Abstract
Although the signs and symptoms of #Lateral Elbow Tendinopathy (LET)
are clear and its diagnosis is easy, to date, no ideal treatment has
emerged. It is important to understand why it has proved difficult for
previous workers to establish effective treatments for LET. This may be
due to the difficulty of establishing nomenclature, #pathophysiology,
etiology, epidemiology, diagnosis and conservative treatment of the
condition. A cursory search through existing literature reveals a plethora of terms
that have been used to describe LET. These include (i) tennis elbow
(TE), (ii) extensor tendonitis, (iii) #extensor tendinosis, (iv) extensor
tendinopathy, (v) #lateral epicondylalgia, (vi) lateral epicondylitis
and (vii) LET. However, it was the description of hypothetical condition
by Morris of “lawn tennis arm” in 1882 that instigated the use of the
term LET in medicine. LET seems to be the most appropriate term to use
in clinical practice because all the other terms such as lateral
#epicondylitis, lateral epicondylalgia, lateral epicondylosis and/or
tennis elbow make reference to inappropriate aetiological, anatomical
and pathophysiological terms [1].Considerable confusion concerning the actual location of LET has existed
since the introduction of the term about a century and a half ago. The
exact location of the #pathophysiological changes was unknown for
decades, since many structures around the elbow- the tendons of the
wrist extensor muscles and possibly the anconeous muscle, the bursae,
the radial collateral and annual ligament, the radiohumeral synovial
fringe, the radiohumeral joint, the radial head and radial nerve - have
been described in the pathogenesis of LET based on theoretical
hypotheses and mechanisms through clinical examination and diagnosis
[2].
For more Regenerative Diseases Articles on BJSTR
The Difficulty of Establishing Effective Treatments for Lateral Elbow Tendinopathy by Stasinopoulos Dimitrios in BJSTR
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