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Elbow tendinopathy.

Michael E Pitzer1, Peter H Seidenberg1, Dov A Bader1

  • 1Penn State Sports Medicine, Penn State University, State College, 1850 East Park Avenue, Suite 112, State College, PA 16803, USA.

The Medical Clinics of North America
|July 5, 2014
PubMed
Summary
This summary is machine-generated.

Lateral epicondylosis, commonly misdiagnosed as epicondylitis, involves angiofibroblastic degeneration, not inflammation. Most patients achieve relief with conservative treatments like physical therapy and bracing.

Keywords:
Elbow overuse injuriesElbow tendinopathyGolfer’s elbowLateral epicondylitisMedial epicondylitisTennis elbow

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Area of Science:

  • Orthopedics and Sports Medicine
  • Musculoskeletal Disorders

Background:

  • Overuse elbow injuries, frequently diagnosed as lateral and medial epicondylitis, are prevalent in sports, recreation, and occupational settings.
  • The underlying pathophysiology reveals angiofibroblastic degeneration (tendinosis) rather than inflammation, suggesting inaccurate terminology.

Purpose of the Study:

  • To propose 'epicondylosis' as a more accurate term for these elbow overuse injuries based on their pathophysiology.
  • To review the diagnostic and therapeutic approaches for these conditions.

Main Methods:

  • This is a clinical review and conceptual paper, not an experimental study.
  • Diagnostic workup is typically reserved for cases unresponsive to initial conservative management.
  • Literature review on the pathophysiology and treatment of elbow tendinopathies.

Main Results:

  • The term 'epicondylosis' better reflects the degenerative nature of these elbow conditions.
  • Conservative measures, including physical therapy and counterforce bracing, are effective for most patients.
  • Corticosteroid injections offer short-term pain relief but lack demonstrated long-term efficacy.

Conclusions:

  • Epicondylosis is a more precise term for elbow overuse injuries characterized by tendinosis.
  • Conservative management strategies are the mainstay of treatment and yield positive outcomes for the majority of individuals.
  • Further investigation and intervention should be considered only after failure of conservative therapies.