Can Fam Physician. 1983 Nov;29:2177-81.
Tennis elbow, or pain on the lateral side of the elbow, is a common condition. We have seen 67 patients with tennis elbow in the past five years. Of these, 53 (79.1%) found relief from pain with conservative treatment, which usually consisted of one or more injections of local anesthetic and steroid. Fourteen patients (20.9%) required surgery to lengthen the radial wrist extensors, which gave relief from pain to 93% of them. The family physician can provide conservative treatment. Only resistant cases need referral to an orthopedic surgeon for corrective surgery or for more complicated surgery, which involves resecting the lateral epicondyle and freeing the attachment of the extensor muscles at the elbow.
网球肘,或肘部外侧疼痛,是一种常见的病症。在过去的五年中,我们诊治了 67 例网球肘患者。其中,53 例(79.1%)经保守治疗(通常包括 1 次或多次局部麻醉和皮质类固醇注射)后疼痛缓解。14 例(20.9%)需要手术延长桡侧腕伸肌,术后 93%的患者疼痛缓解。家庭医生可以提供保守治疗。只有顽固性病例需要转诊给矫形外科医生进行矫形手术或更复杂的手术,包括切除外侧髁和松解肘部伸肌的附着点。