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Current Trends for Treating Lateral Epicondylitis.

Gyeong Min Kim1, Seung Jin Yoo1, Sungwook Choi1

  • 1Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea.

Clinics in Shoulder and Elbow
|December 17, 2020
PubMed
Summary

Lateral epicondylitis, or tennis elbow, is a degenerative elbow condition. This review covers emerging injection therapies and arthroscopic surgery for refractory cases unresponsive to conservative treatments.

Keywords:
ArthroscopyInjectionsPlatelet-rich plasmaTennis elbow

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Regenerative Medicine

Background:

  • Lateral epicondylitis (tennis elbow) is a degenerative tendinopathy causing chronic elbow pain.
  • While many cases resolve with conservative care, some present as refractory, requiring advanced treatments.
  • Standard treatments include rest, NSAIDs, physical therapy, and orthosis.

Purpose of the Study:

  • To review current updates on emerging non-operative injection therapies for lateral epicondylitis.
  • To discuss arthroscopic intervention as a surgical option for refractory lateral epicondylitis.
  • To provide an overview of novel biologic treatments and their clinical applications.

Main Methods:

  • Review of current literature on non-operative and operative treatments for lateral epicondylitis.
  • Analysis of emerging injection therapies including corticosteroid, autologous blood, platelet-rich plasma (PRP), and botulinum toxin.
  • Evaluation of biologic enhancement products like bone marrow aspirate concentrate and autologous tenocyte injectates.
  • Discussion of surgical options, including open, percutaneous, and arthroscopic approaches for persistent cases.

Main Results:

  • Non-operative injection therapies offer varying short-term and long-term outcomes for pain and function.
  • Biologic agents represent emerging options with ongoing clinical investigation.
  • Arthroscopic intervention is considered for patients with persistent debilitating pain exceeding six months despite non-operative trials.

Conclusions:

  • Emerging injection therapies and biologic agents show promise for managing refractory lateral epicondylitis.
  • Arthroscopic surgery remains a viable option for recalcitrant cases.
  • Further research is needed to fully establish the efficacy and optimal use of novel treatments.