This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by STAHL, S.
Right arrow Articles by KAUFMAN, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by STAHL, S.
Right arrow Articles by KAUFMAN, T.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 79:1648-52 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

The Efficacy of an Injection of Steroids for Medial Epicondylitis. A Prospective Study of Sixty Elbows*

SHALOM STAHL, M.D.{dagger} and TEDDY KAUFMAN, M.D.{dagger}, HAIFA, ISRAEL

Investigation performed at the Hand Surgery Unit and the Department of Plastic and Reconstructive Surgery, Rambam Medical Center, Haifa

We report the details of a prospective, randomized, double-blind study that was undertaken to analyze the short-term and long-term effects of the local injection of methylprednisolone to treat medial epicondylitis. Fifty-eight patients (sixty elbows) were assigned to receive a single injection of 1 per cent lidocaine with either forty milligrams of methylprednisolone (experimental group) or saline solution (control group); both groups were also managed with physical therapy and the use of non-steroidal anti-inflammatory drugs. The two groups were not significantly different with regard to the age and gender of the patients, the duration of the symptoms, the degree of pain before the injection, or the number of dominant upper limbs involved. Six weeks after the injection, the experimental group had significantly less pain than the control group (p < 0.03), as determined with a modification of the grading system of Nirschl and Pettrone. However, the groups did not differ with regard to pain at three months and at one year. The intensity of pain, as measured on a visual-analog scale, did not differ between the two groups six weeks and one year after the injection. We believe that the improvement observed in both groups primarily reflects the natural history of the disorder, and we conclude that the local injection of steroids provides only short-term benefits in the treatment of medial epicondylitis.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 Br. J. Sports. Med.Home page
S P Suresh, K E Ali, H Jones, D A Connell, D P Beall, and A. S Klauser
Medial epicondylitis: is ultrasound guided autologous blood injection an effective treatment? * Commentary * Commentary
Br. J. Sports Med., November 1, 2006; 40(11): 935 - 939.
[Abstract] [Full Text] [PDF]

Home page
 TraumaHome page
B. S. Bains and K. Porter
Lower limb tendinopathy in athletes
Trauma, October 1, 2006; 8(4): 213 - 224.
[Abstract] [PDF]

Home page
 Rheumatology (Oxford)Home page
J. D. Rees, A. M. Wilson, and R. L. Wolman
Current concepts in the management of tendon disorders
Rheumatology, May 1, 2006; 45(5): 508 - 521.
[Abstract] [Full Text] [PDF]

Home page
 BMJHome page
K M Khan, J L Cook, P Kannus, N Maffulli, and S F Bonar
Time to abandon the ""tendinitis"" myth
BMJ, March 16, 2002; 324(7338): 626 - 627.
[Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
F. S. Chen, A. S. Rokito, and F. W. Jobe
Medial Elbow Problems in the Overhead-Throwing Athlete
J. Am. Acad. Ortho. Surg., March 1, 2001; 9(2): 99 - 113.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
B. S. KRAUSHAAR and R. P. NIRSCHL
Current Concepts Review - Tendinosis of the Elbow (Tennis Elbow). Clinical Features and Findings of Histological, Immunohistochemical, and Electron Microscopy Studies
J. Bone Joint Surg. Am., February 1, 1999; 81(2): 259 - 78.
[Full Text]