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Prednisolone (Meticortelone) in Treatment of Epicondylitis: Radiohumeral Bursitis and Radiohumeral Synovitis

Prednisolone (Meticortelone) in Treatment of Epicondylitis: Radiohumeral Bursitis and... Abstract Epicondylitis of the humerus is commonplace, and yet often misdiagnosed and subsequently mistreated. On this premise, the following study of 391 patients with this condition has been undertaken. Actually, the cause of this pathology is unknown, although direct trauma, repeated shearing movements of the upper extremity, etc., are often described as etiological factors. By way of contrast, the lateral epicondyle is involved in the vast majority of cases, and the medial epicondyle is only occasionally involved as the site of this malady. Tennis elbow, which is a rather hackneyed phrase, actually can be one of two types of pathology. The commoner type involves the common extensor tendon of the forearm at its origin on the lateral epicondyle of the humerus. This entity may be referred to by various titles, such as lateral epicondylitis, epicondylitis externa, and epicondylalgia (external). The more infrequent lesion involves structures with a synovial lining. There are References 1. Bosworth, D. M.: The Role of the Orbicular Ligament in Tennis Elbow , J. Bone & Joint Surg. 37-A:527, 1955. 2. Cyriax, J., and Troisier, O.: Hydrocortone and Soft-Tissue Lesions , British M. J. 2:966, 1953. 3. Cyriax, J. H.: Pathology and Treatment of Tennis Elbow , J. Bone & Joint Surg. 18:921, 1936. 4. Freeland, D. E., and Gribble, M. de G.: H ydrocortisone in Tennis Elbow , Lancet 2:225, 1954. 5. Furlong, R.: Tennis Elbow, Revision Corner , Practi tioner 171:320, 1953. 6. H ohmann: Das Wesen und die Behandlung das sogenannten Tennisellenbogens , Münch. med. Wchnschr. 80:250, 1933. 7. Hollander, J. L.: Intra-Articular Hydrocortisone in Arthritis and Allied Conditions , J. Bone & Joint Surg. 35-A:983, 1953. 8. Lahz, J. R. S.: Concerning the Pathology and Treatment of Tennis Elbow , M. J. Australia 2:737, 1947. 9. Maida, G. G.: The Painful Elbow , Indust. Med. 22:567, 1953. 10. Meherin, J. M., and Cooper, C. E.: Tennis Elbow , Am. J. Surg. 80:622, 1950. 11. Michele, A. A., and Krueger, F. J.: Lateral Epicondylitis of the Elbow Treated by Fasciotomy , Surgery 39:277, 1956. 12. Mills, G. P.: The Treatment of Tennis Elbow , Brit. M. J. 1:12, 1928. 13. Moore, M., Jr.: Radiohumeral Synovitis , A. M. A. Arch. Surg. 64:501, 1952. 14. Moore, M., Jr.: Symposium of Ambulant Surgery: Radiohumeral Synovitis, a Case of Persistent Elbow Pain , S. Clin. North America 33:1363, 1953. 15. Murley, A. H. G.: Tennis-Elbow Treated with Hydrocortisone Acetate , Lancet 2:223, 1954. 16. Osgood, R. B.: Radiohumeral Bursitis, Epicondylitis, Epicondylalgia, (Tennis Elbow) , Arch. Surg. 4:420, 1922. 17. Quin, C. E., and Binks, F. A.: Tennis-Elbow (Epicondylalgia Externa): Treatment with Hydrocortisone , Lancet 2:221, 1954. 18. Speed, J. S., and Smith, H., Editors: Campbell's Operative Orthopedics , Ed. 2, St. Louis, C. V. Mosby Company, 1949, p. 1258. 19. Spencer, G. E., Jr., and Herndon, C. H.: Surgical Treatment of Epicondylitis , J. Bone & Joint Surg. 35-A:421, 1953. 20. Stack, J. K.: Acute and Chronic Bursitis, in the Region of the Elbow , S. Clin. North America 29:155, 1949. 21. Stein, L.; Stein, R. O., and Beller, M. L.: Hydrocortisone (Adrenocortical Preparation) in Tennis Elbow , Am. J. Surg. 86:123, 1953. 22. Swenson, L. L.: Tennis Elbow , J. Michigan M. Soc. 48:997, 1949. 23. Young, H. H.; Ward, L. E., and Henderson, E. D.: The Use of Hydrocortisone (Compound F Acetate) in the Treatment of Some Common Orthopedic Conditions , J. Bone & Joint Surg. 36-A:602, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Prednisolone (Meticortelone) in Treatment of Epicondylitis: Radiohumeral Bursitis and Radiohumeral Synovitis

