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The Journal of Bone and Joint Surgery 80:142-4 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Nicola Maffulli, M.D., M.S., Ph.D., F.R.C.S.(Orth), Peter M. Binfield, F.R.C.S., John B. King, F.R.C.S., Carol C. Teitz, M.D., William E. Garrett, Jr., M.D., Ph.D., Anthony Miniaci, M.D., M. H. Lee, M.D. and Roger A. Mann, M.D.

TO THE EDITOR:

We read with interest the Instructional Course Lecture "Tendon Problems in Athletic Individuals" (79-A: 138–152, Jan. 1997), by Teitz et al. The authors should be congratulated for their overview of this subject. However, in general, we find that the evidence presented is very biased toward the American literature, and, with some notable exceptions, the scientific output from the other side of the Atlantic has not been considered. We disagree with several of the points raised by Teitz et al.

Our present practice and our scientific work indicate that lateral tendinopathy of the elbow, commonly known as tennis elbow, is not a homogeneous diagnosis7. We have shown that the pain, tenderness, and functional impairment seen with tennis elbow can be caused by several different lesions that at times are associated. With the use of real-time high-resolution ultrasonography, we were able to show that tennis elbow may be . . . [Full Text of this Article]


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