Tennis Elbow: Clinical Management by Jennifer Moriatis Wolf

By Jennifer Moriatis Wolf

Bringing jointly the present wisdom and proof concerning the reasons and administration of tennis elbow, or lateral epicondylitis, the prognosis and numerous treatments for this universal activities harm are offered intimately. ordinarily attributed to overexertion or repetitive movement of the elbow joint, tennis elbow motives ache, tenderness and stiffness within the elbow and wrist even in non-athletic, daily actions, equivalent to lifting and pulling. starting with its etiology, next chapters discover either conservative and surgical remedies, from actual remedy, joint injections and acupuncture to arthroscopy, open surgical procedure and denervation. results, rehabilitation and go back to play also are mentioned, as are strategies and symptoms for dealing with problems and revision surgical procedure. perfect for orthopedic surgeons and activities drugs practitioners, Tennis Elbow: scientific Management is a realistic reference for any clinician treating athletes or energetic sufferers.

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31. Maffulli N, Testa V, Capasso G, Ewen SW, Sullo A, Benazzo F, et al. Similar histopathological picture in males with Achilles and patellar tendinopathy. Med Sci Sports Exerc. 2004;36(9):1470–5. 32. Martinoli C, Bianchi S, Derchi LE. Tendon and nerve sonography. Radiol Clin North Am. 1999;37(4):691–711. 33. Miller TT, Shapiro MA, Schultz E, Kalish PE. Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound. 2002;30(4):193–202. 34. Molloy T, Wang Y, Murrell G. The roles of growth factors in tendon and ligament healing.

P. Krogh et al. Fig. 5 Detection of bony spurs by ultrasonography. Arrows indicating the bony spurring at the top of the lateral epicondyle (a), radiohumeral joint (b), radial head (c), and common extensor tendon (d) Bony Spurs Bony spurs (enthesophytes) were initially described on conventional radiographs [3, 40]. 5). The bony spurs are easily seen on US, and several ultrasonographic studies in patients with LE have dealt with the observation of bony spurs [5, 9, 26, 39, 46]. However, the clinical significance of bony spurs is unclear.

5-cm longitudinal part of the tendon with the maximal Doppler activity (region of interest, ROI). The scale is as follows: Grade 0: no activity, grade 1: single vessel, grade 2: Doppler activity in less than 25 % of the region of interest, grade 3: Doppler activity in 25–50 % of the region of interest, and grade 4: Doppler activity in more than 50 % of the region of interest. Regarding color Doppler activity, the results showed an excellent correlation between the observers and an overall satisfactory agreement [23].

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