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1

Nirschl, Robert P., and Edward S. Ashman. "Elbow tendinopathy: tennis elbow." Clinics in Sports Medicine 22, no. 4 (October 2003): 813–36. http://dx.doi.org/10.1016/s0278-5919(03)00051-6.

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2

Nirschl, Robert P. "Elbow Tendinosis/Tennis Elbow." Clinics in Sports Medicine 11, no. 4 (October 1992): 851–70. http://dx.doi.org/10.1016/s0278-5919(20)30489-0.

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3

Saeed, Usama Bin, Talha Bind Saeed, and Sundus Tariq. "TENNIS ELBOW." Professional Medical Journal 25, no. 02 (February 3, 2018): 196–200. http://dx.doi.org/10.29309/tpmj/18.4410.

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4

Saeed, Usama Bin, Talha Bind Saeed, and Sundus Tariq. "TENNIS ELBOW." Professional Medical Journal 25, no. 02 (February 10, 2018): 196–200. http://dx.doi.org/10.29309/tpmj/2018.25.02.442.

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Introduction: Lateral epicondylitis, also called as Tennis Elbow is the primarycause of musculo-skeletal ache including extensor origin of forearm. Repetitive movements areconsidered to be the root cause of this disorder. This disorder involves overexertion of fingers andwrist extensors that causes significant disability ultimately affecting the quality of life. The basisfor diagnosing lateral epicondylitis is very clear clinically. The strategy of injecting steroid locallyhas proven to dispense predictable and consistent transient relief of pain. Recent treatmentinvolve Platelet Rich Plasma (PRP) administration locally. Study Design: Prospective study.Period: 01-07-2014 to 30-06-2016. Setting: Department of Orthopedic Surgery Allied /DHQHospital Faisalabad. Subject and Methods: Total of 38 patients aging 25-60 years belongingto either gender with Lateral Epicondylitis who met inclusion criteria were enrolled in this studyand divided in two (2) groups A and B. The group which was treated with steroid injection waslabeled as A and group B comprised of patients which were treated with prepared PRP injection.Outcome was analyzed on the basis of Visual Analogue Scale of pain and functional outcomeusing qDash scores at baseline, 6 weeks and 12 weeks. Results: In Group A, baseline VASwas 7.3 + 2.1 and q DASH was 83+1.2. At 6 weeks and 12 weeks VAS was 5.3+ 3.1 and 6.1+1.2 respectively. qDash scores were 78 + 4.2 and 63 + 1.6 at 6 and 12 weeks respectively.In Group B VAS was 7.2+ 2.2, 5.3 +1.3, 3.2+ 1.2 at baseline, 6 weeks and 12 weeks. WhileqDash Scores were 81+3.2, 74+3.7, 58+1.2 at baseline, 6 weeks and 12 weeks respectively.Conclusion: Steroid and PRP are effective equally for treating lateral epicondylitis. Accordingto this study, PRP is ranked superior to steroid for its long term effectiveness in controlling painand improve functional outcome.
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Ollivierre, Carl O., and Robert P. Nirschl. "Tennis Elbow." Sports Medicine 22, no. 2 (August 1996): 133–39. http://dx.doi.org/10.2165/00007256-199622020-00006.

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6

Magdulski, George. "Tennis elbow." Medical Journal of Australia 144, no. 7 (March 1986): 391. http://dx.doi.org/10.5694/j.1326-5377.1986.tb115949.x.

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7

Chop, William M. "Tennis elbow." Postgraduate Medicine 86, no. 5 (October 1989): 301–8. http://dx.doi.org/10.1080/00325481.1989.11704455.

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8

Flatt, Adrian E. "Tennis Elbow." Baylor University Medical Center Proceedings 21, no. 4 (October 2008): 400–402. http://dx.doi.org/10.1080/08998280.2008.11928437.

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9

Mallen, C. D., L. S. Chesterton, and E. M. Hay. "Tennis elbow." BMJ 339, sep02 1 (September 2, 2009): b3180. http://dx.doi.org/10.1136/bmj.b3180.

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Assmus, H. "Tennis Elbow." Handchirurgie · Mikrochirurgie · Plastische Chirurgie 37, no. 4 (August 2005): 284–85. http://dx.doi.org/10.1055/s-2005-865862.

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11

Assendelft, W. "Tennis elbow." BMJ 327, no. 7410 (August 9, 2003): 329. http://dx.doi.org/10.1136/bmj.327.7410.329.

