متن کامل

Is low-energy laser treatment effective in lateral epicondylalgia?

The aim of this double-blind study was to explore the pain-alleviating effect of low energy laser in lateral epicondylalgia. Forty-nine patients were consecutively assigned at random to two groups, laser or placebo. The Mid 1500 Irradia laser was used with the following parameters: wavelength 904 nm; average power output 12 mW; peak value 8.3 W; frequency 70 Hz (pulse train 8000 Hz). The laser ...

متن کامل

A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia.

A systematic review of the literature on the effectiveness of physical interventions for lateral epicondylalgia (tennis elbow) was carried out. Seventy six randomised controlled trials were identified, 28 of which satisfied the minimum criteria for meta-analysis. The evidence suggests that extracorporeal shock wave therapy is not beneficial in the treatment of tennis elbow. There is a lack of e...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2011