Heyd R, Schopohl B, Kirchner J, Strassmann G, Böttcher H D
Abteilung für Strahlentherapie und Onkologie, Johann-Wolfgang-Goethe-Universität Frankfurt/Main.
Dtsch Med Wochenschr. 1997 Feb 28;122(9):247-52. doi: 10.1055/s-2008-1047604.
To assess the efficacy of radiotherapy in alleviating pain at rest and on exercise in tennis elbow (humeral epicondylitis).
45 elbow joints in 41 patients were radiated with a telecobalt unit in six sessions at a dose of 1.0 Gy each spread over 3 weeks. Indication for this treatment was pain in the elbow joint at rest, on pressure and on exercise. The patients were re-assessed after a mean follow-up period of 7.5 weeks. They were graded into one of five groups on the basis of their own assessment. Pain on exercise was determined by the Thompson hand-grip, chair test, forced extension and middle-finger stretch test.
Satisfactory analgesia was achieved in 31 of 45 elbow joints (68.9%). About 50% of patients still had objectifiable pain on exercise.
Radiotherapy is a highly efficacious means of pain alleviation in tennis elbow, but the results are better for pain at rest than on exercise. The Thompson hand-grip and chair test, positive in more than 90% of patients, proved to be reliable criteria to assess the indications for radiotherapy and its results.
评估放射治疗缓解网球肘（肱骨外上髁炎）静息痛和运动痛的疗效。
41例患者的45个肘关节接受远距离钴治疗机照射，分6次进行，每次剂量1.0 Gy，共3周。治疗指征为肘关节静息痛、压痛和运动痛。平均随访7.5周后对患者进行重新评估。根据患者自身评估将其分为五组之一。通过汤普森握力试验、椅子试验、强迫伸展试验和中指伸展试验确定运动痛。
45个肘关节中有31个（68.9%）实现了满意的镇痛效果。约50%的患者运动时仍有可客观评估的疼痛。
放射治疗是缓解网球肘疼痛的一种高效方法，但对静息痛的效果比对运动痛的效果更好。汤普森握力试验和椅子试验在90%以上的患者中呈阳性，被证明是评估放射治疗指征及其效果的可靠标准。
