Skip to main content

Outcomes of Treatment and Return to Play: The Evidence

  • Chapter
  • First Online:
Tennis Elbow

Abstract

There is no consensus in the literature on the optimal treatment for lateral epicondylitis, although studies have indicated that the majority of patients improve with conservative or expectant management at one year. The outcomes of management of tennis elbow, both conservative and surgical, are thus primarily positive.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Nirschl RP, Pettrone FA. Tennis elbow. The surgical treatment of lateral epicondylitis. J Bone Joint Surg Am. 1979;61(6A):832–9.

    CAS  PubMed  Google Scholar 

  2. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am. 1999;81(2):259–78.

    Article  CAS  PubMed  Google Scholar 

  3. Labelle H, Guibert R, Joncas J, Newman N, Fallaha M, Rivard CH. Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Joint Surg Br. 1992;74(5):646–51.

    CAS  PubMed  Google Scholar 

  4. Smidt N, van der Windt DA, Assendelft WJ, Deville WL, Korthals-de Bos IB, Bouter LM. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet 2002;359(9307):657–62.

    Article  CAS  PubMed  Google Scholar 

  5. Leach RE, Miller JK. Lateral and medial epicondylitis of the elbow. Clin Sports Med. 1987;6(2):259–72.

    CAS  PubMed  Google Scholar 

  6. Vangsness CT Jr, Jobe FW. Surgical treatment of medial epicondylitis. Results in 35 elbows. J Bone Joint Surg Br. 1991;73(3):409–11.

    PubMed  Google Scholar 

  7. Barr S, Cerisola FL, Blanchard V. Effectiveness of corticosteroid injections compared with physiotherapeutic interventions for lateral epicondylitis: a systematic review. Physiotherapy 2009;95(4):251–65.

    Article  PubMed  Google Scholar 

  8. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006;333(7575):939.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Garg R, Adamson GJ, Dawson PA, Shankwiler JA, Pink MM. A prospective randomized study comparing a forearm strap brace versus a wrist splint for the treatment of lateral epicondylitis. J Shoulder Elbow Surg. 2010;19(4):508–12.

    Article  PubMed  Google Scholar 

  10. Krogh TP, Bartels EM, Ellingsen T, Stengaard-Pedersen K, Buchbinder R, Fredberg U, Bliddal H, Christensen R. Comparative effectiveness of injection therapies in lateral epicondylitis: a systematic review and network meta-analysis of randomized controlled trials. Am J Sports Med. 2013;41(6):1435–46.

    Article  PubMed  Google Scholar 

  11. Wolf JM, Ozer K, Scott F, Gordon MJ, Williams AE. Comparison of autologous blood, corticosteroid, and saline injection in the treatment of lateral epicondylitis: a prospective, randomized, controlled multicenter study. J Hand Surg Am. 2011;36(8):1269–72.

    Article  PubMed  Google Scholar 

  12. Hay EM, Paterson SM, Lewis M, Hosie G, Croft P. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ 1999;319(7215):964–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis. J Hand Surg. 2003;28(2):272–8.

    Article  Google Scholar 

  14. Hayton MJ, Santini AJ, Hughes PJ, Frostick SP, Trail IA, Stanley JK. Botulinum toxin injection in the treatment of tennis elbow. A double-blind, randomized, controlled, pilot study. J Bone Joint Surg Am. 2005;87(3):503–7.

    Article  CAS  PubMed  Google Scholar 

  15. Wong SM, Hui AC, Tong PY, Poon DW, Yu E, Wong LK. Treatment of lateral epicondylitis with botulinum toxin: a randomized, double-blind, placebo-controlled trial. Ann Intern Med. 2005;143(11):793–7.

    Article  CAS  PubMed  Google Scholar 

  16. Judson CH, Wolf JM. Lateral epicondylitis: review of injection therapies. The Orthop Clin North Am. 2013;44(4):615–23.

    Article  Google Scholar 

  17. Dunn JH, Kim JJ, Davis L, Nirschl RP. Ten- to 14-year follow-up of the Nirschl surgical technique for lateral epicondylitis. Am J Sports Med. 2008;36(2):261–6.

    Article  PubMed  Google Scholar 

  18. Coleman B, Quinlan JF, Matheson JA. Surgical treatment for lateral epicondylitis: a long-term follow-up of results. J Shoulder Elbow Surg. 2010;19(3):363–7.

