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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 5, 678-679.
doi: 10.1302/0301-620X.84B5.12741  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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A prospective, randomised study to compare extracorporeal shock-wave therapy and injection of steroid for the treatment of tennis elbow

M. A . A. Crowther, FRCS, Specialist Registrar; and G. C. Bannister, MCh Orth, FRCS, Consultant Orthopaedic Surgeon

Department of Orthopaedic Surgery, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.

H. Huma, Staff Grade; and G. D. Rooker, FRCS, Consultant Orthopaedic Surgeon

Cheltenham General Hospital, Sandford Road, Cheltenham, Gloucester-shire GL53 7AW, UK.

Correspondence should be sent to Mr M. A. A. Crowther at the Directorate of Musculoskeletal Services, Harry Griffiths Room, T Ward, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK.

We undertook a prospective, randomised study to compare the analgesic effect of injection of steroid and of extracorporeal shock-wave therapy (ESWT) for the treatment of tennis elbow. Group 1 received a single injection of 20 mg of triamcinolone with lignocaine while group 2 received 2000 shock waves in three sessions at weekly intervals. After six weeks there was a significant difference between the groups with the mean pain score for the injection group falling from 66 to 21 compared with a decrease from 61 to 35 in the shock-wave group (p = 0.05). After three months, 84% of patients in group 1 were considered to have had successful treatment compared with 60% in group 2.

In the medium term local injection of steroid is more successful and 100 times less expensive than ESWT in the treatment of tennis elbow.




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 J Am Acad Orthop SurgHome page
A. Sems, R. Dimeff, and J. P. Iannotti
Extracorporeal shock wave therapy in the treatment of chronic tendinopathies.
J. Am. Acad. Ortho. Surg., April 1, 2006; 14(4): 195 - 204.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General