Lateral Epicondyle Tendinopathy Toolkit: Appendix G - Medical and Surgical Interventions: Difference between revisions
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==== Corticosteroid (Injection)<ref>Coombes B et al. Efficiency and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of RCTs. LANCET. 376(9754): 1751-67. Nov 2010.</ref><ref>Snyder K, Evans T. Effectiveness of corticosteroids in treatment of lateral epicondylosis. Jour Sports Rehab. 21(1): 83-88. Feb 2012.</ref><ref>Coombes B et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9.</ref><ref>Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.</ref> ==== | ==== Corticosteroid (Injection)<ref>Coombes B et al. Efficiency and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of RCTs. LANCET. 376(9754): 1751-67. Nov 2010.</ref><ref>Snyder K, Evans T. Effectiveness of corticosteroids in treatment of lateral epicondylosis. Jour Sports Rehab. 21(1): 83-88. Feb 2012.</ref><ref>Coombes B et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9.</ref><ref name="Krogh 2013">Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.</ref> ==== | ||
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==== Glycerol Trinitrate (GTN)<ref>Paoloni et al. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43:299-302.</ref><ref>Paoloni et al. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized double-blinded placebo controlled trail. Am J Sports Med. 2003; 31: 915-20.</ref> ==== | ==== Glycerol Trinitrate (GTN)<ref>Paoloni et al. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43:299-302.</ref><ref>Paoloni et al. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized double-blinded placebo controlled trail. Am J Sports Med. 2003; 31: 915-20.</ref> ==== | ||
Revision as of 14:57, 16 August 2013
Pharmacological Approaches[edit | edit source]
NSAIDs[1][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
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| Cons: |
| |
| Evidence | EEE | |
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Take Home Message |
FFF | |
Corticosteroid (Injection)[2][3][4][5][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Glycerol Trinitrate (GTN)[6][7][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Injection Therapies[edit | edit source]
Polidocanol[8][9][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Prolotherapy[10][9][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Platelet Rich Plasma (PRP)[9][11][12][13][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Botox (Botulinum Toxin A)[14][15][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Surgical Approaches[edit | edit source]
Denervation[16][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Surgical Debridement[17][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
References[edit | edit source]
- ↑ Green et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. 2002; (2):CD003686.
- ↑ Coombes B et al. Efficiency and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of RCTs. LANCET. 376(9754): 1751-67. Nov 2010.
- ↑ Snyder K, Evans T. Effectiveness of corticosteroids in treatment of lateral epicondylosis. Jour Sports Rehab. 21(1): 83-88. Feb 2012.
- ↑ Coombes B et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9.
- ↑ Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.
- ↑ Paoloni et al. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43:299-302.
- ↑ Paoloni et al. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized double-blinded placebo controlled trail. Am J Sports Med. 2003; 31: 915-20.
- ↑ Zeisig et al. Pain relief after intratendinous injections in patients with tennis elbow: results of a randomised study. Br J Sports Med. 2008;42:267-271.
- ↑ 9.0 9.1 9.2 Krogh et al. Comparative Effectiveness of Injection Therapies in Lateral Epicondylitis: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials. Am J Sports Med. e-pub. Sep 12, 2012.
- ↑ Scarpone et al. The efficacy of prolotherapy for lateral epicondylosis: a pilot study. Clin J Sport Med. 2008;18: 248-254.
- ↑ Creaney L et al. Growth factor–based therapies provide additional benefit beyond physical therapy in resistant elbow tendinopathy: a prospective, single-blind, randomised trial of autologous blood injections versus platelet-rich plasma injections. Br J Sports Med. 2011;45: 966-971.
- ↑ Peerbooms JC et al. Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am J Sports Med. 2010;38: 255-262.
- ↑ Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.
- ↑ Lin YC et al. Comparison between botulinum toxin and corticosteroid injection in the treatment of acute and subacute tennis elbow a prospective, randomized, double-blind, active drug controlled pilot study. Am J Phys Med Rehabil. 2010; 89: 653-659.
- ↑ Placzek R et al. Treatment of chronic radial epicondylitis with botulinum toxin A: a double-blind, placebo-controlled, randomized multicenter study. J Bone Joint Surg Am. 2007; 89: 255-260.
- ↑ Berry et al. Epicondylectomy versus denervation for lateral humeral epicondylitis. Hand (N Y). 2011 Jun;6(2): 174-8.
- ↑ Dunn et al. Ten- to 14-year follow-up of the Nirschl surgical technique for lateral epicondylitis. Am J Sports Med. 2008 Feb;36(2): 261-6.
