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Title: | Standardised Tendon Fenestration with ITEC-Technique for Lateral Epicondylosis with Injection of Betamethasone versus Autologous Blood | Authors: | DIERICKX, Carl Goorens, Chul Ki Bellemans, Laura Goossens, Elise Mentens, Xante Paulussen, Jolien |
Issue Date: | 2023 | Publisher: | WORLD SCIENTIFIC PUBL CO PTE LTD | Source: | JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME, 28 (01) , p. 45 -52 | Abstract: | Background: Infiltration is one of the treatment options for lateral epicondylosis, a degenerative process in the tendon of the musculus extensor carpi radialis brevis. The aim of this study was to evaluate the clinical outcome of a standardised fenestration technique, the Instant Tennis Elbow Cure (ITEC) technique, with injection of betamethasone versus autologous blood.Methods: A prospective comparative study was performed. Twenty-eight patients received an infiltration with 1 mL betamethasone, in combination with 1 mL 2% lidocaine. Twenty-eight patients received an infiltration with 2 mL autologous blood. Both infiltrations were administered using the ITEC-technique. The patients were evaluated at baseline, 6 weeks, 3 months and 6 months using Visual Analogue Scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE) and Nirschl staging.Results: At the 6-week follow-up, the corticosteroid group showed significantly better results for VAS. At the 3-month follow-up, no significant differences were observed for all three scores. At the 6-monthfollow-up, the autologous blood group showed significantly better results for all three scores.Conclusions: Standardised fenestration using the ITEC-technique with corticosteroid infiltration is more effective in reducing pain at the 6-week follow-up. At the 6-month follow-up, the use of autologous blood is more effective in pain reduction and functional recovery. | Notes: | Dierickx, C (corresponding author), Jessa Ziekenhuis, Hasselt, Belgium.; Dierickx, C (corresponding author), Univ Hasselt, Hasselt, Belgium. chmadierickx@gmail.com |
Keywords: | Tennis elbow;ITEC;Autologous blood;Corticosteroid;Infiltration | Document URI: | http://hdl.handle.net/1942/39833 | ISSN: | 2424-8355 | e-ISSN: | 2424-8363 | DOI: | 10.1142/S2424835523500078 | ISI #: | 000940214100007 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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