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Epicondylopathia humeri radialis
Tim Leschinger1, Thomas Tischer2, Anna Katharina Doepfer3
1Division of Trauma, Hand and Elbow Surgery, Cologne University Medical Centre, Cologne, Germany.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|April 14, 2021
Summary
Lateral epicondylitis, a common condition affecting quality of life, has various treatments with limited evidence. Diagnosis is clinical, confirmed by imaging, with most cases resolving within 12 months.
Area of Science:
- Orthopaedics
- Sports Medicine
Background:
- Lateral epicondylitis significantly impacts patient quality of life.
- Numerous treatment options exist, but evidence varies widely.
Purpose of the Study:
- To summarize the German S2k guideline on lateral epicondylitis (Epicondylopathia radialis humeri).
- To provide recommendations on diagnosis, prevention, and management.
Main Methods:
- Based on a systematic literature review and consensus process.
- Incorporates input from major German specialist societies.
Main Results:
- Diagnosis is primarily clinical, supported by imaging.
- Non-surgical treatments generally have a favorable prognosis, with most cases resolving within a year.
- Surgery is an option for persistent cases unresponsive to conservative management for at least six months, provided structural abnormalities exist.
Conclusions:
- The guideline offers recommendations for clinical and radiological workup.
- It addresses pathogenesis, prevention, and both surgical and non-surgical management strategies.
- No specific surgical procedure is currently recommended over others.
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