Centre for Evidence Based Hand Surgery

 HandSRev


Lateral & medial epicondylitis/tendinopathy

 

 

GUIDELINES

NICE Interventional procedures guidance [IPG313] - Extracorporeal shockwave therapy for refractory tennis elbow

NICE Interventional procedures guidance [IPG438] - Autologous blood injection for tendinopathy

ACOEM practice guidelines: elbow disorders.
Hegmann KT, Hoffman HE, Belcourt RM, Byrne K, Glass L, Melhorn JM, Richman J, Zinni P 3rd, Thiese MS, Ott U, Tokita K, Passey DG, Effiong AC, Robbins RB, Ording JA; American College of Occupational and Environmental Medicine.
J Occup Environ Med. 2013 Nov;55(11):1365-74. doi: 10.1097/JOM.0b013e3182a0d7ec.

 
General

Patient-centred outcomes in lateral elbow tendinopathy: A systematic review of available evidence in UK populations.
Evans JP, Smith C, Porter I, Gangannagaripalli J, Goodwin V, Valderas J.
Shoulder Elbow. 2019 Dec;11(6):440-449. Epub 2018 Aug 16.

Assessing patient-centred outcomes in lateral elbow tendinopathy: A systematic review and standardised comparison of English language clinical rating systems.
Evans JP, Porter I, Gangannagaripalli JB, Bramwell C, Davey A, Smith CD, Fine N, Goodwin VA, Valderas JM.
Sports Med Open. 2019 Mar 20;5(1):10. doi: 10.1186/s40798-019-0183-2.

Sensory and motor deficits exist on the non-injured side of patients with unilateral tendon pain and disability--implications for central nervous system involvement: a systematic review with meta-analysis.
Heales LJ, Lim EC, Hodges PW, Vicenzino B.
Br J Sports Med. 2014 Oct;48(19):1400-6. doi: 10.1136/bjsports-2013-092535. Epub 2013 Oct 21.

Tennis elbow.
Bisset L, Coombes B, Vicenzino B.
BMJ Clin Evid. 2011 Jun 27;2011. pii: 1117.

 
Epidemiology

Systematic review of elbow instability in association with refractory lateral epicondylitis: Myth or fact?
Kholinne E, Liu H, Kim H, Kwak JM, Koh KH, Jeon IH.
Am J Sports Med. 2021 Jan 12:363546520980133. doi: 10.1177/0363546520980133. Online ahead of print.

Sensory processing in people with and without tendinopathy: A systematic review with meta-analysis of local, regional, and remote sites in upper- and lower-limb conditions.
Rio E, Sandler J, Cheng K, Moseley GL, Cook J, Girdwood M.
J Orthop Sports Phys Ther. 2021 Jan;51(1):12-26. doi: 10.2519/jospt.2021.9417.

Risk factors of lateral epicondylitis: A meta-analysis.
Sayampanathan AA, Basha M, Mitra AK.
Surgeon. 2019 Sep 19. pii: S1479-666X(19)30109-X. doi: 10.1016/j.surge.2019.08.003. [Epub ahead of print]

Forearm muscle activity in lateral epicondylalgia: a systematic review with quantitative analysis.
Heales LJ, Bergin MJ, Vicenzino B, Hodges PW.
Sports Med. 2016 Dec;46(12):1833-1845.

Association of psychological variables and outcome in tendinopathy: a systematic review.
Mallows A, Debenham J, Walker T, Littlewood C.
Br J Sports Med. 2017 May;51(9):743-748. doi: 10.1136/bjsports-2016-096154. Epub 2016 Nov 16.

Lateral epicondylitis and physical exposure at work? A review of prospective studies and meta-analysis.
Descatha A, Albo F, Leclerc A, Carton M, Godeau D, Roquelaure Y, Petit A, Aublet-Cuvelier A.
Arthritis Care Res (Hoboken). 2016 Nov;68(11):1681-1687. doi: 10.1002/acr.22874.

Obesity as a risk factor for tendinopathy: a systematic review.
Franceschi F, Papalia R, Paciotti M, Franceschetti E, Di Martino A, Maffulli N, Denaro V.
Int J Endocrinol. 2014;2014:670262. doi: 10.1155/2014/670262. Epub 2014 Aug 19.

 
Diagnosis

Physical examination of the elbow, what is the evidence? A systematic literature review.
Zwerus EL, Somford MP, Maissan F, Heisen J, Eygendaal D, van den Bekerom MP.
Br J Sports Med. 2018 Oct;52(19):1253-1260. doi: 10.1136/bjsports-2016-096712. Epub 2017 Mar 1.

The diagnostic test accuracy of ultrasound for the detection of lateral epicondylitis: a systematic review and meta-analysis.
Latham SK, Smith TO.
Orthop Traumatol Surg Res. 2014 May;100(3):281-6. doi: 10.1016/j.otsr.2014.01.006. Epub 2014 Apr 4.

