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Common Extensor Tendon/Common Flexor Tendon

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Abstract

Common extensor tendon (CET) tendinopathy and common flexor-pronator tendon (CFPT) tendinopathy are tendon injuries commonly encountered by clinicians and consist of overuse tendon injuries and rarely tendon rupture. These tendinopathies are most common in the middle-aged population with insidious onset and pain localized to the humeral epicondyle on which the forearm muscles originate. Pain is provoked by resisted activation of the forearm muscles. Diagnosis is usually made clinically, but MRI and ultrasound can be helpful. Treatment is initially conservative, consisting of rest, ice, physical therapy, and bracing. Physical therapy modalities, kinesiotaping, and oral and topical NSAIDs can also be tried. Platelet-rich plasma (PRP) and prolotherapy are common injections used to treat CET and CFPT tendinopathy, as corticosteroids are falling out of favor in the literature. Office-based mechanical procedures include percutaneous needle tenotomy and percutaneous ultrasonic tenotomy can also be used to treat CET and CFPT. Surgery is typically reserved for those who fail other treatments for at least 6–12 months.

Keywords

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Abbreviations

ABI:

Autologous blood injection

CET:

Common extensor tendon

CFPT:

Common flexor-pronator tendon

CSI:

Corticosteroid injection

ESWT:

Extracorporeal shock wave therapy

NSAID:

Non-steroidal anti-inflammatory drug

PIN:

Posterior interosseous nerve

PNE:

Percutaneous needle electrolysis

PNT:

Percutaneous needle tenotomy

PRP:

Platelet-rich plasma

PrT:

Prolotherapy

PUT:

Percutaneous ultrasonic tenotomy

RTL:

Radiofrequency thermal lesioning

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Schroeder, A., Onishi, K., Joshua Szabo, S. (2021). Common Extensor Tendon/Common Flexor Tendon. In: Onishi, K., Fredericson, M., Dragoo, J.L. (eds) Tendinopathy. Springer, Cham. https://doi.org/10.1007/978-3-030-65335-4_5

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