Karabinov Vesselin, Georgiev Georgi P
Clinic of Neurology, National Cardiology Hospital, Sofia 1000, Bulgaria.
Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia 1527, Bulgaria.
World J Orthop. 2022 Apr 18;13(4):354-364. doi: 10.5312/wjo.v13.i4.354.
Lateral epicondylitis (LE) is a chronic aseptic inflammatory condition caused by repetitive microtrauma and excessive overload of the extensor carpi radialis brevis muscle. This is the most common cause of musculoskeletal pain syndrome in the elbow, inducing significant pain and limitation of the function of the upper limb. It affects approximately 1-3% of the population and is frequently seen in racquet sports and sports associated with functional overload of the elbow, such as tennis, squash, gymnastics, acrobatics, fitness, and weight lifting. Typewriters, artists, musicians, electricians, mechanics, and other professions requiring frequent repetitive movements in the elbow and wrists are also affected. LE is a leading causation for absence from work and lower sport results in athletes. The treatment includes a variety of conservative measures, but if those fail, surgery is indicated. This review summarizes the knowledge about this disease, focusing on risk factors, expected course, prognosis, and conservative and surgical treatment approaches.
外侧肱骨髁炎（LE）是一种由桡侧腕短伸肌反复微小创伤和过度负荷引起的慢性无菌性炎症。这是肘部肌肉骨骼疼痛综合征最常见的病因，会导致上肢出现明显疼痛和功能受限。它影响约1%至3%的人群，常见于网球、壁球、体操、杂技、健身和举重等球拍运动以及与肘部功能负荷过重相关的运动中。打字员、艺术家、音乐家、电工、机械师以及其他需要肘部和手腕频繁重复动作的职业也会受到影响。外侧肱骨髁炎是导致运动员缺勤和运动成绩下降的主要原因。治疗方法包括多种保守措施，但如果这些措施无效，则需进行手术。本综述总结了关于这种疾病的知识，重点关注危险因素、预期病程、预后以及保守和手术治疗方法。