The diagnostic validity of musculoskeletal ultrasound in lateral epicondylalgia: a systematic review.
Dones VC 3rd, Grimmer K, Thoirs K, Suarez CG, Luker J.
BMC Med Imaging. 2014 Mar 3;14:10. doi: 10.1186/1471-2342-14-10.

 
Treatments - surgical

Surgery for lateral elbow pain.
Buchbinder R, Johnston RV, Barnsley L, Assendelft WJ, Bell SN, Smidt N.
Cochrane Database Syst Rev. 2011 Mar 16;(3):CD003525. doi: 10.1002/14651858.CD003525.pub2.

Systematic review of elbow instability in association with refractory lateral epicondylitis: Myth or fact?
Kholinne E, Liu H, Kim H, Kwak JM, Koh KH, Jeon IH.
Am J Sports Med. 2021 Jan 12:363546520980133. doi: 10.1177/0363546520980133. Online ahead of print.

Comparison of arthroscopic debridement and open debridement in the management of lateral epicondylitis: A systematic review and meta-analysis.
Wang W, Chen J, Lou J, Shentu G, Xu G.
Medicine (Baltimore). 2019 Nov;98(44):e17668. doi: 10.1097/MD.0000000000017668.

How does surgery compare to sham surgery or physiotherapy as a treatment for tendinopathy? A systematic review of randomised trials.
Challoumas D, Clifford C, Kirwan P, Millar NL.
BMJ Open Sport Exerc Med. 2019 Apr 24;5(1):e000528. doi: 10.1136/bmjsem-2019-000528. eCollection 2019.

Clinical outcomes of open versus arthroscopic surgery for lateral epicondylitis, evidence from a systematic review.
Moradi A, Pasdar P, Mehrad-Majd H, Ebrahimzadeh MH.
Arch Bone Jt Surg. 2019 Mar;7(2):91-104.

Surgery for tennis elbow: a systematic review.
Bateman M, Littlewood C, Rawson B, Tambe AA.
Shoulder Elbow. 2019 Feb;11(1):35-44. doi: 10.1177/1758573217745041. Epub 2017 Dec 11.

Open vs percutaneous vs arthroscopic surgical treatment of lateral epicondylitis: An updated systematic review.
Riff AJ, Saltzman BM, Cvetanovich G, Frank JM, Hemu MR, Wysocki RW.
Am J Orthop (Belle Mead NJ). 2018 Jun;47(6). doi: 10.12788/ajo.2018.0043.

Open, arthroscopic, and percutaneous surgical treatment of lateral epicondylitis: A systematic review.
Burn MB, Mitchell RJ, Liberman SR, Lintner DM, Harris JD, McCulloch PC.
Hand (N Y). 2017 Mar 1:1558944717701244. doi: 10.1177/1558944717701244. [Epub ahead of print]

A systematic review of tennis elbow surgery: Open versus arthroscopic versus percutaneous release of the common extensor origin.
Pierce TP, Issa K, Gilbert BT, Hanley B, Festa A, McInerney VK, Scillia AJ.
Arthroscopy. 2017 Jun;33(6):1260-1268.e2. doi: 10.1016/j.arthro.2017.01.042. Epub 2017 Apr 12.

Percutaneous needle tenotomy for the treatment of lateral epicondylitis: A systematic review of the literature.
Mattie R, Wong J, McCormick Z, Yu S, Saltychev M, Laimi K.
PM R. 2016 Oct 22. pii: S1934-1482(16)31059-0. doi: 10.1016/j.pmrj.2016.10.012.

Quality and quantity of the elbow arthroscopy literature: a systematic review and meta-analysis.
Erickson BJ, Chalmers PN, Cvetanovich GL, Frank RM, Romeo AA, Harris JD.
Am J Orthop (Belle Mead NJ). 2016 Jul-Aug;45(5):E290-8.

Evidence-based indications for elbow arthroscopy.
Yeoh KM, King GJ, Faber KJ, Glazebrook MA, Athwal GS.
Arthroscopy. 2012 Feb;28(2):272-82. doi: 10.1016/j.arthro.2011.10.007.

 
Treatments - non-surgical, general

Efficacy of nonoperative treatments for lateral epicondylitis: A systematic review and meta-analysis.
Kim YJ, Wood SM, Yoon AP, Howard JC, Yang LY, Chung KC.
Plast Reconstr Surg. 2020 Sep 28. doi: 10.1097/PRS.0000000000007440. Online ahead of print.

