PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS

ABSTRACT Objective: To prospectively, clinically and functionally follow-up patients previously diagnosed with lateral epicondylitis after periarticular application of hyaluronic acid and analyze the results. Methods: All patients were previously treated conservatively and had no clinical improvement. Data such as age, positivity for specific tests (Cozen and Mill), visual analogue pain scale (VAS) before and during dorsiflexion of the wrist with resistance, diagnosis time, Mayo Elbow Performance Score was collected. Patients were reevaluated 30 and 90 days after application. Results: The positivity rates for Cozen and Mill tests were identical, starting at 100%, dropping to 50% after one month, and ending at 41.7% after 3 months. The initial Mayo Elbow Score average was 61.3 points; 85.8 in the first month, remaining at 85 in the third month. VAS in active force situations had the initial average of 8.1; after one month it dropped to 3.8, and 3.6 after three months. At rest, the initial average was 5.9; after one month it decreased to 3 and ended at 2.1 in three months. Conclusion: Patients showed improvement in pain parameters, in the Mayo Elbow Performance Score standard, but with 25% of failure in satisfaction. Level of evidence IV, Case series.

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Main Authors: STIRMA,GUILHERME AUGUSTO, CHAVES,DEGINALDO HOLANDA, TORTATO,SIMONE, BELANGERO,PAULO SANTORO, LARA,PAULO HENRIQUE SCHMIDT, EJNISMAN,BENNO
Format: Digital revista
Language:English
Published: ATHA EDITORA 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000300107
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spelling oai:scielo:S1413-785220200003001072020-05-19PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITISSTIRMA,GUILHERME AUGUSTOCHAVES,DEGINALDO HOLANDATORTATO,SIMONEBELANGERO,PAULO SANTOROLARA,PAULO HENRIQUE SCHMIDTEJNISMAN,BENNO Hyaluronic Acid Tennis Elbow Mayo Elbow Performance Score ABSTRACT Objective: To prospectively, clinically and functionally follow-up patients previously diagnosed with lateral epicondylitis after periarticular application of hyaluronic acid and analyze the results. Methods: All patients were previously treated conservatively and had no clinical improvement. Data such as age, positivity for specific tests (Cozen and Mill), visual analogue pain scale (VAS) before and during dorsiflexion of the wrist with resistance, diagnosis time, Mayo Elbow Performance Score was collected. Patients were reevaluated 30 and 90 days after application. Results: The positivity rates for Cozen and Mill tests were identical, starting at 100%, dropping to 50% after one month, and ending at 41.7% after 3 months. The initial Mayo Elbow Score average was 61.3 points; 85.8 in the first month, remaining at 85 in the third month. VAS in active force situations had the initial average of 8.1; after one month it dropped to 3.8, and 3.6 after three months. At rest, the initial average was 5.9; after one month it decreased to 3 and ended at 2.1 in three months. Conclusion: Patients showed improvement in pain parameters, in the Mayo Elbow Performance Score standard, but with 25% of failure in satisfaction. Level of evidence IV, Case series.info:eu-repo/semantics/openAccessATHA EDITORAActa Ortopédica Brasileira v.28 n.3 20202020-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000300107en10.1590/1413-785220202803228291
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language English
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author STIRMA,GUILHERME AUGUSTO
CHAVES,DEGINALDO HOLANDA
TORTATO,SIMONE
BELANGERO,PAULO SANTORO
LARA,PAULO HENRIQUE SCHMIDT
EJNISMAN,BENNO
spellingShingle STIRMA,GUILHERME AUGUSTO
CHAVES,DEGINALDO HOLANDA
TORTATO,SIMONE
BELANGERO,PAULO SANTORO
LARA,PAULO HENRIQUE SCHMIDT
EJNISMAN,BENNO
PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
author_facet STIRMA,GUILHERME AUGUSTO
CHAVES,DEGINALDO HOLANDA
TORTATO,SIMONE
BELANGERO,PAULO SANTORO
LARA,PAULO HENRIQUE SCHMIDT
EJNISMAN,BENNO
author_sort STIRMA,GUILHERME AUGUSTO
title PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
title_short PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
title_full PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
title_fullStr PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
title_full_unstemmed PROSPECTIVE EVALUATION OF PERIARTICULAR HYALURONIC ACID INFILTRATION FOR THE TREATMENT OF LATERAL EPICONDYLITIS
title_sort prospective evaluation of periarticular hyaluronic acid infiltration for the treatment of lateral epicondylitis
description ABSTRACT Objective: To prospectively, clinically and functionally follow-up patients previously diagnosed with lateral epicondylitis after periarticular application of hyaluronic acid and analyze the results. Methods: All patients were previously treated conservatively and had no clinical improvement. Data such as age, positivity for specific tests (Cozen and Mill), visual analogue pain scale (VAS) before and during dorsiflexion of the wrist with resistance, diagnosis time, Mayo Elbow Performance Score was collected. Patients were reevaluated 30 and 90 days after application. Results: The positivity rates for Cozen and Mill tests were identical, starting at 100%, dropping to 50% after one month, and ending at 41.7% after 3 months. The initial Mayo Elbow Score average was 61.3 points; 85.8 in the first month, remaining at 85 in the third month. VAS in active force situations had the initial average of 8.1; after one month it dropped to 3.8, and 3.6 after three months. At rest, the initial average was 5.9; after one month it decreased to 3 and ended at 2.1 in three months. Conclusion: Patients showed improvement in pain parameters, in the Mayo Elbow Performance Score standard, but with 25% of failure in satisfaction. Level of evidence IV, Case series.
publisher ATHA EDITORA
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522020000300107
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