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12

Tyson, Alan. "Tennis Elbow." STRENGTH AND CONDITIONING JOURNAL 19, no. 1 (1997): 68. http://dx.doi.org/10.1519/1073-6840(1997)019<0068:te>2.3.co;2.

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13

Johnson, Ernest W. "Tennis Elbow." American Journal of Physical Medicine & Rehabilitation 79, no. 2 (March 2000): 113. http://dx.doi.org/10.1097/00002060-200003000-00001.

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14

Keijsers, Renée, Robert-Jan de Vos, P. Paul FM Kuijer, Michel PJ van den Bekerom, Henk-Jan van der Woude, and Denise Eygendaal. "Tennis elbow." Shoulder & Elbow 11, no. 5 (September 18, 2018): 384–92. http://dx.doi.org/10.1177/1758573218797973.

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Tennis elbow is the most common cause of lateral-sided elbow pain with a major socioeconomic impact. The etiology of tennis elbow is not completely understood, but there are many different treatment options. This review gives an overview of the current concepts of diagnosis and treatment of tennis elbow and the impact on work participation.
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15

Mennen, U. "Tennis elbow." South African Family Practice 46, no. 8 (September 2004): 36. http://dx.doi.org/10.1080/20786204.2004.10873128.

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16

Kumar, Shyam, David Stanley, Neil G. Burke, and Hannann Mulett. "Tennis elbow." Annals of The Royal College of Surgeons of England 93, no. 6 (September 2011): 432. http://dx.doi.org/10.1308/rcsann.2011.93.6.432.

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17

Dunn, Jonathan H., John J. Kim, Lonnie Davis, and Robert P. Nirschl. "Ten- to 14-Year Follow-up of the Nirschl Surgical Technique for Lateral Epicondylitis." American Journal of Sports Medicine 36, no. 2 (November 30, 2007): 261–66. http://dx.doi.org/10.1177/0363546507308932.

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Background Good to excellent short-term results have been reported for the surgical treatment of lateral epicondylitis using various surgical techniques. Hypothesis Surgical treatment for lateral epicondylitis using the mini-open Nirschl surgical technique will lead to durable results at long-term follow-up. Study Design Case series; Level of evidence, 4. Methods Records from 139 consecutive surgical procedures (130 patients) for lateral epicondylitis performed by 1 surgeon between 1991 and 1994 were retrospectively reviewed. Eighty-three patients (92 elbows) were available by telephone for a mean follow-up of 12.6 years (range, 10–14 years). Outcome measures included the Numeric Pain Intensity Scale, Nirschl and Verhaar tennis elbow–specific scoring systems, and American Shoulder and Elbow Surgeons elbow form. Preoperative data were collected retrospectively. Results The mean age of the study group was 46 years (range, 23–70 years) with 45 men and 38 women. Eighty-seven of the procedures were primary, and 5 were revision tennis elbow surgeries. Concomitant procedures were performed in 30 patients including ulnar nerve release in 24 patients, medial tennis elbow procedures in 23 patients, shoulder arthroscopy in 2 patients, carpal tunnel release in 1 patient, and triceps debridement and osteophyte excision in 1 patient. The mean duration of preoperative symptoms was 2.2 years (range, 2 months to 10 years). The mean Nirschl tennis elbow score improved from 23.0 to 71.0, and the mean American Shoulder and Elbow Surgeons score improved from 34.3 to 87.7 at a minimum of 10-year follow-up ( P < .05). The Numeric Pain Intensity Scale pain score improved from 8.4 preoperatively to 2.1 ( P < .05). Results were rated as excellent in 71 elbows, good in 6 elbows, fair in 9 elbows, and poor in 6 elbows by the Nirschl tennis elbow score. By the criteria of Verhaar et al, the results were excellent in 45 elbows, good in 32 elbows, fair in 8 elbows, and poor in 7 elbows. Eighty-four percent good to excellent results were achieved using both scoring systems. Ninety-two percent of the patients reported normal elbow range of motion. The overall improvement rate was 97%. Patient satisfaction averaged 8.9 of 10. Ninety-three percent of those available at a minimum of 10-year follow-up reported returning to their sports. Conclusion The mini-open Nirschl surgical technique with accurate resection of the tendinosis tissue remains highly successful in the long term.
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Widiyatmoko, Fajar, Buyung Kusumawardhana, and Muhammad Nur Ali Imran. "Perbandingan Gerak Elbow Extension dan Elbow Flexion Terhadap Akurasi Forehand Tenis Lapangan." Journal Sport Area 6, no. 1 (January 2, 2021): 13–19. http://dx.doi.org/10.25299/sportarea.2021.vol6(1).4229.