Comparative efficacy and safety of nonsurgical treatment options for enthesopathy of the extensor carpi radialis brevis: A systematic review and meta-analysis of randomized placebo-controlled trials.
Lian J, Mohamadi A, Chan JJ, Hanna P, Hemmati D, Lechtig A, Nazarian A.
Am J Sports Med. 2018 Oct 31:363546518801914. doi: 10.1177/0363546518801914. [Epub ahead of print]

What is the clinical effectiveness and cost-effectiveness of conservative interventions for tendinopathy? An overview of systematic reviews of clinical effectiveness and systematic review of economic evaluations.
Long L, Briscoe S, Cooper C, Hyde C, Crathorne L.
Health Technol Assess. 2015 Jan;19(8):1-134. doi: 10.3310/hta19080.

Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis.
Sayegh ET, Strauch RJ.
Clin Orthop Relat Res. 2015 Mar;473(3):1093-107. doi: 10.1007/s11999-014-4022-y. Epub 2014 Oct 29.

Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials.
Sims SE, Miller K, Elfar JC, Hammert WC.
Hand (N Y). 2014 Dec;9(4):419-46. doi: 10.1007/s11552-014-9642-x.

 
Treatments - non-surgical, injection therapies

Platelet-rich therapies for musculoskeletal soft tissue injuries.
Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC.
Cochrane Database Syst Rev. 2014 Apr 29;4:CD010071. doi: 10.1002/14651858.CD010071.pub3.

Efficacy of botulinum toxin in treating lateral epicondylitis-does injection location matter?: A systematic review.
Song B, Day D, Jayaram P.
Am J Phys Med Rehabil. 2020 Dec;99(12):1157-1163. doi: 10.1097/PHM.0000000000001511.

Efficacy of nonoperative treatments for lateral epicondylitis: A systematic review and meta-analysis.
Kim YJ, Wood SM, Yoon AP, Howard JC, Yang LY, Chung KC.
Plast Reconstr Surg. 2020 Sep 28. doi: 10.1097/PRS.0000000000007440. Online ahead of print.

Efficacy of botulinum toxin in treating lateral epicondylitis, does injection location matter? A systematic review.
Song B, Day D, Jayaram P.
Am J Phys Med Rehabil. 2020 Jul 1. doi: 10.1097/PHM.0000000000001511. Online ahead of print.

Effect of normal saline injections on lateral epicondylitis symptoms: a systematic review and meta-analysis of randomized clinical trials.
Acosta-Olivo CA, Millán-Alanís JM, Simental-Mendía LE, Álvarez-Villalobos N, Vilchez-Cavazos F, Peña-Martínez VM, Simental-Mendía M.
Am J Sports Med. 2020 Feb 11:363546519899644. doi: 10.1177/0363546519899644. [Epub ahead of print]

Clinical efficacy of platelet-rich plasma in the treatment of lateral epicondylitis: a systematic review and meta-analysis of randomized placebo-controlled clinical trials.
Simental-Mendía M, Vilchez-Cavazos F, Álvarez-Villalobos N, Blázquez-Saldaña J, Peña-Martínez V, Villarreal-Villarreal G, Acosta-Olivo C.
Clin Rheumatol. 2020 Feb 26. doi: 10.1007/s10067-020-05000-y. [Epub ahead of print]

Platelet-rich plasma versus corticosteroid injections in the management of elbow epicondylitis and plantar fasciitis: An updated systematic review and meta-analysis.
Huang K, Giddins G, Wu LD.
Am J Sports Med. 2020 Aug;48(10):2572-2585. doi: 10.1177/0363546519888450. Epub 2019 Dec 10.

Platelet-rich plasma vs corticosteroids for elbow epicondylitis: A systematic review and meta-analysis.
Li A, Wang H, Yu Z, Zhang G, Feng S, Liu L, Gao Y.
Medicine (Baltimore). 2019 Dec;98(51):e18358. doi: 10.1097/MD.0000000000018358.

The effects of regenerative injection therapy compared to corticosteroids for the treatment of lateral epicondylitis: a systematic review and meta-analysis.
Barnett J, Bernacki MN, Kainer JL, Smith HN, Zaharoff AM, Subramanian SK.
Arch Physiother. 2019 Nov 13;9:12. doi: 10.1186/s40945-019-0063-6. eCollection 2019.

