Evaluation of injection techniques in the treatment of lateral epicondylitis: A prospective randomized clinical trial

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dc.contributor.authorOkçu G.
dc.contributor.authorErkan S.
dc.contributor.authorEntürk M.
dc.contributor.authorÖzalp R.T.
dc.contributor.authorYercan H.S.
dc.date.accessioned2024-07-22T08:19:37Z
dc.date.available2024-07-22T08:19:37Z
dc.date.issued2012
dc.description.abstractObjective: We aimed to compare the efficacy of two different injection techniques of local corticosteroid and local anesthetic in the management of lateral epicondylitis. Methods: This prospective study followed 80 consecutive patients who were diagnosed with lateral epicondylitis at our hospital outpatient clinic between 2005 and 2006. Patients were randomly assigned into two equal groups. Group 1 received a single injection of 1 ml betamethasone and 1 ml prilocaine on the lateral epicondyle at the point of maximum tenderness. Group 2 patients received an injection of the same drug mixture. Following the initial injection, the needle tip was redirected and reinserted down the bone approximately 30 to 40 times without emerging from the skin, creating a hematoma. Patients were evaluated with the Turkish version of the Disabilities of the Arm, Shoulder and Hand questionnaire before injection and at the final follow-up. The unpaired t-test and chi-square tests were used to compare results. Results: Sixteen patients in Group 1 and 15 patients in Group 2 were lost during follow-up. The average follow-up period of the remaining 49 patients was 21.6 months. There were no significant differences between the two groups with regard to gender, age, follow-up period, symptom duration, involvement side and number of dominant limbs. The Turkish DASH scores of Group 2 were significantly lower than those of Group 1 (p=0.017). Conclusion: Long-term clinical success in the treatment of lateral epicondylitis depends on the injection method. The peppering technique appears to be more effective than the single injection technique in the long-term. © 2012 Turkish Association of Orthopaedics and Traumatology.
dc.identifier.DOI-ID10.3944/AOTT.2012.2577
dc.identifier.issn1017995X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17770
dc.language.isoEnglish
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectAlgorithms
dc.subjectAnesthetics, Local
dc.subjectBetamethasone
dc.subjectDrug Therapy, Combination
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectGlucocorticoids
dc.subjectHumans
dc.subjectInjections, Intralesional
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOutpatients
dc.subjectPain Measurement
dc.subjectPrilocaine
dc.subjectProspective Studies
dc.subjectQuestionnaires
dc.subjectTennis Elbow
dc.subjectTreatment Outcome
dc.subjectbetamethasone
dc.subjectglucocorticoid
dc.subjectlocal anesthetic agent
dc.subjectprilocaine
dc.subjectalgorithm
dc.subjectarticle
dc.subjectclinical trial
dc.subjectcomparative study
dc.subjectcontrolled clinical trial
dc.subjectcontrolled study
dc.subjectdrug combination
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectintralesional drug administration
dc.subjectmale
dc.subjectmethodology
dc.subjectmiddle aged
dc.subjectoutpatient
dc.subjectpain assessment
dc.subjectprospective study
dc.subjectquestionnaire
dc.subjectrandomized controlled trial
dc.subjecttennis elbow
dc.subjecttreatment outcome
dc.titleEvaluation of injection techniques in the treatment of lateral epicondylitis: A prospective randomized clinical trial
dc.typeArticle

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