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Some of the beginner athletes in UKM of court tennis in UPGRIS conduct swing on the forehand striking in a slightly different way. Some when swinging with fully straight arms, some are slightly bent. The aim of the study is to investigate the differences between elbow extension and elbow flexion toward the accuracy level of forehand striking of court tennist. This research method uses comparative design. The sample of this study is the tennis players of the students in Universitas PGRI Semarang, the total are 7 people. The Hewiit Tennis Achievement Test is used for forehand striking instruments and dartfish software to find out the differences between the elbow movements and the analysis. Independent t-test is used to find out the differences of the striking accuracy result. The results show the significant differencs between elbow extension and elbow flexion with an average score of 22 and 63, with the significance value of a difference of 0.001. The conclusion of this research is that the elbow flexion movement in forwardswing step is better than elbow extension movement.
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19

Vicens, Gemma, Roberto Seijas, Andrea Sallent, Andrea Dominguez, Oscar Ares, and Andrea Torrecilla. "Tennis Elbow Pathogenesis." International Journal of Orthopaedics 4, no. 3 (2017): 767–69. http://dx.doi.org/10.17554/j.issn.2311-5106.2017.04.216.

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20

SHAH, FAAIZ ALI, HAZIQDAD KHAN, and KIFAYAT ULLAH. "CHRONIC TENNIS ELBOW." Professional Medical Journal 18, no. 04 (December 10, 2011): 621–25. http://dx.doi.org/10.29309/tpmj/2011.18.04.2650.

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Objectives: To evaluate the results of autologous blood injection as a treatment for chronic tennis elbow (Lateral Epicondylitis). Study Design: Descriptive case- series. Setting and Duration: Orthopaedic Surgery Unit Mardan Medical Complex Teaching hospital Bacha Khan Medical College Mardan KPK, from April 2010 to June 2011. Methodology: A total of 22 patients with tennis elbow (lateral epicondylitis) were injected with 2 mL of autologous blood under the extensor carpi radialis brevis in the Out-Patient Department (OPD). Patients rated their pain on a Visual Analogue Scale(VAS) scale of 0 to 10 with 0 representing no pain and 10 the worst pain they had ever experienced, and categorized themselves according to Nirschl score(1-7). After the procedure pain rating and Nirschl score were recorded every 3rd week for a minimum of 6 months. If pain relief was not relieved entirely 6 weeks after the autologous blood injection a repeat injection was offered to the patient. Results: Seventeen patients (77.2%) received one injection of autologous blood and had resulted in lowering their mean pre-injection pain score and Nirschl sore of 6.2 and 6 to 0.1 and 1.1 post-injection respectively. Five patients (22.7%) received two injections and their average pre-injection pain score of 6.8 and Nirschl score of 6.2 were lowered to 0.2 and 1 respectively. Conclusions: Autolgous blood injection is an effective way to treat patients of chronic tennis elbow as demonstrated by decrease in pain and fall in Nirschl score and we therefore recommend it as a first line treatment for chronic tennis elbow.
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Nirschl, Robert P. "Lateral Tennis Elbow." Techniques in Shoulder and Elbow Surgery 1, no. 3 (September 2000): 192–200. http://dx.doi.org/10.1097/00132589-200001030-00008.

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22

Case, William S. "Acing Tennis Elbow." Physician and Sportsmedicine 21, no. 7 (July 1993): 21–22. http://dx.doi.org/10.1080/00913847.1993.11710396.

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23

Mahaffey, P. J. "Tennis elbow myths." BMJ 342, jun20 2 (June 20, 2011): d3837. http://dx.doi.org/10.1136/bmj.d3837.

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24

Awal, Muhammad, and Hasbiah Hasbiah. "PENGARUH TEKNIK FRICTION TERHADAP NYERI PADA PENDERITA TENNIS ELBOW TYPE II DI RUMAH SAKIT UMUM LASINRANG PINRANG." Media Fisioterapi Politeknik Kesehatan Makassar 11, no. 1 (May 30, 2019): 1. http://dx.doi.org/10.32382/mf.v11i1.827.