Platelet-rich plasma versus autologous blood versus corticosteroid injections in the treatment of lateral epicondylitis: a systematic review, pairwise and network meta-analysis of randomized controlled trials.
Tang S, Wang X, Wu P, Wu P, Yang J, Du Z, Liu S, Wei F.
PM R. 2019 Nov 17. doi: 10.1002/pmrj.12287. [Epub ahead of print]

Comparison of platelet rich plasma and corticosteroids in the management of lateral epicondylitis: a meta-analysis of randomized controlled trials.
Xu Q, Chen J, Cheng L.
Int J Surg. 2019 May 22. pii: S1743-9191(19)30106-2. doi: 10.1016/j.ijsu.2019.05.003. [Epub ahead of print]

Impact of platelet-rich plasma use on pain in orthopaedic surgery: A systematic review and meta-analysis.
Johal H, Khan M, Yung SP, Dhillon MS, Fu FF, Bedi A, Bhandari M.
Sports Health. 2019 May 28:1941738119834972. doi: 10.1177/1941738119834972. [Epub ahead of print]

The therapeutic benefits of saline solution injection for lateral epicondylitis: A meta-analysis of randomized controlled trials comparing saline injections with nonsurgical injection therapies.
Gao B, Dwivedi S, DeFroda S, Bokshan S, Ready LV, Cole BJ, Owens BD.
Arthroscopy. 2019 May 6. pii: S0749-8063(19)30220-8. doi: 10.1016/j.arthro.2019.02.051. [Epub ahead of print]

Shock-wave therapy versus corticosteroid injection on lateral epicondylitis: a meta-analysis of randomized controlled trials.
Xiong Y, Xue H, Zhou W, Sun Y, Liu Y, Wu Q, Liu J, Hu L, Panayi AC, Chen L, Yan C, Mi B, Liu G.
Phys Sportsmed. 2019 Apr 5:1-6. doi: 10.1080/00913847.2019.1599587. [Epub ahead of print]

Treatment of lateral epicondylitis with autologous blood, platelet-rich plasma, or corticosteroid injections: a systematic review of overlapping meta-analyses.
Houck DA, Kraeutler MJ, Thornton LB, McCarty EC, Bravman JT.
Orthop J Sports Med. 2019 Mar 14;7(3):2325967119831052. doi: 10.1177/2325967119831052. eCollection 2019 Mar.

Comparative efficacy and safety of nonsurgical treatment options for enthesopathy of the extensor carpi radialis brevis: A systematic review and meta-analysis of randomized placebo-controlled trials.
Lian J, Mohamadi A, Chan JJ, Hanna P, Hemmati D, Lechtig A, Nazarian A.
Am J Sports Med. 2018 Oct 31:363546518801914. doi: 10.1177/0363546518801914. [Epub ahead of print]

Efficacy of platelet-rich plasma as conservative treatment in orthopaedics: a systematic review and meta-analysis.
Franchini M, Cruciani M, Mengoli C, Marano G, Pupella S, Veropalumbo E, Masiello F, Pati I, Vaglio S, Liumbruno GM.
Blood Transfus. 2018 Nov;16(6):502-513. doi: 10.2450/2018.0111-18. Epub 2018 Sep 3.

The effect of corticosteroid versus platelet-rich plasma injection therapies for the management of lateral epicondylitis: A systematic review.
Ben-Nafa W, Munro W.
SICOT J. 2018;4:11. doi: 10.1051/sicotj/2017062. Epub 2018 Mar 21.

The efficacy of platelet-rich plasma on tendon and ligament healing: A systematic review and meta-analysis with bias assessment.
Chen X, Jones IA, Park C, Vangsness CT Jr.
Am J Sports Med. 2018 Jul;46(8):2020-2032. doi: 10.1177/0363546517743746. Epub 2017 Dec 21.

A systematic review of the concept and clinical applications of bone marrow aspirate concentrate in tendon pathology.
Imam MA, Holton J, Horriat S, Negida AS, Grubhofer F, Gupta R, Narvani A, Snow M.
SICOT J. 2017;3:58. doi: 10.1051/sicotj/2017039. Epub 2017 Oct 9.

Platelet rich plasma versus steroid on lateral epicondylitis: meta-analysis of randomized clinical trials.
Mi B, Liu G, Zhou W, Lv H, Liu Y, Wu Q, Liu J.
Phys Sportsmed. 2017 May;45(2):97-104. doi: 10.1080/00913847.2017.1297670. Epub 2017 Mar 3.

Comparative effectiveness of botulinum toxin versus non-surgical treatments for treating lateral epicondylitis: a systematic review and meta-analysis.
Lin YC, Wu WT, Hsu YC, Han DS, Chang KV.
Clin Rehabil. 2018 Feb;32(2):131-145. doi: 10.1177/0269215517702517. Epub 2017 Mar 28.

No evidence for the use of stem cell therapy for tendon disorders: a systematic review.
Pas HI, Moen MH, Haisma HJ, Winters M.
Br J Sports Med. 2017 Jul;51(13):996-1002. doi: 10.1136/bjsports-2016-096794. Epub 2017 Jan 11.

Local corticosteroid versus autologous blood injections in lateral epicondylitis: meta-analysis of randomized controlled trials.
Sirico F, Ricca F, DI Meglio F, Nurzynska D, Castaldo C, Spera R, Montagnani S.
Eur J Phys Rehabil Med. 2017 Jun;53(3):483-491. doi: 10.23736/S1973-9087.16.04252-0. Epub 2016 Sep 1.

