Summary
Tennis elbow occurs as a result of repetitive microtrauma to the musculotendinous unit causing inflammatory and degenerative tissue damage. A good understanding of the aetiology and pathoanatomy will aid the clinician in preventing and recognising this condition. Early recognition with a quality rehabilitation programme, and the judicious use of surgical intervention usually results in full recovery and excellent functional outcomes.
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References
Major HP. Lawn tennis elbow. BMJ 1883; 2: 557
Allman F, Nirschl R, Plagenhoef S, et al. Tennis elbow: who’s most likely to get it and how. Physician Sports Med 1975; 3: 43–58
Leach R, Miller J. Lateral and medial epicondylitis of the elbow. Clin Sports Med 1987; 6: 59–72
Nirschl R. Soft tissue injuries about the elbow. Clin Sports Med 1988; 637–52
Nirschl R. Tennis elbow. Orthop Clin North Am 1973; 4: 78
Nirschl R. Tennis injuries. In: Nicholos J, Hirshman E, editors. The upper extremity in sports medicine. St Louis (MO): Mosby, 1990: 827–42
Ollivierre CO, Nirschl RP, Pettrone FA. Resection and repair for medial tennis elbow — a prospective analysis. Am J Sports Med 1995; 23: 214–21
Nirschl RP, Pettrone FA. Tennis elbow: the surgical treatment of lateral epicondylitis. J Bone Joint Surg Am 1979; 61: 832–9
Kaplan EB. Treatment of elbow (epicondylitis) by denervation. J Bone Joint Surg Am 1959; 41: 147–51
O’Connor FG, Ollivierre CO, Nirschl RP. Elbow and forearm injuries. In: Lillegand WA, Rucker, KS, editors. Handbook of sports medicine. Boston: Andover Medical Publishers, 1993: 99–110
O’Connor FG, Wilder RP, Sobel JR. Overuse injuries of the elbow. J Back Musculoskel Rehabil 1994; 4: 17–30
Herring SA, Nilson KL. Introduction to overuse injuries. Clin Sports Med 1987; 6: 225–39
Vagness Jr CT, Jobe FW. Surgical treatment of medial epicondylitis — results in 35 elbows. J Bone Joint Surg Br 1991; 73: 409–11
O’Connor FG, Sobel JR, Nirschl RP. Five-step treatment for overuse injuries. Physician Sports Med 1992; 20: 128–42
Price R, Sinclair H, Heinrich I, et al. Local injection treatment of tennis elbow: hydrocortisone, triamcinolone and lignocaine compared. Br J Rheumatol 1991; 30: 39–44
Sobel J, Pettrone F, Nirschl R. Prevention and rehabilitation of racquet sports injuries. In: Nicholas J, Hershman E, editors. The upper extremity in sports medicine. St Louis (MO): Mosby, 1990: 843–60
Sobel JR, Nirschl RP. Conservative treatment of tennis elbow. Physician Sports Med 1981; 9: 42
Groppel JL, Nirschl RP. A mechanical and electromyographical analysis of the effects of various joint counterforce braces on the tennis player. Am J Sports Med 1986; 14: 195–200
Snyder-Mackler L, Epler M. Effect of standard and air cast tennis elbow bands on integrated electromyography of forearm extensor musculature proximal to the bands. Am J Sports Med 1989 17: 278–81
McKeag DB. Criteria for return to competition after musculoskeletal injury. In: Cantu RC, Micheli LJ, editors. ACSM’s guidelines for the team physician. Philadelphia: Lea and Febiger, 1991: 196–204
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Ollivierre, C.O., Nirschl, R.P. Tennis Elbow. Sports Med 22, 133–139 (1996). https://doi.org/10.2165/00007256-199622020-00006
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DOI: https://doi.org/10.2165/00007256-199622020-00006