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Tennis elbow adalah suatu keadaan di mana otot ekstensor pergelangan tangan mengalami kerobekan atau rupture di bagian myofacial atau origo sehingga muncul reaksi jaringan yang mengakibatkan rasa nyeri pada epycondylus lateralis humeri teruatam saat lengan bawah bergerak kea rah ekstensi wrist dan supinasi. Nyeri tennis elbow dapat ditangani dengan modalitas fisioterapi berupa massage dengan teknik friction.Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh teknik friction terhadap nyeri pada penderita tennis elbow di rumah sakit Umum Lasinrang Pinrang. Penelitian ini adalah quasi eksperimen dengan menggunakan pretest posttest one group design yang membandingk dan nilai rata-rata antara nyeri pre test dan nyeri post test. Populasi penelitian adalah semua penderita tennis elbow yang datang berobat di rumah sakit Umum Lasinrang Pinrang dengan jumlah 20 orang. Sampel penelitian adalah semua penderta tennis elbow yang datang ke poliklinik Fisioterapi rumah sakit Umum Lasinrang Painrang berjumlah 15 orang yang memenuhi krteria penelitian. Hasil penelitian diperoleh bahwa nilai rata-rata intensitas nyeri akibat tennis elbow sebelum pemberian friction sebesar 51.27 dan nilai rata-rata intensitas nyeri akibat tennis elbow sesudah pemberian friction sebesar 41.80. Ini berarti terjadi penurunan nyeri setelah intervensi dengan friction sebesar 9.46 dengan nilai p= 0.001.Berdasarkan hasil penelitinan, maka disarankan seyogyanya perlu diberikan intervensi friction untuk pasien yang menderita nyeri akibat tennis elbow agar nyeri yang diderita oleh pasien dapat dikurangi. Kata Kunci : Friction, nyeri, tennis elbow
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Rudianto, Rudianto, and Simson Sinuhaji. "PENGARUH TRANSVERSE FRICTION TERHADAP SKALA NYERI PADA KASUS TENNIS ELBOW DI RSU SEMBIRING DELI TUA." JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) 1, no. 1 (October 16, 2018): 30–35. http://dx.doi.org/10.35451/jkf.v1i1.105.

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Data were obtained from Sembiring Deli Tua Hospital in Medan indicates that the number of patients with tennis elbow in January – June 2015 as many as 30 people suffering from tennis elbow on the elbow as a result of uncontrolled movement that lead to pain in the elbow area. The purpose of this study was to determine the effect of the transverse friction due to tennis elbow pain scale of the Elisabeth Hospital in Medan. This type of research is descriptive with the entire patient population that numbered 30 people tennis elbow, samples 23 people, the received data is primary data obtained directly from the respondents. Data were analyzed descriptively by looking at the percentage of the collected data. From the result of this study showed that in the entire sample frequency distribution of respondents by sex that many have tennis elbow is the female gender with a number of 15 people (65.2%), while the distribution of the samples by age that many have tennis elbow is the age of 30-35 years old (43.5%), while the distribution of the samples based on the job that many have tennis elbow is a housewife with a number of 10 people (43.5%).Based on this study it can be concluded that there is the influence of transverse friction in patients with tennis elbow.
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Koval, Norman S. "Tentacle Elbow (To Replace Tennis Elbow)." Southern Medical Journal 86, no. 12 (December 1993): 1447. http://dx.doi.org/10.1097/00007611-199312000-00036.

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27

McMurtrie, A., and A. C. Watts. "(vi) Tennis elbow and Golfer's elbow." Orthopaedics and Trauma 26, no. 5 (October 2012): 337–44. http://dx.doi.org/10.1016/j.mporth.2012.09.001.

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Chauhan, Mukul, Ankita Patel, and Asha Dabhi. "Effect of Extracorporeal Shock Wave Therapy on Pain and Function in Patient with Tennis Elbow: An Evidence Based Study." International Journal of Health Sciences and Research 12, no. 12 (December 22, 2022): 200–203. http://dx.doi.org/10.52403/ijhsr.20221229.

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OBJECTIVE: The aim of the study is to review the available literature on the use of Extracorporeal Shock Wave Therapy (ESWT) for the treatment of Tennis elbow to understand its therapeutic potential. MATERIALS AND METHODS: A systematic review was performed on the PubMed, Scopus, Science Direct, and Research Gate databases with the following inclusion criteria: Studies published in last 08 years. (2015 to 2022) Studies that includes subjects with Tennis Elbow. RESULTS: 20 studies were reviewed from which 10 studies concluded that ESWT is effective in Tennis Elbow patients. CONCLUSIONS: Based on the analysis of these 10 articles, it can be concluded that ESWT is an effective treatment regimen in individual with Tennis Elbow patients. Key words: Extracorporeal Shock Wave Therapy (ESWT), Tennis Elbow, Pain, Grip Strength.
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29

Jarosz, Alicja, Karol Szyluk, Joanna Iwanicka, Anna Balcerzyk, Tomasz Nowak, Tomasz Iwanicki, Marius Negru, et al. "What Role Does PDGFA Gene Polymorphisms Play in Treating Tennis Elbow with PRP? A Prospective Cohort Study." Journal of Clinical Medicine 11, no. 12 (June 17, 2022): 3504. http://dx.doi.org/10.3390/jcm11123504.

