Treatment of lateral epicondilitis using three different local injection modalities: a randomized prospective clinical trial

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dc.contributor.authorDogramaci, Yunus
dc.contributor.authorKalacı, Aydıner
dc.contributor.authorSavas, Nazan
dc.contributor.authorDuman, I. Gokhan
dc.contributor.authorYanat, A. Nedim
dc.date.accessioned2024-09-18T20:29:30Z
dc.date.available2024-09-18T20:29:30Z
dc.date.issued2009
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractTo determine the effectiveness of three different local injection modalities in the treatment of lateral epicondilitis. In a prospective randomized study on lateral epicondilitis, 75 patients were divided into three equal groups A, B and C (n = 25) and were treated using three different method of local injection. The patients in group A were treated with local injection of a steroid (1 mL triamcinolone) combined with local anaesthetic (1 mL lidocaine), those in group B were treated with injection of local anaesthetic (1 mL lidocaine) combined with peppering technique and those in group C with local injection of a steroid (1 mL triamcinolone) combined with local anaesthetic (1 mL lidocaine) and peppering technique. The outcome was defined by measuring the elbow pain during the activity using a 10-cm visual analogue scale (VAS) and satisfaction with the treatment using a scoring system based on the criteria of the Verhaar et al. at 3 weeks and 6 months after the injection and compared with the pre-treatment condition. There were significant (P = 0.006) differences in the successful outcomes between the three groups at 6 months. In group C in which local steroid + peppering injection technique were used; excellent results were obtained in 84% of patients comparing to 36% and 48% for patients in groups A and B, respectively. The successful outcomes were statistically higher in group C comparing to group A (P = 0.002) and group B (P = 0.011). In all groups, there was a significantly lower pain (VAS) at the 3-week and 6-month follow-ups comparing to the pre-treatment condition. VAS measured at 6-month follow-up were significantly lower in group C comparing to other groups (P = 0.002). In the treatment of lateral epicondilitis, combination of corticosteroid injections with peppering is more effective than corticosteroid injections or peppering injections alone and produces better clinical results.en_US
dc.identifier.doi10.1007/s00402-009-0832-x
dc.identifier.endpage1414en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue10en_US
dc.identifier.pmid19219442en_US
dc.identifier.scopus2-s2.0-69249235770en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1409en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-009-0832-x
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10887
dc.identifier.volume129en_US
dc.identifier.wosWOS:000269181100017en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLateral epicondilitisen_US
dc.subjectLocal injection treatmenten_US
dc.subjectSteroiden_US
dc.subjectPeppering injection techniqueen_US
dc.titleTreatment of lateral epicondilitis using three different local injection modalities: a randomized prospective clinical trialen_US
dc.typeArticleen_US

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