Platelet-rich plasma in tendon-related disorders: results and indications.
Filardo G, Di Matteo B, Kon E, Merli G, Marcacci M.
Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):1984-1999. doi: 10.1007/s00167-016-4261-4. Epub 2016 Sep 24.

A meta-analysis of the effect of corticosteroid injection for enthesopathy of the extensor carpi radialis brevis origin.
Claessen FM, Heesters BA, Chan JJ, Kachooei AR, Ring D.
J Hand Surg Am. 2016 Oct;41(10):988-998.e2. doi: 10.1016/j.jhsa.2016.07.097. Epub 2016 Aug 18.

A systematic review of dextrose prolotherapy for chronic musculoskeletal pain.
Hauser RA, Lackner JB, Steilen-Matias D, Harris DK.
Clin Med Insights Arthritis Musculoskelet Disord. 2016 Jul 7;9:139-59.doi: 10.4137/CMAMD.S39160. eCollection 2016.

Efficacy and safety of autologous blood products compared with corticosteroid injections in the treatment of lateral epicondylitis: a meta-analysis of randomized controlled trials.
Qian X, Lin Q, Wei K, Hu B, Jing P, Wang J.
PM R. 2016 Aug;8(8):780-91. doi: 10.1016/j.pmrj.2016.02.008. Epub 2016 Mar 9.

Injection therapies for lateral epicondylalgia: a systematic review and Bayesian network meta-analysis.
Dong W, Goost H, Lin XB, Burger C, Paul C, Wang ZL, Kong FL, Welle K, Jiang ZC, Kabir K.
Br J Sports Med. 2016 Aug;50(15):900-8. doi: 10.1136/bjsports-2014-094387. Epub 2015 Sep 21.

Platelet-rich plasma versus autologous blood versus steroid injection in lateral epicondylitis: systematic review and network meta-analysis.
Arirachakaran A, Sukthuayat A, Sisayanarane T, Laoratanavoraphong S, Kanchanatawan W, Kongtharvonskul J.
J Orthop Traumatol. 2016 Jun;17(2):101-12. doi: 10.1007/s10195-015-0376-5. Epub 2015 Sep 11.

Platelet-rich-plasma injections in treating lateral epicondylosis: a review of the recent evidence.
Murray DJ, Javed S, Jain N, Kemp S, Watts AC.
J Hand Microsurg. 2015 Dec;7(2):320-325. Epub 2015 Jul 8.

Efficacy of platelet-rich plasma injections in pain associated with chronic tendinopathy: A systematic review.
Balasubramaniam U, Dissanayake R, Annabell L.
Phys Sportsmed. 2015 Jul;43(3):253-61. doi: 10.1080/00913847.2015.1005544. Epub 2015 Jan 20.

Strong evidence against platelet-rich plasma injections for chronic lateral epicondylar tendinopathy: a systematic review.
de Vos RJ, Windt J, Weir A.
Br J Sports Med. 2014 Jun;48(12):952-6. doi: 10.1136/bjsports-2013-093281. Epub 2014 Feb 21.

Comparative effectiveness of injection therapies in lateral epicondylitis: a systematic review and network meta-analysis of randomized controlled trials.
Krogh TP, Bartels EM, Ellingsen T, Stengaard-Pedersen K, Buchbinder R, Fredberg U, Bliddal H, Christensen R.
Am J Sports Med. 2013 Jun;41(6):1435-46. doi: 10.1177/0363546512458237. Epub 2012 Sep 12.

The effect of platelet-rich plasma on clinical outcomes in lateral epicondylitis.
Ahmad Z, Brooks R, Kang SN, Weaver H, Nunney I, Tytherleigh-Strong G, Rushton N.
Arthroscopy. 2013 Nov;29(11):1851-62. doi: 10.1016/j.arthro.2013.07.272. Epub 2013 Sep 21.

Treating lateral epicondylitis with corticosteroid injections or non-electrotherapeutical physiotherapy: a systematic review.
Olaussen M, Holmedal O, Lindbaek M, Brage S, Solvang H.
BMJ Open. 2013 Oct 29;3(10):e003564. doi: 10.1136/bmjopen-2013-003564.

Corticosteroid and other injections in the management of tendinopathies: a review.
Hart L.
Clin J Sport Med. 2011 Nov;21(6):540-1. doi: 10.1097/01.jsm.0000407929.35973.b9.

Treatment of refractory pain with botulinum toxins--an evidence-based review.
Jabbari B, Machado D.
Pain Med. 2011 Nov;12(11):1594-606. doi: 10.1111/j.1526-4637.2011.01245.x. Epub 2011 Sep 29.

