Lateral Elbow Tendinopathy
نویسندگان
چکیده
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. In fact, an appraisal of the clinical trials, systematic reviews, and meta-analyses studying these treatment modalities reveals that no single treatment reliably achieves outstanding results. This may be due in part to the majority of clinical studies to date including all patients with chronic tendinopathy rather than attempting to categorize patients according to the severity of disease. We relate the pathophysiology of the different grades of tendinopathy to the basic science principles that underpin the mechanisms of action of the nonoperative treatments available to propose a treatment algorithm guiding the management of lateral elbow tendinopathy depending on severity. We believe that this system will be useful both in clinical practice and for the future investigation of the efficacy of treatments.
منابع مشابه
Proximal disinsertion of the common extensor tendon for lateral elbow tendinopathy.
PURPOSE To evaluate surgical outcomes of disinsertion of the common extensor tendon for lateral elbow tendinopathy. METHODS Records of 277 men and 128 women who underwent surgery for lateral elbow tendinopathy were reviewed. The indication for surgery was insufficient improvement of pain and inability to return to work after 3 weeks of physiotherapy (stretching, ultrasound) and local corticos...
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Cite this article: Dimitrios S (2017) Eccentric Training of Wrist Extensors is Not Enough in the Management of Lateral Elbow Tendinopathy. An Expert Opinion. Ann Orthop Rheumatol 5(2): 1084. *Corresponding author Stasinopoulos Dimitrios, Chairperson /Assiociate Professor, Physiotherapy, Coordinator of MSc in Sports Physiotherapy, Coordinator of Physiotherapy Program, Director of Cyprus Musculos...
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