Diagnostik und Therapie der Epikondylopathie am Ellenbogen

Die Epikondylopathie am Ellenbogen ist eine schmerzhafte Erkrankung aufgrund degenerativer Veränderungen am Ursprung der Handgelenkextensoren und -flexoren. Dieser Beitrag gibt einen Überblick über das diagnostische Vorgehen sowie die konservativen und operativen Therapieoptionen dieses die Lebensqualität der Patienten oft stark beeinträchtigenden Krankheitsbilds.

Schlüsselwörter

Epikondylitis - Epikondylopathie - Tennisellenbogen - Golferellenbogen - Diagnostik - Therapie

• Literatur

• 1 Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med 1992; 11: 851-870
• 2 Waseem M, Nuhmani S, Ram CS. et al. Lateral epicondylitis: a review of the literature. J Back Musculoskelet Rehabil 2012; 25: 131-142
• 3 Behrens SB, Deren ME, Matson AP. et al. A review of modern management of lateral epicondylitis. Phys Sportsmed 2012; 40: 34-40
• 4 Ahmad Z, Siddiqui N, Malik SS. et al. Lateral epicondylitis: a review of pathology and management. Bone Joint J 2013; 95-B: 1158-1164
• 5 DGOOC. S2k-Leitlinie Epicondylopathia radialis humeri. AWMF-Registernummer 033-019. 2019 https://www.awmf.org/uploads/tx_szleitlinien/033-019l_S2k_Epicondylopathia_radialis_humeri_2019-09.pdf (Stand 12.02.2021)
• 6 Baker Jr CL , Murphy KP, Gottlob CA. et al. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. Shoulder Elbow Surg 2000; 9: 475-482
• 7 Hackl M, Wegmann K, Ries C. et al. Reliability of Magnetic Resonance Imaging Signs of Posterolateral Rotatory Instability of the Elbow. J Hand Surg 2015; 40: 1428-1433
• 8 Lai WC, Erickson BJ, Mlynarek RA. et al. Chronic lateral epicondylitis: challenges and solutions. Open Access J Sports Med 2018; 9: 243-251
• 9 Smidt N, Assendelft W, Arola H. et al. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 2003; 35: 51-62
• 10 Lucado AM, Dale RB, Vincent J. et al. Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis. . J Hand Ther 2019; 32: 262-276
• 11 Sims SE, Miller K, Elfar JC. et al. Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials. Hand 2014; 9: 419-446
• 12 Hubbard TJ, Denegar CR. Does Cryotherapy Improve Outcomes With Soft Tissue Injury?. J Athl Train 2004; 39: 278-279
• 13 Trudel D, Duley J, Zastrow I. et al. Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther 2004; 17: 243-266
• 14 Wilhelm A. Lateral epicondylitis review and current concepts. J Hand Surg 2009; 34: 1358-1359 , author reply 1359–1360
• 15 Houck DA, Kraeutler MJ, Thornton LB. et al. Treatment of Lateral Epicondylitis With Autologous Blood, Platelet-Rich Plasma, or Corticosteroid Injections: A Systematic Review of Overlapping Meta-analyses. Orthop J Sports Med 2019; 7
• 16 Krogh TP, Bartels EM, Ellingsen T. et al. Comparative Effectiveness of Injection Therapies in Lateral Epicondylitis. Am J Sports Med 2012; 41: 1435-1446
• 17 Placzek R, Drescher W, Deuretzbacher G. et al. Treatment of Chronic Radial Epicondylitis with Botulinum Toxin A. J Bone Joint Surg Am 2007; 89: 255-260
• 18 Ozden R, Uruç V, Doğramaci Y. et al. Management of tennis elbow with topical glyceryl trinitrate. Acta Orthop Traumatol Turc 2014; 48: 175-180
• 19 Paoloni JA, Appleyard RC, Nelson J. et al. Topical Nitric Oxide Application in the Treatment of Chronic Extensor Tendinosis at the Elbow. Am J Sports Med 2003; 31: 915-920
• 20 Trinh KV, Phillips SD, Ho E. et al. Acupuncture for the alleviation of lateral epicondyle pain: a systematic review. Rheumatology 2004; 43: 1085-1090
• 21 Dingemanse R, Randsdorp M, Koes BW. et al. Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review. Br J Sports Med 2014; 48: 957-965
• 22 Nourbakhsh MR, Fearon FJ. An alternative approach to treating lateral epicondylitis. A randomized, placebo-controlled, double-blinded study. Clin Rehabil 2008; 22: 601-609
• 23 Trudel D, Duley J, Zastrow I. et al. Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther 2004; 17: 243-266
• 24 Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled single-blind study. Eura Medicophys 2005; 41: 17-25
• 25 Yang TH, Huang YC, Lau YC. et al. Efficacy of Radial Extracorporeal Shock Wave Therapy on Lateral Epicondylosis, and Changes in the Common Extensor Tendon Stiffness with Pretherapy and Posttherapy in Real-Time Sonoelastography. Am J Phys Med Rehabil 2017; 96: 93-100
• 26 Burn MB, Mitchell RJ, Liberman SR. et al. Open, Arthroscopic, and Percutaneous Surgical Treatment of Lateral Epicondylitis: A Systematic Review. Hand (N Y) 2018; 13: 264-274