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Arthroscopic surgery is a minimally invasive option for treating lateral epicondylitis. This technique fully visualizes the elbow joint , and leads to a quicker return to work. [ 62 ] In the past, studies have shown good long term effects and fewer complications with arthroscopic surgery compared to open or percutaneous approaches. [ 62 ]
Palpating the medial and lateral epicondyles to assess for pain or tenderness can help determine whether the epicondylitis is medial or lateral, and what muscle group is overused. A common diagnostic test utilized for lateral epicondylitis is to assess resisted wrist extension, along with resistance to the middle finger.
A common injury associated with the lateral epicondyle of the humerus is lateral epicondylitis also known as tennis elbow. Repetitive overuse of the forearm, as seen in tennis or other sports, can result in inflammation of "the tendons that join the forearm muscles on the outside of the elbow.
Lateral epicondylitis is an overuse injury that frequently occurs in tennis. It is also known as tennis elbow. This injury categorizes as a tendon injury where it occurs in the forearm muscle called the extensor carpi radialis brevis . [4] The injury is regularly developed in recreational players. [4]
Tennis elbow or lateral epicondylitis is a chronic or an acute inflammation of the tendons that arise from the outer part of the elbow. The affected tendons are the tendons of extensor muscles which originate from the lateral epicondyle of humerus. It is caused by the repetitive movements and overuse.
The natural history of the two most common enthesopathies (plantar fasciitis and lateral epicondylitis-both mislabeled as inflammatory) is resolution over a period of about one year without treatment. There are no known disease-modifying treatments for these enthesopathies.
Lateral elbow pain can be caused by various pathologies of the common extensor tendon. [3] Overuse injuries can lead to inflammation. [4] [5] Tennis elbow is a common issue with the common extensor tendon. [6] [4] [7]
A 2018 systematic review and meta-analysis of high quality studies found that PRP was beneficial for treatment of lateral epicondylitis. [19] Numerous reviews and meta-analyses have found that for elbow tendinopathy, PRP is superior to cortisone injections.
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