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320030136023
Publisher site
See Article on Publisher Site

Abstract

Abstract Epicondylitis of the humerus is commonplace, and yet often misdiagnosed and subsequently mistreated. On this premise, the following study of 391 patients with this condition has been undertaken. Actually, the cause of this pathology is unknown, although direct trauma, repeated shearing movements of the upper extremity, etc., are often described as etiological factors. By way of contrast, the lateral epicondyle is involved in the vast majority of cases, and the medial epicondyle is only occasionally involved as the site of this malady. Tennis elbow, which is a rather hackneyed phrase, actually can be one of two types of pathology. The commoner type involves the common extensor tendon of the forearm at its origin on the lateral epicondyle of the humerus. This entity may be referred to by various titles, such as lateral epicondylitis, epicondylitis externa, and epicondylalgia (external). The more infrequent lesion involves structures with a synovial lining. There are References 1. Bosworth, D. M.: The Role of the Orbicular Ligament in Tennis Elbow , J. Bone & Joint Surg. 37-A:527, 1955. 2. Cyriax, J., and Troisier, O.: Hydrocortone and Soft-Tissue Lesions , British M. J. 2:966, 1953. 3. Cyriax, J. H.: Pathology and Treatment of Tennis Elbow , J. Bone & Joint Surg. 18:921, 1936. 4. Freeland, D. E., and Gribble, M. de G.: H ydrocortisone in Tennis Elbow , Lancet 2:225, 1954. 5. Furlong, R.: Tennis Elbow, Revision Corner , Practi tioner 171:320, 1953. 6. H ohmann: Das Wesen und die Behandlung das sogenannten Tennisellenbogens , Münch. med. Wchnschr. 80:250, 1933. 7. Hollander, J. L.: Intra-Articular Hydrocortisone in Arthritis and Allied Conditions , J. Bone & Joint Surg. 35-A:983, 1953. 8. Lahz, J. R. S.: Concerning the Pathology and Treatment of Tennis Elbow , M. J. Australia 2:737, 1947. 9. Maida, G. G.: The Painful Elbow , Indust. Med. 22:567, 1953. 10. Meherin, J. M., and Cooper, C. E.: Tennis Elbow , Am. J. Surg. 80:622, 1950. 11. Michele, A. A., and Krueger, F. J.: Lateral Epicondylitis of the Elbow Treated by Fasciotomy , Surgery 39:277, 1956. 12. Mills, G. P.: The Treatment of Tennis Elbow , Brit. M. J. 1:12, 1928. 13. Moore, M., Jr.: Radiohumeral Synovitis , A. M. A. Arch. Surg. 64:501, 1952. 14. Moore, M., Jr.: Symposium of Ambulant Surgery: Radiohumeral Synovitis, a Case of Persistent Elbow Pain , S. Clin. North America 33:1363, 1953. 15. Murley, A. H. G.: Tennis-Elbow Treated with Hydrocortisone Acetate , Lancet 2:223, 1954. 16. Osgood, R. B.: Radiohumeral Bursitis, Epicondylitis, Epicondylalgia, (Tennis Elbow) , Arch. Surg. 4:420, 1922. 17. Quin, C. E., and Binks, F. A.: Tennis-Elbow (Epicondylalgia Externa): Treatment with Hydrocortisone , Lancet 2:221, 1954. 18. Speed, J. S., and Smith, H., Editors: Campbell's Operative Orthopedics , Ed. 2, St. Louis, C. V. Mosby Company, 1949, p. 1258. 19. Spencer, G. E., Jr., and Herndon, C. H.: Surgical Treatment of Epicondylitis , J. Bone & Joint Surg. 35-A:421, 1953. 20. Stack, J. K.: Acute and Chronic Bursitis, in the Region of the Elbow , S. Clin. North America 29:155, 1949. 21. Stein, L.; Stein, R. O., and Beller, M. L.: Hydrocortisone (Adrenocortical Preparation) in Tennis Elbow , Am. J. Surg. 86:123, 1953. 22. Swenson, L. L.: Tennis Elbow , J. Michigan M. Soc. 48:997, 1949. 23. Young, H. H.; Ward, L. E., and Henderson, E. D.: The Use of Hydrocortisone (Compound F Acetate) in the Treatment of Some Common Orthopedic Conditions , J. Bone & Joint Surg. 36-A:602, 1954.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1959

References