    Article  PubMed  Google Scholar 

  19. Jerosch J, Schunck J. Arthroscopic treatment of lateral epicondylitis: indication, technique and early results. Knee Surg Sports Traumatol Arthrosc. 2006;14(4):379–82.

    Article  PubMed  Google Scholar 

  20. Lattermann C, Romeo AA, Anbari A, Meininger AK, McCarty LP, Cole BJ, Cohen MS. Arthroscopic debridement of the extensor carpi radialis brevis for recalcitrant lateral epicondylitis. J Shoulder Elbow Surg. 2010;19(5):651–6.

    Article  PubMed  Google Scholar 

  21. Baker CL, Jr., Murphy KP, Gottlob CA, Curd DT. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Shoulder Elbow Surg. 2000;9(6):475–82.

    Article  PubMed  Google Scholar 

  22. Baker CL, Jr, Baker CL, 3rd. Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Am J Sports Med. 2008;36(2):254–60.

    Article  PubMed  Google Scholar 

  23. Kaleli T, Ozturk C, Temiz A, Tirelioglu O. Surgical treatment of tennis elbow: percutaneous release of the common extensor origin. Acta Orthop Belg. 2004;70(2):131–3.

    PubMed  Google Scholar 

  24. Grundberg AB, Dobson JF. Percutaneous release of the common extensor origin for tennis elbow. Clin Orthop Relat Res. 2000;(376):137–40.

    Google Scholar 

  25. Dunkow PD, Jatti M, Muddu BN. A comparison of open and percutaneous techniques in the surgical treatment of tennis elbow. J Bone Joint Surg Br. 2004;86(5):701–4.

    Article  CAS  PubMed  Google Scholar 

  26. Szabo SJ, Savoie FH 3rd, Field LD, Ramsey JR, Hosemann CD. Tendinosis of the extensor carpi radialis brevis: an evaluation of three methods of operative treatment. J Shoulder Elbow Surg. 2006;15(6):721–7.

    Article  PubMed  Google Scholar 

  27. Smidt N, Assendelf JJ, Arola H, Malmivaara A, Green S, Buchbinder R, van der Windt D, Bouter LM. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med. 2003;35:51–62.

    Article  PubMed  Google Scholar 

  28. Martinez-Silvestrini JA, Newcomer KL, Gay RE, Schaefer MP, Kortebein P, Arendt KW. Chronic lateral epicondylitis: comparative effectiveness of a home exercise program including stretching alone versus stretching supplemented with eccentric or concentric strengthening. J Hand Ther. 2005;18:411–9.

    Article  PubMed  Google Scholar 

  29. Wilk KE, Arrigo CA, Andrews JR. Rehabilitation of the elbow in the throwing athlete. J Orthop Sports Phys Ther. 1993;17:305–17.

    Article  CAS  PubMed  Google Scholar 

  30. Ellenbecker TS, Roetert EP, Riewald S. Isokinetic profile of wrist and forearm strength in elite female junior tennis players. Br J Sports Med. 2006;40:411–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Ellenbecker TS. Rehabilitation of shoulder and elbow injuries in tennis players. Clin Sports Med. 1995;12(1):87–110.

    Google Scholar 

  32. Ellenbecker TS, Nirschl R, Renstrom P. Current concepts in examination and treatment of elbow tendon injury. Sports Health. 2013;5:186–94.

    Article  PubMed Central  PubMed  Google Scholar 

  33. Croisier JL et al. An isokinetic eccentric programme for the management of chronic lateral epicondylartendinopathy. Br J Sports Med. 2007;41:269–75.

    Article  PubMed Central  PubMed  Google Scholar 

  34. Raman J, MacDermid JC, Grewa R. Effectiveness of different methods of resistance exercise in lateral epicondylosis—a systematic review. J Hand Ther. 2012;25:5–26.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Augustus D. Mazzocca MD, MS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Tinsley, B., Mazzocca, A. (2015). Outcomes of Treatment and Return to Play: The Evidence. In: Wolf, J. (eds) Tennis Elbow. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7534-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7534-8_14

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7533-1

  • Online ISBN: 978-1-4899-7534-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics