Epicondylitis Band or Corticosteroid Injection for Lateral Epicondylitis Treatment?

Yıl 2016, Cilt: 2 Sayı: 1, 7 - 12, 27.04.2016

Ertuğrul Allahverdi Tülay Allahverdi , Uğur Türktaş

https://doi.org/10.19127/mbsjohs.207707

Öz

Objective: Lateral epicondylitis has been identified as tendinosis developing in the region where extensor muscles. Conservative methods are first used in the treatment of acute lateral epicondylitis. One of the most widely used methods is corticosteroid and local anesthetic injection. Injection treatment is preferred because good results can be obtained in a short time.  Comparison of the short- and medium-term results of the epicondylitis band and corticosteroid and local anesthetic injections for lateral epicondylitis. Case Series. This was a retrospective and comparative study related to acute lateral epicondylitis treatment.

Methods:  The patient groups named A and B received two different treatments. The information obtained from the charts of 356 patients who were referred to the orthopedics departments of two separate hospitals between February 2010 and June 2013. There were 151 patients in Group A and 205 patients in Group B. Group A received the epicondylitis band and Group B corticosteroid and local anesthetic injections. Both groups were also given stretch exercises and nonsteroidal anti-inflammatory drugs. Patients were checked at week 1, 4, 12, and 24 and the Quick DASH scoring was used on week 12 and 24.      

Results: On the 3rd month of treatment, Group A showed recovery rates of moderate, good and full in 18.5%, 32.5% and 30.5% respectively while these rates were 33.2%, 13.7% and 25.4% in Group B. The same rates at the end of month 6 were 17.2%, 41.1% and 17.2% in Group A and 28.3%, 1% and 17.2% in Group B. We see that treatment of group A was more successful than group B in the 3rd month (p< 0,05),and much more successful than group B in the 6th month (p< 0,001) in terms of the number of patients who were successfully  and unsuccessfully treated according to the Quick DASH scores.

Conclusions: Combined treatment (physical therapy, nonsteroidal anti-inflammatory drugs) with an epicondylitis band was more effective than combined treatment with steroid and local anesthetic injections in acute lateral epicondylitis.

Anahtar Kelimeler

Acute Lateral Epicondylitis, Epicondylopathy, Steroids, Quick DASH Score, Epicondylitis Band.

Kaynakça

• Allan W, Erak S, Fractional lengthening of forearm extensors for resistant lateral epicondylitis. ANZ J Surg.2007;77:981-4.
• Altan L, Kanat E. Conservativetreatmentof lateral epicondylitis: comparison of two differentorthoticdevices.ClinRheumatol. 2008 ;27:1015-9.
• Altay T, Günal I, Öztürk H. Local injection treatment for lateral epicondylitis. ClinOrthopRelat Res. 2002;398:127–30.
• Başkurt F, Özcan A, Algun C. Comparison of effects of phonophoresis and iontophoresis of naproxen in the treatment of lateral epicondylitis. ClinRehabil. 2003;17:96-100.
• Bisset L. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ. 2006;333:939.
• Chesterton S L ,Van der Windt D, Sim J, Lewis M, Mallen C, Mason E et al. Transcutaneous electrical nerve stimulation for the management of tennis elbow: a pragmatic randomized controlled trial: the TATE trial. BMC Musculoskeletal Disorders; 2009;10:156.
• Ciccotti MC, Schwartz MA, Ciccotti MG. Diagnosis and treatment of medial epicondylitis of the elbow. Clin Sports Med 2004;23,4:693–705.
• Cohen MS, Romeo AA, HenniganSP, Gordon M. Lateral epicondylitis: anatomic relationship of the extensor tendon origins and implications for arthroscopic treatment. J Shoulder Elbow Surg 2008;17:954–60.
• Erak S, Day R, Wang A. The role of supinator in the pathogenesis of chronic lateral elbow pain:biomechanical study. J Hand Surg 2004;29 b:461-4.
• Franchignoni F,Giordano A,Sartorio F,Vercelli S,Pascariello B,Ferriero G. Suggestions for refinement of theDisabilitiesof theArm,ShoulderandHandOutcome Measure(DASH): a factor analysis and Rasch validation study. Arch Phys Med Rehabil.2010 ;91:1370-7.
• Garg R, Adamson GJ, Dawson PA, Shankwiler JA, Pink MM. A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis. J Shoulder Elbow Surg.2010:19.508-12.
• Jobe FW, Ciccotti MG. Lateral and medial epicondylitis of the elbow. J Am AcadOrthopSurg 1994; 2:1–8.
• Johns LD. Nonthermaleffectsoftherapeutic ultrasound: the frequency resonance hypothesis. J Athl Train.2002;37:293-9.
• Kaminsky S, Baker C. Lateral epicondylitis of the elbow. Tech Hand Upper Surg 2003; 7: 179-89.
• Lopes-Martins RA, Albertini R. Steroid receptor antagonist mifepristone inhibits the anti inflammatory effects of photoradiation. Photomed Laser Surg.;2006;24,2:197-201.
• Meyer NJ, Pennington W, Haines B. The effect of the forearm support band and forces at the origin of the extensor carpi radialisbrevis:a cadaveric study and review of literature. J Hand Ther. 2002;15,2:179-84.
• Nirschl RP, Pettrone FA. Tennis elbow: the surgical treatment of epicondylitis. J Bone Joint Surg Am 1979;61:832–9.
• ÖksüzÇiğdem, Quick DASH-Turkish by Çiğdem Öksüz MS, TülinDüger Assoc. ProfHacettepe University School of Physical Therapy and Rehabilitation www.drsedatyildiz.com/FileUpload/ks109487/File/quickdash_turkey.pdf‎.
• Papa JA. Two cases of work-related lateral epicondylopathy treated with Graston Technique® and conservative rehabilitation.J Can Chiropr Assoc. 2012 ;5, 3:192-200.
• Pomerance J. Radiographic analysis of lateral epicondylitis. J Shoulder Elbow Surg 2002;11:156-7.
• Saccomanni B. Corticosteroid injection for tennis elbow or lateral epicondylitis: a review of the literature. Curr Rev Musculoskelet Med (2010) 3:38–40.
• Smidt N, AssendelftWJ. Corticosteroid injections for lateral epicondylitis: a systematic review. Pain. 2002;96:23–40.
• Smidt N, Van der Windt DA, AssendelftWJ, Devillé WL, Korthals-de BosIB, BouterLM. Corticosteroidinjections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial.The Lancet,2002;359:657-62.
• Struijs PA, Kerkhoffs GM, AssendelftWJ, Van DijkCN. Conservative treatment of lateral epicondylitis brace versus physical therapy or a combination of botha randomized clinical trial. Am J Sports Med.2004;32:462-9.
• Trinh KV, Phillips SD, Ho E, Damsma K. Acupuncture for the alleviation of lateral epicondyle pain:a systematic review. Rheumatology 2004;43:1085-90.
• Trudel D, Duley J, Zastrow I, Kerr EW. Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther. 2004;17:243-66.
• Uzunca K, Birtane M, Taştekin N. Effectiveness of pulsed electromagnetic field therapy in lateral epicondylitis, ClinRheumatol.2007;26,1:69-74.
• Yarrobino E T, Kalbfleisch H J, Panus C P. Lidocaineiontophoresis mediates analgesia in lateral epicondylalgia treatment. Physiother Res Int. 2006;11:152-60.