Injection of botulinum toxin for treatment of chronic lateral epicondylitis: systematic review and meta-analysis.
Kalichman L, Bannuru RR, Severin M, Harvey W.
Semin Arthritis Rheum. 2011 Jun;40(6):532-8. doi: 10.1016/j.semarthrit.2010.07.002. Epub 2010 Sep 6.

The efficacy of botulinum toxin type A in managing chronic musculoskeletal pain: a systematic review and meta analysis.
Zhang T, Adatia A, Zarin W, Moitri M, Vijenthira A, Chu R, Thabane L, Kean W.
Inflammopharmacology. 2011 Feb;19(1):21-34. doi: 10.1007/s10787-010-0069-x. Epub 2010 Nov 13.

 
Treatments - non-surgical, physical therapies

Deep transverse friction massage for treating lateral elbow or lateral knee tendinitis.
Loew LM, Brosseau L, Tugwell P, Wells GA, Welch V, Shea B, Poitras S, De Angelis G, Rahman P.
Cochrane Database Syst Rev. 2014 Nov 8;11:CD003528. doi: 10.1002/14651858.CD003528.pub2.

Shock wave therapy for lateral elbow pain.
Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N.
Cochrane Database Syst Rev. 2005 Oct 19;(4):CD003524.

Orthotic devices for the treatment of tennis elbow.
Struijs PA, Smidt N, Arola H, Dijk vC, Buchbinder R, Assendelft WJ.
Cochrane Database Syst Rev. 2002;(1):CD001821.

Participant characteristics are poorly reported in exercise trials in tendinopathy: A systematic review.
Auliffe SM, Korakakis V, Hilfiker R, Whiteley R, O'Sullivan K.
Phys Ther Sport. 2020 Dec 16;48:43-53. doi: 10.1016/j.ptsp.2020.12.012. Online ahead of print.

Exercise interventions in lateral elbow tendinopathy have better outcomes than passive interventions, but the effects are small: a systematic review and meta-analysis of 2123 subjects in 30 trials.
Karanasios S, Korakakis V, Whiteley R, Vasilogeorgis I, Woodbridge S, Gioftsos G.
Br J Sports Med. 2020 Nov 4:bjsports-2020-102525. doi: 10.1136/bjsports-2020-102525. Online ahead of print.

Efficacy of nonoperative treatments for lateral epicondylitis: A systematic review and meta-analysis.
Kim YJ, Wood SM, Yoon AP, Howard JC, Yang LY, Chung KC.
Plast Reconstr Surg. 2020 Sep 28. doi: 10.1097/PRS.0000000000007440. Online ahead of print.

The effects of counterforce brace on pain in subjects with lateral elbow tendinopathy: A systematic review and meta-analysis of randomized controlled trials.
Shahabi S, Bagheri Lankarani K, Heydari ST, Jalali M, Ghahramani S, Kamyab M, Tabrizi R, Hosseinabadi M.
Prosthet Orthot Int. 2020 Jul 8:309364620930618. doi: 10.1177/0309364620930618. Online ahead of print.

Effects of trigger point dry needling on lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.
Navarro-Santana MJ, Sanchez-Infante J, Gómez-Chiguano GF, Cleland JA, López-de-Uralde-Villanueva I, Fernández-de-Las-Peñas C, Plaza-Manzano G.
Clin Rehabil. 2020 Jun 23:269215520937468. doi: 10.1177/0269215520937468. [Epub ahead of print]

Evaluating the immediate effect of forearm and wrist orthoses on pain and function in individuals with lateral elbow tendinopathy: A systematic review.
Heales LJ, McClintock SR, Maynard S, Lems CJ, Rose JA, Hill C, Kean CO, Obst S.
Musculoskelet Sci Pract. 2020 Jun;47:102147. doi: 10.1016/j.msksp.2020.102147. Epub 2020 Mar 5.

Effectiveness of eccentric strengthening in the treatment of lateral elbow tendinopathy: A systematic review with meta-analysis.
Chen Z, Baker NA.J Hand Ther. 2020 Apr 10. pii: S0894-1130(20)30027-2. doi: 10.1016/j.jht.2020.02.002. [Epub ahead of print]

Does the type of extracorporeal shock therapy influence treatment effectiveness in lateral epicondylitis? A systematic review and meta-analysis.
Yoon SY, Kim YW, Shin IS, Moon HI, Lee SC.
Clin Orthop Relat Res. 2020 Apr 21. doi: 10.1097/CORR.0000000000001246. [Epub ahead of print]

Efficacy of extracorporeal shock wave therapy for lateral epicondylitis: A systematic review and meta-analysis.
Yao G, Chen J, Duan Y, Chen X.
Biomed Res Int. 2020 Mar 18;2020:2064781. doi: 10.1155/2020/2064781. eCollection 2020.

