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IP International Journal of Orthopaedic Rheumatology


Comparative analysis of functional outcome between commonly available modalities of treatment in Tennis Elbow patients


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Author Details: Vijay Vasant Nemade, Suyog Prakash Burgute, Punarvasu Rajeev Jagtap, Ganesh Tanaji Mundhe

Volume : 2

Issue : 1

Online ISSN : 2581-9151

Print ISSN : 2581-8112

Article First Page : 28

Article End Page : 32


Abstract

Introduction: Tennis Elbow is very common condition and affects approximately 1% to 3% of the population and is more common (affecting 15%) in individuals involved in repeated forceful activities with forearm. Various methods have been advocated for the treatment of Tennis elbow with variable success. The aim of this study was to compare the functional outcome of commonly available modalities of treatment in patients with Tennis elbow.
Methods: 163 Patients diagnosed as Tennis elbow and treated at our institute between July 2013 to February 2015 and those who were followed up in Out Patient Department or on telephone up to February 2016 were retrospectively studied. All patients with a new episode of Tennis elbow were included in the study. Patients with polyarthritis, arthritis of the Elbow, previous fracture of the elbow and patients with neurological condition were excluded. 52 patients were treated with Local Injection of Corticosteroid, 58 patients were treated with Brace and 53 patients were treated with Local Ultrasound Therapy. All Patients were followed as per routine protocol and at each follow up visit functional assessment was done. The end point of the study was 1 year after completion of treatment. Overall success was defined as a 20% difference between treatment groups in the primary outcome measure. We compared groups with χ2 test.
Results: In all three groups patient characteristics were comparable. At the end of first week of treatment recovery or improvement was reported in 48 patients (92.3%) in the Injection group, 28 patients (48.2%) in the Brace group and 30 patients (56.6%) in the Local Ultrasound group. At second week Injection group was better than in the Local Ultrasound and Brace groups. After four weeks 4 (7.6%) patients in Injection Group complained of recurrence of pain, 11 (21%) patients complained of moderate pain during work and 8 patients complained of mild pain during work. Pain relief and average functional outcome of Local Ultrasound Group was better as compared to other two groups at 4 weeks follow up examination and thereafter till end point of the study.
Conclusions: Our results demonstrated Good Functional outcome in patients treated with Local Ultrasound Therapy and it was sustained over long period of time. Initial results in patients treated with Local Injection of Corticosteroid were better as compared to other modalities of treatment till first 4 weeks of follow up but they were not sustained over further follow up visits till one year.

Keywords:
Tennis Elbow, Local Ultrasound Therapy, Injection of Corticosteroid, Brace