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Lateral Elbow Pain

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Essentials In Elbow Surgery

Abstract

Lateral elbow pain is one of the most common sources of medical consultation for elbow disorders. The aetiology of lateral elbow pain is reviewed with an emphasis on the differential diagnosis including key aspects of clinical examination and imaging for lateral epicondylitis, plica, osteochondritis dissecans, radiocapitellar arthritis and posterolateral rotatory instability. Nonoperative and operative treatment of lateral elbow pain is discussed.

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References

  1. Berglund KM, Persson BH, Denison E. Prevalence of pain and dysfunction in the cervical and thoracic spine in persons with and without lateral elbow pain. Man Ther. 2008;13(4):295–9.

    Article  CAS  PubMed  Google Scholar 

  2. Antuña SA, O’Driscoll SW. Snapping plicae associated with radiocapitellar chondromalacia. Arthroscopy. 2001;17(5):491–5.

    Article  PubMed  Google Scholar 

  3. Baumgarten TE, Andrews JR, Satterwhite YE. The arthroscopic classification and treatment of osteochondritis dissecans of the capitellum. Am J Sports Med. 1998;26:520–3.

    CAS  PubMed  Google Scholar 

  4. Naam NH, Nemani S. Radial tunnel syndrome. Orthop Clin North Am. 2012;43(4):529–36.

    Article  PubMed  Google Scholar 

  5. Rhyou IH, Kim KW. Is posterior synovial plica excision necessary for refractory lateral epicondylitis of the elbow? Clin Orthop Relat Res. 2013;471(1):284–90.

    Article  PubMed  Google Scholar 

  6. Ferdinand BD, Rosenberg ZS, Schweitzer ME, Stuchin SA, Jazrawi LM, Lenzo SR, Meislin RJ, Kiprovski K. MR imaging features of radial tunnel syndrome: initial experience. Radiology. 2006;240(1):161–8.

    Article  PubMed  Google Scholar 

  7. Fukase N, Kokubu T, Fujioka H, Iwama Y, Fujii M, Kurosaka M. Usefulness of MRI for diagnosis of painful snapping elbow. Skeletal Radiol. 2006;35(10):797–800.

    Article  PubMed  Google Scholar 

  8. Pattanittum P, Turner T, Green S, Buchbinder R. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. 2013;5:CD003686.

    PubMed  Google Scholar 

  9. Gosens T, Peerbooms JC, van Laar W, den Oudsten BL. Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. Am J Sports Med. 2011;39(6):1200–8.

    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. Buchbinder R, Johnston RV, Barnsley L, Assendelft WJ, Bell SN, Smidt N. Surgery for lateral elbow pain. Cochrane Database Syst Rev. 2011;3:CD003525.

    PubMed  Google Scholar 

  12. Lo MY, Safran MR. Surgical treatment of lateral epicondylitis: a systematic review. Clin Orthop Relat Res. 2007;463:98–106. Review.

    PubMed  Google Scholar 

  13. Wada T, Moriya T, Iba K, Ozasa Y, Sonoda T, Aoki M, Yamashita T. Functional outcomes after arthroscopic treatment of lateral epicondylitis. J Orthop Sci. 2009;14(2):167–74.

    Article  PubMed  Google Scholar 

  14. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992;11(4):851–70.

    CAS  PubMed  Google Scholar 

  15. Mehta JA, Bain GI. Posterolateral rotatory instability of the elbow. J Am Acad Orthop Surg. 2004;12(6):405–15. Review.

    PubMed  Google Scholar 

  16. Sanchez-Sotelo J, Morrey BF, O’Driscoll SW. Ligamentous repair and reconstruction for posterolateral rotatory instability of the elbow. J Bone Joint Surg Br. 2005;87(1):54–61.

    CAS  PubMed  Google Scholar 

  17. Henry M, Stutz C. A unified approach to radial tunnel syndrome and lateral tendinosis. Tech Hand Up Extrem Surg. 2006;10(4):200–5.

    Article  PubMed  Google Scholar 

  18. Sanders WE. Radial tunnel syndrome. An investigation of compression neuropathy as a possible cause. J Bone Joint Surg Am. 1992;74(2):309–10.

    CAS  PubMed  Google Scholar 

  19. Lee JT, Azari K, Jones NF. Long term results of radial tunnel release–the effect of co-existing tennis elbow, multiple compression syndromes and workers’ compensation. J Plast Reconstr Aesthet Surg. 2008;61(9):1095–9.

    Article  PubMed  Google Scholar 

  20. Jebson PJ, Engber WD. Radial tunnel syndrome: long-term results of surgical decompression. J Hand Surg Am. 1997;22(5):889–96.

