Kivi P
Scand J Rehabil Med. 1983;15(1):37-41.
The etiology of humeral epicondylitis and three different conservative methods of treatment were prospectively studied during two years in patients visiting a large occupational health center. Eighty-eight workers, 50 male and 38 female, out of 7600 suffered from humeral epicondylitis. The annual incidence was 59 per 10 000 workers. The mean age was 43 years. The main cause (61.4%) of tennis elbow was over-exertion of the finger and wrist extensors in trained workers. Forty-seven patients were treated with local corticosteroid and anesthetic injections (beta-methasone + lidocaine), 20 patients with methylprednisolone injections and 21 patients with wrist immobilization in combination with indomethacin. The result of therapy was excellent or good in 82% of the cases after six months and in 90% after one year. No significant differences (p greater than 0.1) in results were observed between patients treated with different therapies. Two patients (2.3%) were operated on after conservative treatment had failed.
在一家大型职业健康中心，对肱骨外上髁炎的病因及三种不同的保守治疗方法进行了为期两年的前瞻性研究。在7600名工人中，有88名工人患肱骨外上髁炎，其中男性50名，女性38名。年发病率为每10000名工人中有59例。平均年龄为43岁。网球肘的主要原因（61.4%）是训练有素的工人手指和手腕伸肌过度劳累。47例患者接受了局部皮质类固醇和麻醉剂注射（倍他米松+利多卡因），20例患者接受了甲泼尼龙注射，21例患者采用手腕固定并联合吲哚美辛治疗。六个月后，82%的病例治疗结果为优或良，一年后为90%。不同治疗方法的患者之间在治疗结果上未观察到显著差异（p大于0.1）。两名患者（2.3%）在保守治疗失败后接受了手术。
