Abstract
Introduction
Determination of a precise and reproducible diagnostic tool for the evaluation of patients with medial epicondylitis (ME) is important for an effective follow-up. The commonly suggested use of grip strength measurements with a hand dynamometer is not always easily available and may be affected by the patient’s compliance. We propose that pain estimation based on the visual analog scale can be considered for this purpose as well because it addresses the painful degenerative lesion in the common flexor origin, which is the basic pathological process in ME.
Materials and methods
We analyzed and compared 237 different sets of measurements of grip strengths and pain evaluation, according to the visual analog scale, in 79 patients with ME. For the purpose of this comparison, we developed a qualitative grading system based on the statistical data of the grip strength values in the normal population.
Results
High dependency between the graded pain evaluation and measured grip strength was found.
Conclusion
We suggest that evaluation of patients with ME according to the proposed grading method of pain evaluation is as accurate as grip strength measurements.
Similar content being viewed by others
References
Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S (1985) Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 66:69–74
Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 9:222–226
Ollivierre CO, Nirschl RP, Pathrone FA (1995) Resection and repair for medial tennis elbow. A prospective analysis. Am J Sports Med 23:214–221
Stahl S, Kaufman T (1997) The efficacy of an injection of steroids for medial epicondylitis. J Bone Joint Surg Am 79:1648–1652
Tredgett MW, Davis TRC (2000) Rapid repeat testing of grip strength for detection of faked hand weakness. J Hand Surg Br 25:372–375
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rosenberg, N., Soudry, M. & Stahl, S. Comparison of two methods for the evaluation of treatment in medial epicondylitis: pain estimation vs grip strength measurements. Arch Orthop Trauma Surg 124, 363–365 (2004). https://doi.org/10.1007/s00402-004-0658-5
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-004-0658-5