Jensen B, Bliddal H, Danneskiold-Samsøe B
H:S Frederiksberg Hospital, Parker Instituttet, reumatologisk klinik.
Ugeskr Laeger. 2001 Mar 5;163(10):1427-31.
Many therapeutic interventions have been used in the treatment of lateral epicondylitis (LE), but to date, no specific intervention has proved universally efficacious. The aim of this study was to compare local corticosteroid injections versus splinting in a randomized controlled design.
Sixteen patients were treated with injections, and fourteen with a wrist splint. The patients were evaluated at inclusion and after six weeks with grip strength and pain scores. The patient's global assessment was used as a main indicator of improvement.
No differences were noticed between the two groups. Most patients improved. A questionnaire after > 1 year showed that some patients still had pain complaints.
We conclude that injections were as effective as splinting in LE. Splinting is recommended in the early stages of the disorder because of its lack of adverse effects. In the long view diagnostics regarding LE have to be refined in order to differentiate patients who are expected to benefit from different treatments.
许多治疗干预措施已被用于治疗外侧上髁炎（LE），但迄今为止，尚无特定干预措施被证明普遍有效。本研究的目的是在随机对照设计中比较局部皮质类固醇注射与夹板固定的效果。
16例患者接受注射治疗，14例患者使用腕部夹板。在纳入时和六周后对患者进行握力和疼痛评分评估。患者的整体评估被用作改善的主要指标。
两组之间未发现差异。大多数患者病情有所改善。一年后的问卷调查显示，一些患者仍有疼痛主诉。
我们得出结论，在外侧上髁炎的治疗中，注射与夹板固定效果相同。由于夹板固定没有不良反应，因此在疾病早期推荐使用。从长远来看，必须改进外侧上髁炎的诊断方法，以便区分哪些患者可能从不同治疗中受益。