    Article  CAS  PubMed  Google Scholar 

  21. Clarke R. Symptomatic, lateral synovial fringe (plica) of the elbow joint. Arthroscopy. 1988;4:112–6.

    Article  CAS  PubMed  Google Scholar 

  22. Commandre FA, Taillan B, Benezis C, Follacci FM, Hammou JC. Plica synovialis (synovial fold) of the elbow. report on one case. J Sports Med Phys Fit. 1988;28:209–10.

    CAS  Google Scholar 

  23. Huang GS, Lee CH, Lee HS, Chen CY. MRI, arthroscopy, and histologic observations of an annular ligament causing painful snapping of the elbow joint. AJR Am J Roentgenol. 2005;185(2):397–9.

    Article  PubMed  Google Scholar 

  24. Akagi M, Nakamura T. Snapping elbow caused by the synovial fold in the radiohumeral joint. J Shoulder Elbow Surg. 1998;7(4):427–9.

    Article  CAS  PubMed  Google Scholar 

  25. Aoki M, Okamura K, Yamashita T. Snapping annular ligament of the elbow joint in the throwing arms of young brothers. Arthroscopy. 2003;19(8):E4–7.

    Article  PubMed  Google Scholar 

  26. Kim DH, Gambardella RA, Elattrache NS, Yocum LA, Jobe FW. Arthroscopic treatment of posterolateral elbow impingement from lateral synovial plicae in throwing athletes and golfers. Am J Sports Med. 2006;34(3):438–44.

    Article  PubMed  Google Scholar 

  27. Difelice G, Meunier M, Paletta G. Elbow injury in the adolescent athlete. In: Altchek D, Andrews J, editors. The athlete’s elbow. Philadelphia: Lippincott Williams & Wilkins; 2001. p. 231–48.

    Google Scholar 

  28. Jans LB, Ditchfield M, Anna G, Jaremko JL, Verstraete KL. MR imaging findings and MR criteria for instability in osteochondritis dissecans of the elbow in children. Eur J Radiol. 2012;81(6):1306–10.

    Article  PubMed  Google Scholar 

  29. Kijowski R, De Smet AA. MRI findings of osteochondritis dissecans of the capitellum with surgical correlation. AJR Am J Roentgenol. 2005;185(6):1453–9.

    Article  PubMed  Google Scholar 

  30. Takahara M, Mura N, Sasaki J, Harada M, Ogino T. Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum: surgical technique. J Bone Joint Surg Am. 2008;90:47–62.

    Article  PubMed  Google Scholar 

  31. Takahara M, Mura N, Sasaki J, Harada M, Ogino T. Classification, treatment and outcome of osteochondritis dissecans of the humeral capitellum. J Bone Joint Surg Am. 2007;89:1205–14.

    Article  PubMed  Google Scholar 

  32. Baker 3rd CL, Baker Jr CL, Romeo AA. Osteochondritis dissecans of the capitellum. J Shoulder Elbow Surg. 2010;19(2 Suppl):76–82.

    Article  PubMed  Google Scholar 

  33. Nobuta S, Ogawa K, Sato K, Nakagawa T, Hatori M, Itoi E. Clinical outcome of fragment fixation for osteochondritis dissecans of the elbow. Ups J Med Sci. 2008;113:201–8.

    Article  PubMed  Google Scholar 

  34. Takahara M, et al. Conservative treatment for osteochondrosis of the humeral capitellum. Am J Sports Med. 2008;36:868–72.

    Article  Google Scholar 

  35. Miyake J, Masatomi T. Arthroscopic debridement of the humeral capitellum for osteochondritis dissecans: radiographic and clinical outcomes. J Hand Surg Am. 2011;36(8):1333–8.

    Article  PubMed  Google Scholar 

  36. Bauer M, Jonsson K, Josefsson P, Lindén B. Osteochondritis dissecans of the elbow: a long-term follow-up study. Clin Orthop Relat Res. 1992;284:156–60.

    PubMed  Google Scholar 

  37. Ovesen J, Olsen BS, Johannsen HV. The clinical outcomes of mosaicplasty in the treatment of osteochondritis dissecans of the distal humeral capitellum of young athletes. J Shoulder Elbow Surg. 2011;20(5):813–8.

    Article  PubMed  Google Scholar 

  38. Shimada K, Tanaka H, Matsumoto T, Miyake J, Higuchi H, Gamo K, Fuji T. Cylindrical costal osteochondral autograft for reconstruction of large defects of the capitellum due to osteochondritis dissecans. J Bone Joint Surg Am. 2012;94(11):992–1002.

    Article  PubMed  Google Scholar 

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Correspondence to Samuel Antuña MD, PhD, FEBOT .

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© 2014 Springer-Verlag London

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Antuña, S., Barco, R. (2014). Lateral Elbow Pain. In: Antuña, S., Barco, R. (eds) Essentials In Elbow Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4625-4_2

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  • DOI: https://doi.org/10.1007/978-1-4471-4625-4_2

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  • Online ISBN: 978-1-4471-4625-4

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