Evidence map›Paper›PMID 36722063›Full record

ArticleThe bone & joint journal2023

Is it time to reconsider the indications for surgery in patients with tennis elbow?

Teemu Karjalainen, Rachelle Buchbinder

Open access · hybridAbstract read
In one paragraph

Article in The bone & joint journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Manual therapy and exercise for lateral elbow pain.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Teemu KarjalainenDepartment of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland.ORCID 0000-0002-5650-895X
Rachelle BuchbinderSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-0597-0933
Monash University · AUTampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tennis elbow (lateral epicondylitis or lateral elbow tendinopathy) is a self-limiting condition in most patients. Surgery is often offered to patients who fail to improve with conservative treatment. However, there is no evidence to support the superiority of surgery over continued nonoperative care or no treatment. New evidence also suggests that the prognosis of tennis elbow is not influenced by the duration of symptoms, and that there is a 50% probability of recovery every three to four months. This finding challenges the belief that failed nonoperative care is an indication for surgery. In this annotation, we discuss the clinical and research implications of the benign clinical course of tennis elbow.Cite this article:

Indexed as

Musculoskeletal DiseasesTendinopathyTennis ElbowConservative TreatmentHumansProbabilityactive treatmentchronic tennis elbowlateral elbow painlateral elbow tendinopathylateral epicondylitisLateral epicondylitismusculoskeletal surgeryNatural coursenonoperative managementprognosisrandomized controlled trialsSurgeryTennis elbow

Identifiers

PMID36722063
PMCPMC9869705
OpenAlexW4318753992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.