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Treatment of tennis elbow wave of high-energy extracorporeal shock

Print Article

Summary "extracorporeal shock-wave treatment for tennis elbow" A double-blind randomized study, by EY Melikyan, E. Shahin, J. Miles, LC Bainbridge from Derbyshire Royal Infirmary, Derby, England. The Bone and Joint Surgery, 2003; 85-B: 852-5.

The effectiveness of the treatment of tennis elbow by extracorporeal shock wave (ODCE) was studied in a randomized, double-blind. 158 patients were enrolled (70 men and 88 women), all candidates for surgery after failure of adequate medical treatment (physical therapy, immobilization, ultrasound infiltration of steroids, muscle building). The author has examined each patient to apply the inclusion and exclusion criteria, retaining and tendonitis of the wrist extensors to their inclusion on the epicondyle, and eliminating the cons-indications to treatment with ODCE. In total 74 patients (31 men and 43 women) with a mean age of 43.4 years (35-71 years) including 37 in the treatment group and 37 in the placebo group were involved in the final assessment. Patients were evaluated before treatment and at each follow-up visit to either 1, 3 and 12 months after the end of treatment. All patients underwent the same treatment protocol: three sessions ODCE after ultrasound localization of the treatment area, compliance with a precise position of the treaty member and issue of increasing energy intensity and identical. The results of the study showed no statistically significant difference between the treated group and the placebo group on all the collected results.

In summary: the different studies in the literature have reported varying degrees of success of the treatment by the ODCE in tennis elbow. This must remain an alternative treatment of tennis elbow rebellious to usual medical treatment, before surgery, the results are not, either, uniforms.

Doctor Yves GUGLIELMETTI. - 11 juin 2010.

Conflicts of interest: the author or authors have no conflicts of interest concerning the data published in this article.


Knee arthroscopy: treatment of meniscus injury

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Yoann BOHU

Meniscus - Arthroscopic knee surgery is the gold standard of meniscal lesions of the knee. The goal is to treat meniscal tear (tear, crack, tongue, bucket handle ...) being the least traumatic possible for the knee and the most conservative to the meniscus.


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Surgical technique of KJ type of ligament or Kenneth Jones (the image file)

By Dr. Nicolas LEFEVRE , Dr. Serge HERMAN , Dr. Yoann BOHU.

Specifications of the ligament anterior cruciate ligament (ACL) in the kenneth-jones technical or KJ schematic description of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control

plug ligament didt system TLS or TLS DT4

Ligamentoplasty anterior cruciate ligament (ACL) using the technique hamstring DT4 TLS or TLS: detail

By Dr. Nicolas LEFEVRE .

The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control. The principle of TLS is to use a single hamstring tendon graft in short. Parameters of ACL reconstruction with hamstring TLS.

Technical cruciate ligament

By Dr. Nicolas Lefevre

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