Sonographic-guided injection of corticosteroid in the treatment of lateral epicondylitis

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dc.contributor.authorUnlu Z.
dc.contributor.authorTarhan S.
dc.contributor.authorOvali G.Y.
dc.contributor.authorPabuscu Y.
dc.date.accessioned2024-07-22T08:21:53Z
dc.date.available2024-07-22T08:21:53Z
dc.date.issued2009
dc.description.abstractObjective: In this study the advantage of ultrasonography [US] in diagnosis and therapy of lateral epicondylitis [LE] was investigated in patients with lateral elbow pain and clinically diagnosed as LE. Methods: Fifty-two patients with LE were examined using sonography. For the patients in whom normal US examination was found, a blind injection of methylprednisolone 20 mg and 0.5 ml one percent lignocaine was performed [Group 1]. The patients whose clinical diagnosis was confirmed with US received a sonographic-guided injection of methylprednisolone 20 mg and 0.5 ml one percent lignocaine [Group 2]. Outcome measurements were performed at baseline, two weeks, one month, and three months. Pain and functional status were assessed using a visual analog scale, physical functioning and bodily pain scales of the Medical Outcomes Study 36 Item Short-Form Health Survey, a patient-rated forearm evaluation questionnaire, and a patient-specific functional scale. Painless grip strength bilaterally was also measured. Results: Twenty-four [46.2 percent] patients had a normal-appearing common extensor origin on US. The group in which diagnosis of LE was confirmed on US and sonographic-guided corticosteroid injections improved significantly from the baseline to the third month follow up [P < 0.000] in both clinical assessment and physical examination findings. Conclusions: Our case series suggested that sonography of the common extensor origin can be used to confirm LE in patients with lateral elbow pain. Although sonographic-guided injections produced more clinical improvement, further studies are needed to determine effectiveness of sonographic-guided injections. © 2009 by Informa Healthcare USA, Inc. All rights reserved.
dc.identifier.DOI-ID10.1080/10582450802679995
dc.identifier.issn15407012
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/18822
dc.language.isoEnglish
dc.subjectlidocaine
dc.subjectmethylprednisolone
dc.subjectadult
dc.subjectarticle
dc.subjectcontrolled study
dc.subjectechography
dc.subjectfemale
dc.subjectfunctional status
dc.subjectgrip strength
dc.subjecthuman
dc.subjectlimb pain
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectoutcome assessment
dc.subjectpain assessment
dc.subjectphysical examination
dc.subjectquestionnaire
dc.subjecttennis elbow
dc.subjectvisual analog scale
dc.titleSonographic-guided injection of corticosteroid in the treatment of lateral epicondylitis
dc.typeArticle

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