TY - JOUR
T1 - Injection of tennis elbow: Hit and miss? A cadaveric study of injection accuracy
AU - Keijsers, Renee
AU - van den Bekerom, Michel P. J.
AU - Koenraadt, Koen L. M.
AU - Bleys, Ronald L. A. W.
AU - van Dijk, C. Niek
AU - Eygendaal, Denise
AU - AUTHOR GROUP
AU - van Riet, Roger
AU - Middernacht, Bart
AU - Defoort, Saartje
AU - Wagener, Marc
AU - Harake, Ramzi
AU - Ciornohac, Jean-Florin
AU - Montarnal, Robert
AU - van Benthem, Yasmin
AU - Cattaneo, Stefano
AU - Faber, Dirk
AU - Galatz, Leesa
AU - Birkisson, Illugi
AU - van der Hoeven, Henk
AU - Witjes, Suzanne
AU - Heeren, M.
AU - Ahmed, El-Gammal
AU - Husif, N. N.
AU - Beumer, Annechien
AU - The, Bertram
PY - 2017
Y1 - 2017
N2 - Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE. After the injection, an arthroscopy and dissection of the elbow were performed. The injection technique and localization of acrylic paint were reported. Only a third of the injections were (partially) localized in the ECRB tendon; 60 % were localized intra-articular. Injections carried out manually for the treatment of LE are not accurate, resulting in the majority being localized intra-articular. For future research to the effect of injection therapy in the treatment of LE, it is important that injections should be performed in a reproducible and standardized way
AB - Different injection therapies are used in the treatment of lateral epicondylitis (LE). Usually, the extensor carpi radialis brevis (ECRB) tendon is affected. Therefore, an injection should be aimed at the origin of this tendon. This study demonstrates the accuracy of manual injections in the treatment of LE. Ten surgeons have injected a cadaver elbow with acrylic paint, using the same injection technique (i.e. number of perforations, amount of injected fluid) that they in daily practice would use in the treatment of LE. After the injection, an arthroscopy and dissection of the elbow were performed. The injection technique and localization of acrylic paint were reported. Only a third of the injections were (partially) localized in the ECRB tendon; 60 % were localized intra-articular. Injections carried out manually for the treatment of LE are not accurate, resulting in the majority being localized intra-articular. For future research to the effect of injection therapy in the treatment of LE, it is important that injections should be performed in a reproducible and standardized way
U2 - https://doi.org/10.1007/s00167-016-4212-0
DO - https://doi.org/10.1007/s00167-016-4212-0
M3 - Article
C2 - 27372804
SN - 0942-2056
VL - 25
SP - 2289
EP - 2292
JO - Knee surgery, sports traumatology, arthroscopy
JF - Knee surgery, sports traumatology, arthroscopy
IS - 7
ER -