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[Lateral epicondylitis: conservative - operative].

Burak Altintas1, Stefan Greiner2

  • 1Sporthopaedicum Regensburg, Hildegard-von-Bingen-Str. 1, 93053, Regensburg, Deutschland.

Der Orthopade
|September 8, 2016
PubMed
Summary
This summary is machine-generated.

Lateral epicondylitis, or tennis elbow, often resolves with conservative care, including eccentric strengthening. Persistent cases may require surgical intervention for optimal outcomes.

Keywords:
Conservative therapyElbow painLateral epicondylitisOperative therapyTennis elbow

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation

Background:

  • Lateral epicondylitis, commonly known as tennis elbow, affects the extensor origin at the lateral humerus.
  • While often self-limiting, it can result in chronic, debilitating pain and functional arm disability.

Purpose of the Study:

  • To review and compare conservative and operative treatment options for lateral epicondylitis.
  • To evaluate the benefits, risks, and recent surgical techniques for tennis elbow.
  • To provide evidence-based recommendations for treatment selection.

Main Methods:

  • Literature analysis of PubMed using keywords: "conservative and operative therapy of lateral epicondylitis".
  • Inclusion of authors' clinical experience.

Main Results:

  • Conservative treatment, including eccentric strengthening and stretching, is the first-line approach for lateral epicondylitis, excluding other pathologies.
  • Operative treatment, involving debridement and refixation of the extensor origin, is effective for persistent cases.
  • Good outcomes are reported with surgical resection of pathologic tissue.

Conclusions:

  • Most lateral epicondylitis cases achieve successful conservative treatment outcomes.
  • Radiological assessment is recommended for therapy-resistant conditions.
  • Operative therapy is indicated for partial or complete extensor origin ruptures.