Autologous blood and platelet-rich plasma injection therapy for lateral elbow pain

The anconeus muscle is a small and minor functioning muscle located at the posterolateral elbow region. It helps forearm extension and tightening of the joint capsule. Despite its limited functions, pathologies of the anconeus muscle can mimic other abnormalities of the elbow joint. Here, we report a rare case of a traumatic anconeus muscle contusion in a 15-year-old boy due to falling during dance. MRI showed contusion in the anconeus muscle, as well as strain in the ulnar collateral ligament and edema in the coronoid process of the ulna. To our knowledge, this is the first described case of traumatic anconeus muscle contusion in the literature. The presence of long-lasting lateral elbow pain in trauma cases without fracture should alert clinicians to consider anconeus muscle abnormalities. MRI is the best modality for diagnosis in these cases.

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Lateral Elbow Pain

Elective Hand Surgery ◽

10.1142/9789814277884_0009 ◽

2011 ◽

pp. 341-351

Author(s):

C. Camps

Keyword(s):

Elbow Pain ◽

Lateral Elbow Pain ◽

Lateral Elbow

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The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral Epicondylitis: a systematic review and meta-analysis

Archives of Physiotherapy ◽

10.1186/s40945-019-0063-6 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 3

Author(s):

Julie Barnett ◽

Madison N. Bernacki ◽

Jessica L. Kainer ◽

Hannah N. Smith ◽

Annette M. Zaharoff ◽

...

Keyword(s):

English Language ◽

Platelet Rich Plasma ◽

Meta Analysis ◽

Functional Limitations ◽

Autologous Blood ◽

Lateral Epicondylitis ◽

Risk Of Bias ◽

Injection Therapy ◽

Lateral Epicondyle

Abstract Background The lateral epicondyle is a common site for chronic tendinosis (i.e. lateral epicondylitis), a condition characterized by overuse and degeneration of a tendon due to repeated microtrauma. This leads to pain and functional limitations. There is a growing interest in non-surgical forms of treatment for this condition including provision of corticosteroid injections and regenerative injection therapy (provision of autologous blood and platelet rich plasma injections). Objective We compared the effectiveness of corticosteroids with regenerative injection therapy for the treatment of lateral epicondylitis. Methods We systematically reviewed randomized controlled trials published in English language from 2008 to 2018. Databases used included PEDro, Scopus, PubMed, and CINAHL. Nine articles met our selection criteria. The PEDRo scale scores helped assess study quality. Cochrane risk of bias criteria helped assess bias. We analyzed results focusing on pain and function using meta-analyses. Results Six out of 9 studies had low risk of bias. There were no short-term (1 and 2 month) differences in pain scores between the corticosteroid and regenerative injection groups. Participants receiving regenerative injections demonstrated greater long-term improvements lasting for a period of ≈2 years. Conclusion Regenerative injections provision results in greater long–term pain relief and improved function for people with lateral epicondylitis.

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