Elbow tendinopathy: tennis elbow.
The pathoanatomy of overuse tendinopathy is noninflammatory angiofibroblastic tendinosis. The areas of elbow abnormality are specific, including the ECRB-EDC complex laterally, the pronator teres, flexor carpi radialis medially, and triceps posteriorly. The goals of nonoperative treatment are to revitalize the unhealthy pain-producing tendinosis tissue. The key to nonoperative treatment is rehabilitative resistance exercise with progression of the exercise program. If rehabilitation fails, the surgical interventions as described are highly successful.
Nirschl
Robert P
RP
Georgetown University Medical Center, 4000 Reservoir Road, Washington, DC 20057, USA. nirschl@erols.com
Ashman
Edward S
ES
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018771:Arthralgia / Q000145:classification / Q000209:etiology; D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D001915:Braces; D002648:Child; D006801:Humans; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods / Q000534:rehabilitation; D010147:Pain Measurement / Q000379:methods; D013716:Tennis Elbow / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome