Abstract

Tennis elbow is the common term for lateral epicondylitis. This disorder, recognized since the 19th century during which the game of tennis evolved, results from the repetitive trauma sustained in the extensor carpi radialis brevis tendon at the lateral epicondyle. Histologically, the tissue changes have been termed fibroangioplastic hyperplasia (7). This occurs from increased load forces sustained from improper biomechanical techniques. The conservative management technique is highly successful with complete healing rates around 92 and requires about six to eight weeks to complete the healing process. The treatment regimen consists of 1) ice, 2) anti-inflammatory agents, 3) rest, 4) exercise to prevent detraining of the body, 5) progressive resistive exercise for the injured elbow, 6) equipment changes/modifications, and 7) biomechanical technique changes. If the player has not responded to the above regimen, then either an infiltration of a corticosteroid into the tendon area or surgery is needed. However, the surgical treatment requires a much longer period for healing and rehabilitation (greater than 3 months). Tennis elbow can be effectively treated and cured, but the best way to treat this pathologic state is with proper prevention. Verf.-Referat