Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, RI 02905, USA.
Phys Sportsmed. 2012 May;40(2):34-40. doi: 10.3810/psm.2012.05.1963.
Lateral epicondylitis, or tennis elbow, is the most common cause of elbow pain. This degenerative condition can manifest as an acute process lasting < 3 months or a chronic process often refractory to treatment. Symptom resolution occurs in 70% to 80% of patients within the first year. A "watch-and-wait" approach can be an appropriate treatment option, although physical therapy has been shown to be an effective first-line therapy. Corticosteroids, while providing relief of pain in the acute setting, may be detrimental to recovery in the long term. Platelet-rich plasma injections, although recently well publicized, have not been proven by well-controlled clinical trials to be effective therapy. For patients with symptoms refractory to conservative management, surgical intervention has shown to be a successful treatment modality.
外侧上髁炎，又称网球肘，是肘部疼痛最常见的原因。这种退行性疾病可表现为急性过程，持续时间<3 个月，或慢性过程，常对治疗有抗性。70%至 80%的患者在一年内症状可得到缓解。“观察和等待”方法是一种合适的治疗选择，尽管物理疗法已被证明是一种有效的一线治疗方法。皮质类固醇虽然可以缓解急性期的疼痛，但从长期来看可能不利于恢复。富含血小板的血浆注射，尽管最近广为人知，但尚未通过对照临床试验证实是有效的治疗方法。对于症状对保守治疗有抗性的患者，手术干预已被证明是一种成功的治疗方式。
