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Recalcitrant Lateral Epicondylitis: A Systematic Review on Current Nonoperative and Operative Treatment Modalities.
Kim, Jason H; Hoy, John F; Smith, Shelby R; Sabet, Andre; Fernandez, John J; Cohen, Mark S; Wysocki, Robert W; Simcock, Xavier C.
Afiliación
  • Kim JH; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
JBJS Rev ; 12(8)2024 Aug 01.
Article en En | MEDLINE | ID: mdl-39106325
ABSTRACT

BACKGROUND:

Lateral epicondylitis is a common cause of elbow pain that is generally self-limiting. For patients who have persistent symptoms refractory to conservative treatment, there is still no clear consensus on the most favorable treatment modality. The purpose of this systematic review was to synthesize the available literature regarding both nonoperative and operative treatment modalities for recalcitrant lateral epicondylitis (RLE) to provide insight into the efficacy of treatment options.

METHODS:

A systematic review was performed in accordance with the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, where the PubMed, MEDLINE/Ovid, CINAHL, Cochrane, and Scopus databases were queried to identify studies evaluating treatment options for RLE.

RESULTS:

A total of 27 studies with 1,958 patients were included. Of the reviewed studies, there were a wide variety of treatments including platelet-rich plasma injections, percutaneous tenotomies, and various arthroscopic and open procedures.

CONCLUSION:

There are a wide variety of treatment modalities available for RLE that have promising efficacy in the short, medium, and long terms. A comprehensive approach combining evidence-based and patient-centered care is critical for effective management of refractory symptoms. LEVEL OF EVIDENCE Level IV. See Instructions for Authors for a complete description of levels of evidence.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Codo de Tenista Límite: Humans Idioma: En Revista: JBJS Rev Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Codo de Tenista Límite: Humans Idioma: En Revista: JBJS Rev Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos