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J Am Acad Orthop Surg, Vol 16, No 1, January 2008, 19-29.
© 2008 the American Academy of Orthopaedic Surgeons
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Management of Lateral Epicondylitis: Current Concepts

Ryan P. Calfee, MD, Amar Patel, MD, Manuel F. DaSilva, MD and Edward Akelman, MD

Dr. Calfee is Fellow, Mary S. Stern Hand Fellowship, Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH. Dr. Patel is Fellow, Department of Orthopaedic Surgery, Brown University School of Medicine, Providence, RI. Dr. DaSilva is Clinical Assistant Professor, Department of Orthopaedic Surgery/Division of Hand, Upper Extremity and Microvascular Surgery, Brown University School of Medicine. Dr. Akelman is Professor and Vice Chair of Orthopaedic Surgery, Department of Orthopaedic Surgery/Division of Hand, Upper Extremity and Microvascular Surgery, Brown University School of Medicine.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Calfee, Dr. Patel, Dr. DaSilva, and Dr. Akelman.

Reprint requests: Dr. Akelman, University Orthopedics, Suite 200, 2 Dudley Street, Providence, RI 02905.

Lateral epicondylitis, or tennis elbow, is a common cause of elbow pain in the general population. Traditionally, lateral epicondylitis has been attributed to degeneration of the extensor carpi radialis brevis origin, although the underlying collateral ligamentous complex and joint capsule also have been implicated. Nonsurgical treatment, the mainstay of management, involves a myriad of options, including rest, nonsteroidal anti-inflammatory drugs, physical therapy, cortisone, blood and botulinum toxin injections, supportive forearm bracing, and local modalities. For patients with recalcitrant disease, the traditional open débridement technique has been modified by multiple surgeons, with others relying on arthroscopic or even percutaneous procedures. Without a standard protocol (nonsurgical or surgical), surgeons need to keep abreast of established and evolving treatment options to effectively treat patients with lateral epicondylitis.






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Copyright © 2008 by the American Academy of Orthopaedic Surgeons.