[논문]Current Trends for Treating Lateral Epicondylitis

Kim, Gyeong Min; Yoo, Seung Jin; Choi, Sungwook; Park, Yong-Geun

doi:10.5397/cise.2019.22.4.227

Current Trends for Treating Lateral Epicondylitis 원문보기

Clinics in shoulder and elbow, v.22 no.4, 2019년, pp.227 - 234

Kim, Gyeong Min (Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine) , Yoo, Seung Jin (Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine) , Choi, Sungwook (Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine) , Park, Yong-Geun (Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine)

Abstract ▼ AI-Helper

Lateral epicondylitis, also known as 'tennis elbow', is a degenerative rather than inflammatory tendinopathy, causing chronic recalcitrant pain in elbow joints. Although most patients with lateral epicondylitis resolve spontaneously or with standard conservative management, few refractory lateral epicondylitis are candidates for alternative non-operative and operative modalities. Other than standard conservative treatments including rest, analgesics, non-steroidal anti-inflammatory medications, orthosis and physical therapies, nonoperative treatments encompass interventional therapies include different types of injections, such as corticosteroid, lidocaine, autologous blood, platelet-rich plasma, and botulinum toxin, which are available for both short-term and long-term outcomes in pain resolution and functional improvement. In addition, newly emerging biologic enhancement products such as bone marrow aspirate concentrate and autologous tenocyte injectates are also under clinical use and investigations. Despite all non-operative therapeutic trials, persistent debilitating pain in patients with lateral epicondylitis for more than 6 months are candidates for surgical treatment, which include open, percutaneous, and arthroscopic approaches. This review addresses the current updates on emerging non-operative injection therapies as well as arthroscopic intervention in lateral epicondylitis.

주제어

표/그림 (3)

표 Table 1. Recent Studies of Non-operative Treatments for Lateral Epicondylitis
그림 Fig. 1. Portals around the elbow for arthroscopy. (A) Posterior aspect, (B) lateral aspect, and (C) medial aspect. PL: proximal lateral portal, AL: anterior lateral portal, ML: mid-lateral portal, PM: proximal medial portal, AM: anterior medial portal.
표 Table 2. Recent Studies of Arthroscopic Surgical Treatment in Lateral Epicondylitis

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제안 방법

The purpose of our present study is to introduce current updates on the available injections and arthroscopic surgical treatments for lateral epicondylitis by reviewing the most recent articles, in order to draw a more comprehensive conclusion on advantages of both interventional therapy with injection and arthroscopic approaches.

참고문헌 (39)

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