Kinesio tape reduces pain in patients with lateral epicondylitis: A meta-analysis of randomized controlled trials.
Zhong Y, Zheng C, Zheng J, Xu S.
Int J Surg. 2020 Mar 10;76:190-199. doi: 10.1016/j.ijsu.2020.02.044. [Epub ahead of print]

Sticking to the facts: A systematic review of the effects of therapeutic tape in lateral epicondylalgia.
George CE, Heales LJ, Stanton R, Wintour SA, Kean CO.
Phys Ther Sport. 2019 Aug 27;40:117-127. doi: 10.1016/j.ptsp.2019.08.011. [Epub ahead of print]

A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials.
Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, Liu J, Xue H, Abududilibaier A, Mi B, Liu G.
J Orthop Surg Res. 2019 Aug 6;14(1):248. doi: 10.1186/s13018-019-1290-y.

How does surgery compare to sham surgery or physiotherapy as a treatment for tendinopathy? A systematic review of randomised trials.
Challoumas D, Clifford C, Kirwan P, Millar NL.
BMJ Open Sport Exerc Med. 2019 Apr 24;5(1):e000528. doi: 10.1136/bmjsem-2019-000528. eCollection 2019.

Shock-wave therapy versus corticosteroid injection on lateral epicondylitis: a meta-analysis of randomized controlled trials.
Xiong Y, Xue H, Zhou W, Sun Y, Liu Y, Wu Q, Liu J, Hu L, Panayi AC, Chen L, Yan C, Mi B, Liu G.
Phys Sportsmed. 2019 Apr 5:1-6. doi: 10.1080/00913847.2019.1599587. [Epub ahead of print]

The effectiveness of Mulligan's mobilisation with movement (MWM) on peripheral joints in musculoskeletal (MSK) conditions: A systematic review.
Westad K, Tjoestolvsen F, Hebron C.
Musculoskelet Sci Pract. 2019 Feb;39:157-163. doi: 10.1016/j.msksp.2018.12.001. Epub 2018 Dec 11.

Comparative efficacy and safety of nonsurgical treatment options for enthesopathy of the extensor carpi radialis brevis: A systematic review and meta-analysis of randomized placebo-controlled trials.
Lian J, Mohamadi A, Chan JJ, Hanna P, Hemmati D, Lechtig A, Nazarian A.
Am J Sports Med. 2018 Oct 31:363546518801914. doi: 10.1177/0363546518801914. [Epub ahead of print]

Do joint mobilizations assist in the recovery of lateral elbow tendinopathy? A systematic review and meta-analysis.
Lucado AM, Dale RB, Vincent J, Day JM.
J Hand Ther. 2019 Apr - Jun;32(2):262-276.e1. doi: 10.1016/j.jht.2018.01.010. Epub 2018 Apr 26.

Is wrist splint more effective than forearm band for lateral epicondylitis?
Meissner A, Vives MI, Román J, Meissner A.
Medwave. 2017 Dec 28;17(9):e7124. doi: 10.5867/medwave.2017.09.7124. Spanish, English.

Effectiveness of myofascial release in treatment of chronic musculoskeletal pain: a systematic review.
Laimi K, Mäkilä A, Bärlund E, Katajapuu N, Oksanen A, Seikkula V, Karppinen J, Saltychev M.
Clin Rehabil. 2018 Apr;32(4):440-450. doi: 10.1177/0269215517732820. Epub 2017 Sep 28.

The effectiveness of neural mobilization for neuro-musculoskeletal conditions: A systematic review and meta-analysis.
Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W.
J Orthop Sports Phys Ther. 2017 Sep;47(9):593-615. doi: 10.2519/jospt.2017.7117. Epub 2017 Jul 13.

Are passive physical modalities effective for the management of common soft tissue injuries of the elbow? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.
Dion S, Wong JJ, Côté P, Yu H, Sutton D, Randhawa K, Southerst D, Varatharajan S, Stern PJ, Nordin M, Chung C, D'Angelo K, Dresser J, Brown C, Menta R, Ammendolia C, Shearer HM, Stupar M, Ameis A, Mior S, Carroll LJ, Jacobs C, Taylor-Vaisey A.
Clin J Pain. 2017 Jan;33(1):71-86.

Effectiveness of the eccentric exercise therapy in physically active adults with symptomatic shoulder impingement or lateral epicondylar tendinopathy: A systematic review.
Ortega-Castillo M, Medina-Porqueres I.
J Sci Med Sport. 2016 Jun;19(6):438-53. doi: 10.1016/j.jsams.2015.06.007. Epub 2015 Jun 15. 

Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis.
Weber C, Thai V, Neuheuser K, Groover K, Christ O.
BMC Musculoskelet Disord. 2015 Aug 25;16:223. doi: 10.1186/s12891-015-0665-4.

Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review.
Dingemanse R, Randsdorp M, Koes BW, Huisstede BM.
Br J Sports Med. 2014 Jun;48(12):957-65. doi: 10.1136/bjsports-2012-091513. Epub 2013 Jan 18.

Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review.
Cullinane FL, Boocock MG, Trevelyan FC.
Clin Rehabil. 2014 Jan;28(1):3-19. doi: 10.1177/0269215513491974. Epub 2013 Jul 23.

Does effectiveness of exercise therapy and mobilisation techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review.
Hoogvliet P, Randsdorp MS, Dingemanse R, Koes BW, Huisstede BM.
Br J Sports Med. 2013 Nov;47(17):1112-9. doi: 10.1136/bjsports-2012-091990. Epub 2013 May 24.

The use of joint mobilization to improve clinical outcomes in hand therapy: a systematic review of the literature.
Heiser R, O'Brien VH, Schwartz DA.
J Hand Ther. 2013 Oct-Dec;26(4):297-311; quiz 311. doi: 10.1016/j.jht.2013.07.004. Epub 2013 Sep 14.

Effectiveness of different methods of resistance exercises in lateral epicondylosis--a systematic review.
Raman J, MacDermid JC, Grewal R.
J Hand Ther. 2012 Jan-Mar;25(1):5-25; quiz 26. doi: 10.1016/j.jht.2011.09.001. Epub 2011 Nov 9.

 
Treatments - non-surgical, acupuncture

Acupuncture for lateral elbow pain.
Green S, Buchbinder R, Barnsley L, Hall S, White M, Smidt N, Assendelft W.
Cochrane Database Syst Rev. 2002;(1):CD003527.

Effects of manual acupuncture and electroacupuncture for lateral epicondylalgia of musculoskeletal origin: a systematic review and meta-analysis.
Navarro-Santana MJ, Sanchez-Infante J, Gómez-Chiguano GF, Cummings M, Fernández-de-Las-Peñas C, Plaza-Manzano G.
Acupunct Med. 2020 Dec 17:964528420967364. doi: 10.1177/0964528420967364. Online ahead of print.

Effectiveness of acupuncture for lateral epicondylitis: a systematic review and meta-analysis of randomized controlled trials.
Zhou Y, Guo Y, Zhou R, Wu P, Liang F, Yang Z.
Pain Res Manag. 2020 Mar 20;2020:8506591. doi: 10.1155/2020/8506591. eCollection 2020.

The effects of needling therapies on muscle force production: A systematic review and meta-analysis.
Mansfield C, VanEtten L, Willy R, Di Stasi S, Magnussen R, Briggs M.
J Orthop Sports Phys Ther. 2019 Mar;49(3):154-170. doi: 10.2519/jospt.2019.8270. Epub 2018 Nov 30.

Comparative efficacy and safety of nonsurgical treatment options for enthesopathy of the extensor carpi radialis brevis: A systematic review and meta-analysis of randomized placebo-controlled trials.
Lian J, Mohamadi A, Chan JJ, Hanna P, Hemmati D, Lechtig A, Nazarian A.
Am J Sports Med. 2018 Oct 31:363546518801914. doi: 10.1177/0363546518801914. [Epub ahead of print]

Acupuncture for lateral epicondylitis: a systematic review.
Tang H, Fan H, Chen J, Yang M, Yi X, Dai G, Chen J, Tang L, Rong H, Wu J, Liang F.
Evid Based Complement Alternat Med. 2015;2015:861849. doi: 10.1155/2015/861849. Epub 2015 Dec 30.

Analgesic effect of manual acupuncture and laser acupuncture for lateral epicondylalgia: a systematic review and meta-analysis.
Chang WD, Lai PT, Tsou YA.
Am J Chin Med. 2014;42(6):1301-14. doi: 10.1142/S0192415X14500815.

 
Treatments - non-surgical, other

Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults.
Pattanittum P, Turner T, Green S, Buchbinder R.
Cochrane Database Syst Rev. 2013 May 31;5:CD003686. doi: 10.1002/14651858.CD003686.pub2.

Comparative efficacy and safety of nonsurgical treatment options for enthesopathy of the extensor carpi radialis brevis: A systematic review and meta-analysis of randomized placebo-controlled trials.
Lian J, Mohamadi A, Chan JJ, Hanna P, Hemmati D, Lechtig A, Nazarian A.
Am J Sports Med. 2018 Oct 31:363546518801914. doi: 10.1177/0363546518801914. [Epub ahead of print]

 

 

 

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Centre for Evidence Based Hand Surgery

The University of Nottingham
C Floor, West Block, QMC
Nottingham, NG7 2UH


telephone: +44 (0) 115 823 1115
email:CEBHS@nottingham.ac.uk