Ultrasonography: Sports Injuries
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Keywords:
Aponeurosis
Groin
Biceps tendon
Enthesis
Tendinosis
Tennis elbow
Lateral epicondylitis (LE) is one of the most common elbow conditions in adults. Symptoms of chronic LE can cause severe discomfort and/or physical disability that is economically burdening to patients and health care costs. The purpose of this study is to assess treatment outcomes of pain and function for refractory extensor carpi radialis brevis (ECRB) tendinosis after tendon fenestration with and without platelet-rich plasma (PRP).
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Tendinosis
Tennis elbow
Fenestration
Tendinitis
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A 20-year-old, right-hand-dominant female collegiate tennis player presents with persistent pain over her right lateral epicondyle for the past 4 months that began when she increased activity at the start of season. She was initially diagnosed with lateral epicondylitis and tried oral anti-
Epicondylitis
Tendinosis
Tennis elbow
Epicondyle
Tenotomy
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Epicondylitis is mostly related to a tendinosis found in the region of the radial or ulnar epicondylus, where the common origin of the extensor or flexor muscles is anchored. Several causes are associated with the etiopatho-genesis, most important is mechanical stress. The working hand is involved in the majority of cases. The age of the patients ranges mainly from 40-60 years. In 90% of the cases conservative measures are successful; if surgical treatment is necessary we recommend a modified version of Hohmann's operation.
Epicondylitis
Tennis elbow
Tendinosis
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Tennis elbow
Tendinosis
Tendinitis
Elbow pain
Epicondylitis
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Tennis elbow tendinosis represents a degenerative change in the forearm musculature resulting from chronic repetitive activity. Most cases of tennis elbow will respond favorably to an aggressive rehabilitation program. A small percentage of cases, however, may not respond adequately and may therefo re benefit from surgical management. In 1979, Nirschl and Pettrone introduced a new technique for the surgical treatment of tennis elbow. The key to this technique, which has been applied to lateral, medial, and posterior tennis elbow, is identification and removal of pathologic angiofibroblastic tendinosis. Surgical management is followed by aggressive postoperative rehabilitation.
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Tennis elbow
Tendinitis
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While most patients respond to non-operative management of lateral epicondylitis (tennis elbow), chronic symptoms develop in a small percentage. Surgical treatment is considered in patients with persistent pain, failure to respond to a quality rehabilitation protocol, and an unacceptable quality of life. Historically, surgical interventions were dedicated to releasing the extensor digitorum communis (EDC) origin or a slide of the extensor aponeurosis. We describe the rationale and long term results of the Nirschl “tennis elbow” surgical approach which includes debridement of the extensor carpi radialis brevis (ECRB) and repair of the ECRL to the EDC. These results are compared to other methods and the rationale for current treatment methods are discussed. The techniques for addressing medial “tennis elbow” and triceps tendinosis are also described as well as the techniques and rationale for surgical treatment in salvage situations.
Tennis elbow
Epicondylitis
Tendinosis
Aponeurosis
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Epicondylitis
Tendinosis
Tennis elbow
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Tendinosis
Tennis elbow
Epicondylitis
Tendinitis
Elbow pain
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Tennis elbow tendinosis (epicondylitis) is most commonly caused by tendon overuse and failed tendon healing. The pathoanatomy of overuse tendinopathy is noninflammatory "angiofibroblastic tendinosis." The specific areas of elbow abnormality include the extensor carpi radialis brevis-extensor digitorum communis complex laterally, the pronator teres, flexor carpi radialis medially, and triceps posteriorly. The primary goal of nonsurgical treatment is to revitalize the unhealthy tissue that produces pain. Successful nonsurgical treatment comprises rehabilitative resistance exercise and progression of the exercise program. If rehabilitation fails, surgical treatment can be quite successful.
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Tendinosis
Tennis elbow
Tendinitis
Elbow pain
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We researched 3 patients diagnosed as Lateral epicondylitis (Tennis elbow). We considered it as tendinosis including irregular collagen fiber’s pattern. So, acupuncture therapy and musculotendinous releasing manual therapy were used to treat the patients. We measured their pain and functional disorder by visual analogue scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE), and a dynamometer before and after treatment. As a result, VAS and PRTEE significantly reduced and grasping power was also improved. Therefore, we conclude that the acupuncture therapy with musculotendinous releasing manual therapy is an effective way to treat Lateral epicondylitis. But there are limits on this study due to insufficient number of cases, absence of control group and absence of follow-up after last treatment. Further studies will be needed.
Epicondylitis
Tendinosis
Tennis elbow
Manual therapy
Elbow pain
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