Autologous Blood and Corticosteroid Injection and Extracoporeal Shock Wave Therapy in the Treatment of Lateral Epicondylitis
2010; Slack Incorporated (United States); Volume: 33; Issue: 2 Linguagem: Inglês
10.3928/01477447-20100104-9
ISSN1938-2367
AutoresKutay Engin Özturan, İstemi Yücel, Hüsamettin Çakıcı, Melih Güven, İbrahim Sungur,
Tópico(s)Shoulder Injury and Treatment
ResumoFeature ArticleAutologous Blood and Corticosteroid Injection and Extracoporeal Shock Wave Therapy in the Treatment of Lateral Epicondylitis Kutay E. Ozturan, MD, ; , MD Istemi Yucel, MD, ; , MD Husamettin Cakici, MD, ; , MD Melih Guven, MD, ; , MD Ibrahim Sungur, MD, , MD Kutay E. Ozturan, MD Correspondence should be addressed to: Kutay E. Ozturan, MD, Bahcelievler Mahallesi Konuralp Sokak, No:61, 14200, Bolu, Turkey ( E-mail Address: [email protected]). , Istemi Yucel, MD , Husamettin Cakici, MD , Melih Guven, MD , and Ibrahim Sungur, MD Published Online:February 01, 2010https://doi.org/10.3928/01477447-20100104-9Cited by:1PDFView Full Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInRedditEmail SectionsMoreAbstractLateral epicondylitis is a common disorder characterized by pain and tenderness over the lateral epicondyle. It occurs most frequently as a result of minor, unrecognized trauma during sports activities and occupation-related physical activities. The goal of this study was to evaluate the short-, medium-, and long-term effects of corticosteroid injection, autologous blood injection, and extracorporeal shock wave therapy in the treatment of lateral epicondylitis.Sixty patients (32 women, 28 men) with lateral epicondylitis were randomly divided into 3 groups: group 1 received a corticosteroid injection; group 2, an autologous blood injection, and group 3, extracorporeal shock wave therapy. Thomsen provocative testing, upper extremity functional scores, and maximal grip strength were used for evaluation. Outcomes were assessed at 4, 12, 26, and 52 weeks. Corticosteroid injection gave significantly better results for all outcome measures at 4 weeks; success rates in the 3 groups were 90%, 16.6%, and 42.1%, respectively. Autologous blood injection and extracorporeal shock wave therapy gave significantly better Thomsen provocative test results and upper extremity functional scores at 52 weeks; the success rate of corticosteroid injection was 50%, which was significantly lower than the success rates for autologous blood injection (83.3%) and extracorporeal shock wave therapy (89.9%). Corticosteroid injection provided a high success rate in the short term. However, autologous blood injection and extracorporeal shock wave therapy gave better long-term results, especially considering the high recurrence rate with corticosteroid injection. We suggest that the treatment of choice for lateral epicondylitis be autologous blood injection.1.Vicenzino B, Wright A. Lateral epicondylalgia I: epidemiology, pathophysiology, aetiology and natural history. Phys Ther Rev. 1996; ( 1):23–34. Google Scholar2.Hamilton PG. The prevalence of humeral epicondylitis: a survey in general practice. 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CrossrefGoogle Scholar FiguresReferencesRelatedDetailsCited byGao F, Sun W, Li Z, Guo W, Kush N and Ozaki K (2015) Intractable Bone Marrow Edema Syndrome of the Hip, Orthopedics, 38:4, (e263-e270), Online publication date: 1-Apr-2015. Request Permissions InformationCopyright 2010, SLACK IncorporatedPDF downloadCorrespondence should be addressed to: Kutay E. Ozturan, MD, Bahcelievler Mahallesi Konuralp Sokak, No:61, 14200, Bolu, Turkey ([email protected]com).Drs Ozturan, Cakici, and Guven are from the Department of Orthopedics and Traumatology, Abant Izzet Baysal University, Bolu, Dr Yucel is from the Department of Orthopedics and Traumatology, Duzce University, Duzce, and Dr Sungur is from the Department of Orthopedics and Traumatology, Haseki Education and Training Hospital, Istanbul, Turkey.Drs Ozturan, Yucel, Cakici, Guven, and Sungur have no relevant financial relationships to disclose.
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