ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Injection of tennis elbow: Hit and miss? A cadaveric study of injection accuracy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- Is Ultrasound (US)-Guided Platelet-Rich Plasma Injection More Efficacious as a Treatment Modality for Lateral Elbow Tendinopathy Than US-Guided Steroid Injection?: A Prospective Triple-Blinded Study with Midterm Follow-up.Clinics in orthopedic surgery · 2023Trial
- Comparison of ultrasound-guided dry needling and platelet-rich plasma injection in the management of refractory lateral epicondyle tendinopathy.Clinics in shoulder and elbow · 2026Article
- Evaluation of the efficiency of an ultrasound-supported infiltration technique in patients with tennis elbow applying the ITEC medical device: a multicenter study.JSES international · 2024Article
- [Infiltration therapies for lateral epicondylopathy].Orthopadie (Heidelberg, Germany) · 2023Review
- Standardized Tendon Fenestration with Injection of Autologous Blood for Treatment of Lateral Epicondylitis.Journal of hand and microsurgery · 2022Article
- Multiple Perforations of the ECRB Tendon Using an Innovative Standardized, Reproducible Technique; A Cadaveric Study on Accuracy and Prospective Clinical Safety Assessment Pilot Study. No Adverse Effects in the First 122 Patients with Lateral Epicondylitis.The archives of bone and joint surgery · 2022Article
- Ultrasound Measurements of the ECRB Tendon Shows Remarkable Variations in Patients with Lateral Epicondylitis.The archives of bone and joint surgery · 2020Article
- Tennis elbow.Shoulder & elbow · 2019Review
- The spread of Injectate after ultrasound-guided lateral elbow injection - a cadaveric study.Journal of experimental orthopaedics · 2018Article
- Platelet-Rich Plasma Injection With Percutaneous Needling for Recalcitrant Lateral Epicondylitis: Comparison of Tenotomy and Fenestration Techniques.Orthopaedic journal of sports medicine · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDifferent injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE.
methodsTen surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE. After the injection, an arthroscopy and dissection of the elbow were performed. The injection technique and localization of acrylic paint were reported.
resultsOnly a third of the injections were (partially) localized in the ECRB tendon; 60 % were localized intra-articular.
conclusionInjections carried out manually for the treatment of LE are not accurate, resulting in the majority being localized intra-articular. For future research to the effect of injection therapy in the treatment of LE, it is important that injections should be performed in a reproducible and standardized way.
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