Orthopedic Surgery Department - Hand Unit, KU Leuven-University of Leuven, Leuven University Hospitals, Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
Department of Radiology, KU Leuven-University of Leuven, Leuven University Hospitals, Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
Hand Surg Rehabil. 2021 Jun;40(3):263-267. doi: 10.1016/j.hansur.2020.12.008. Epub 2021 Feb 23.
Lateral elbow pain caused by tendinopathy - tendinosis - or tennis elbow is a highly prevalent problem. Unfortunately, no treatment method can guarantee clinical success. Inspired by the lithotripsy technique used for kidney stones, extracorporeal shock wave therapy (ESWT) has been introduced as an alternative to surgical treatment 25 years ago. In a randomized prospective study, we compared 15 patients with lateral elbow tendinopathy who were operated and 14 who underwent ESWT. Almost all patients had good or excellent outcomes according to the criteria by Verhaar. Subjective improvement was 57% for the ESWT group and 76% for the surgery group. No significant differences between both groups were found (p = 0.07). We therefore recommend considering non-invasive techniques such as ESWT treatment prior to surgery in tennis elbow.
由肌腱病 - 肌腱变性 - 或网球肘引起的外侧肘部疼痛是一个非常普遍的问题。不幸的是，没有任何治疗方法可以保证临床成功。受用于肾结石的碎石术技术的启发，体外冲击波疗法（ESWT）在 25 年前被引入作为手术治疗的替代方法。在一项随机前瞻性研究中，我们比较了 15 例接受外侧肘部肌腱病手术治疗的患者和 14 例接受 ESWT 治疗的患者。根据 Verhaar 的标准，几乎所有患者的结果均为良好或优秀。ESWT 组的主观改善为 57%，手术组为 76%。两组之间没有发现显著差异（p=0.07）。因此，我们建议在网球肘手术前考虑 ESWT 等非侵入性治疗技术。
