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. 1994 Jan;40:73–78.

Diagnosing and treating lateral epicondylitis.

P Geoffroy 1, M J Yaffe 1, I Rohan 1
PMCID: PMC2379994  PMID: 8312757

Abstract

Lateral epicondylitis is often encountered in primary care. Although its diagnosis can be fairly straightforward, its treatment is often difficult. This review examines the epidemiology, pathophysiology, and clinical presentation of tennis elbow. Management options are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Binder A. I., Hazleman B. L. Lateral humeral epicondylitis--a study of natural history and the effect of conservative therapy. Br J Rheumatol. 1983 May;22(2):73–76. doi: 10.1093/rheumatology/22.2.73. [DOI] [PubMed] [Google Scholar]
  2. Binder A., Parr G., Thomas P. P., Hazleman B. A clinical and thermographic study of lateral epicondylitis. Br J Rheumatol. 1983 May;22(2):77–81. doi: 10.1093/rheumatology/22.2.77. [DOI] [PubMed] [Google Scholar]
  3. Boyd H. B., McLeod A. C., Jr Tennis elbow. J Bone Joint Surg Am. 1973 Sep;55(6):1183–1187. [PubMed] [Google Scholar]
  4. Burgess R. C. Tennis elbow. J Ky Med Assoc. 1990 Jul;88(7):349–354. [PubMed] [Google Scholar]
  5. Chard M. D., Hazleman B. L. Pulsed electromagnetic field treatment of chronic lateral humeral epicondylitis. Clin Exp Rheumatol. 1988 Jul-Sep;6(3):330–332. [PubMed] [Google Scholar]
  6. Chop W. M., Jr Tennis elbow. Postgrad Med. 1989 Oct;86(5):301-4, 307-8. doi: 10.1080/00325481.1989.11704455. [DOI] [PubMed] [Google Scholar]
  7. Coonrad R. W., Hooper W. R. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am. 1973 Sep;55(6):1177–1182. [PubMed] [Google Scholar]
  8. Coonrad R. W. Tennis elbow. Instr Course Lect. 1986;35:94–101. [PubMed] [Google Scholar]
  9. Day B. H., Govindasamy N., Patnaik R. Corticosteroid injections in the treatment of tennis elbow. Practitioner. 1978 Mar;220(1317):459–462. [PubMed] [Google Scholar]
  10. Doran A., Gresham G. A., Rushton N., Watson C. Tennis elbow. A clinicopathologic study of 22 cases followed for 2 years. Acta Orthop Scand. 1990 Dec;61(6):535–538. doi: 10.3109/17453679008993577. [DOI] [PubMed] [Google Scholar]
  11. Fillion P. L. Treatment of lateral epicondylitis. Am J Occup Ther. 1991 Apr;45(4):340–343. doi: 10.5014/ajot.45.4.340. [DOI] [PubMed] [Google Scholar]
  12. Froimson A. I. Treatment of tennis elbow with forearm support band. J Bone Joint Surg Am. 1971 Jan;53(1):183–184. [PubMed] [Google Scholar]
  13. Gellman H. Tennis elbow (lateral epicondylitis). Orthop Clin North Am. 1992 Jan;23(1):75–82. [PubMed] [Google Scholar]
  14. Groppel J. L., Nirschl R. P. A mechanical and electromyographical analysis of the effects of various joint counterforce braces on the tennis player. Am J Sports Med. 1986 May-Jun;14(3):195–200. doi: 10.1177/036354658601400303. [DOI] [PubMed] [Google Scholar]
  15. Grossi E., Monza G. C., Pollavini S., Bona L. NSAID ionisation in the management of soft-tissue rheumatism: role played by the drug, electrical stimulation and suggestion. Clin Exp Rheumatol. 1986 Jul-Sep;4(3):265–267. [PubMed] [Google Scholar]
  16. Hamilton P. G. The prevalence of humeral epicondylitis: a survey in general practice. J R Coll Gen Pract. 1986 Oct;36(291):464–465. [PMC free article] [PubMed] [Google Scholar]
  17. Ilfeld F. W., Field S. M. Treatment of tennis elbow. Use of a special brace. JAMA. 1966 Jan 10;195(2):67–70. [PubMed] [Google Scholar]
  18. Kamien M. A rational management of tennis elbow. Sports Med. 1990 Mar;9(3):173–191. doi: 10.2165/00007256-199009030-00005. [DOI] [PubMed] [Google Scholar]
  19. Kitai E., Itay S., Ruder A., Engel J., Modan M. An epidemiological study of lateral epicondylitis (tennis elbow) in amateur male players. Ann Chir Main. 1986;5(2):113–121. doi: 10.1016/s0753-9053(86)80023-0. [DOI] [PubMed] [Google Scholar]
  20. Leach R. E., Miller J. K. Lateral and medial epicondylitis of the elbow. Clin Sports Med. 1987 Apr;6(2):259–272. [PubMed] [Google Scholar]
  21. Nevelös A. B. The treatment of tennis elbow with triamcinolone acetonide. Curr Med Res Opin. 1980;6(7):507–509. doi: 10.1185/03007998009109477. [DOI] [PubMed] [Google Scholar]
  22. Nirschl R. P., Pettrone F. A. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979 Sep;61(6A):832–839. [PubMed] [Google Scholar]
  23. Nirschl R. P. Soft-tissue injuries about the elbow. Clin Sports Med. 1986 Oct;5(4):637–652. [PubMed] [Google Scholar]
  24. Nirschl R. P. Tennis elbow. Prim Care. 1977 Jun;4(2):367–382. [PubMed] [Google Scholar]
  25. Roles N. C., Maudsley R. H. Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg Br. 1972 Aug;54(3):499–508. [PubMed] [Google Scholar]
  26. Rosenthal M. The efficacy of flurbiprofen versus piroxicam in the treatment of acute soft tissue rheumatism. Curr Med Res Opin. 1984;9(5):304–309. doi: 10.1185/03007998409109597. [DOI] [PubMed] [Google Scholar]
  27. Saartok T., Eriksson E. Randomized trial of oral naproxen or local injection of betamethasone in lateral epicondylitis of the humerus. Orthopedics. 1986 Feb;9(2):191–194. doi: 10.3928/0147-7447-19860201-10. [DOI] [PubMed] [Google Scholar]
  28. Stratford P. W., Norman G. R., McIntosh J. M. Generalizability of grip strength measurements in patients with tennis elbow. Phys Ther. 1989 Apr;69(4):276–281. doi: 10.1093/ptj/69.4.276. [DOI] [PubMed] [Google Scholar]
  29. Wadsworth T. G. Tennis elbow: conservative, surgical, and manipulative treatment. Br Med J (Clin Res Ed) 1987 Mar 7;294(6572):621–624. doi: 10.1136/bmj.294.6572.621. [DOI] [PMC free article] [PubMed] [Google Scholar]

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