Management of tennis elbow

Abstract

Background and aim Tennis elbow is an abuse condition that out comes in pain over lateral side of elbow, provoked by activities involving gripping and manipulating objects by hand. It is frequently a consequence of participation in activities requiring repetitive manual tasks with awkward wrist positions. Tennis elbow has a variety of treatment options, starting from nonoperative treatment, including conservative treatment, bracing, and physiotherapy, to the last line of treatment being surgical intervention. Materials and methods A systemic review was performed using Google, PubMed, and Medline for a period from 2015 to 2019 comparing three methods of tennis elbow treatment: steroid injection, open surgery, and arthroscopic surgery. Results A total of 21 studies included 2055 patients treated by arthroscopic surgery. Overall, 3638 patients were treated by open surgery and 633 patients were treated by steroid injection. Conclusion This systematic review looked at high-level evidence to compare arthroscopic technique, open surgical technique, and steroid injection. There were no clinically significant differences among the three techniques (open, arthroscopic, and steroid injection) according to postoperative pain intensity (visual analog scale). Steroid injection had the least complication rate, with early return to work, but had higher recurrence rate.