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Background: This study aims to identify genotype variants of the platelet-derived growth factor alpha polypeptide gene (PDGFA) that can influence the individual response to the treatment with platelet-rich plasma (PRP) in tennis elbow patients. Methods: We observed a cohort of 107 patients (132 elbows) with tennis elbow who received treatment with PRP. Patients have been followed-up for two years after PRP injection and the effectiveness of the treatment was measured using universal patient-reported outcome measures (PROMs): visual analog scale (VAS), quick version of disabilities of the arm, shoulder and hand score (QDASH), and patient-rated tennis elbow evaluation (PRTEE). PROMs values, and clinical and platelet parameters were compared between genotype variants of the studied polymorphisms (rs1800814, rs2070958 and rs62433334). Results: The A allele carriers (rs1800814) had significantly lower values of VAS (week 12), QDASH, and PRTEE (weeks 8, 12). The T allele carriers (rs2070958) had significantly lower values of VAS (weeks 8, 12), QDASH, and PRTEE (weeks 4–12). Additional forms of therapy (manual and physical) were necessary significantly more often in GG (rs1800814) and CC (rs2070958) homozygotes. Conclusions: The PDGFA gene’s polymorphisms influences the effectiveness of PRP therapy in tennis elbow treatment. The effectiveness of PRP is greater in A allele (rs1800814) and T allele (rs2070958) carriers.
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Dhakal, Sita, Trishna Acharya, Savyata Gautam, Nijan Upadhyay, and Sujan Dhakal. "Diagnosis and Management Pattern of Lateral Epicondylitis in a Tertiary Care Center." Journal of Nepal Medical Association 53, no. 200 (December 31, 2015): 231–34. http://dx.doi.org/10.31729/jnma.2736.

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Introduction: Lateral Epicondylitis has been found to be the second most frequently diagnosed musculoskeletal disorder. A wide range of symptomatic treatments are available such as use of anti-inflammatory analgesic drugs, steroids, physiotherapy. This study aims to know about the diagnosis, prescription pattern and current practice on management of tennis elbow in Nepal. Methods: This is a hospital based observational study carried out at Bir Hospital, Kathmandu, Nepal. Patients diagnosed with tennis elbow were purposively selected through prospective sampling technique from Orthopedic Department. Questionnaire and patient medication files were used as tools for data collection. Results: A total of 97 patients were found to be suffering from tennis elbow affecting mostly 41-50 years of age group and seen mostly in female (62%). Further, it was found that housewives (31%) were mostly affected. Diagnosis of tennis elbow was done commonly by clinical evaluation (61%) and X-ray (39%). Both Pharmacological and Non-Pharmacological approaches were in practice. Pharmacological treatment include NSAIDS (59% Aceclofenac, 19% Naproxen, 18% Indomethacin, 16% Diclofenac, 6% Piroxicam) and Steroids (23% methylprednisolone acetate and 21% oral prednisolone). Non-Pharmacological treatment was done by lifestyle modification (100%), 78% application of heat, 63% use of tennis elbow band, 29% exercise and 28% physiotherapy. Surgical intervention (3%) was also done when the conservative management failed. Conclusions: There is professional risk of tennis elbow for housewives, farmers and shopkeepers in context of Nepal. Only one treatment approach is not effective in management of tennis elbow for long term effect. Keywords: lateral epicondylitis; NSAIDs; physiotherapy; steroid; tennis elbow.
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31

Gellman, Harris. "Tennis Elbow (Lateral Epicondylitis)." Orthopedic Clinics of North America 23, no. 1 (January 1992): 75–82. http://dx.doi.org/10.1016/s0030-5898(20)31716-8.

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32

Ialenti, Marc, and Leonard Buller. "Lateral Epicondylitis (Tennis Elbow)." Reviews at LibraryOfMedicine.com 1, no. 3 (December 22, 2014): 1. http://dx.doi.org/10.16963/rlom.v1i3.5.

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Sallis, Robert E., and Marc Safran. "Simplified Tennis Elbow Treatment." Physician and Sportsmedicine 30, no. 12 (December 2002): 51. http://dx.doi.org/10.3810/psm.2002.12.586.

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Kroslak, Martin, and George A. C. Murrell. "Tennis Elbow Counterforce Bracing." Techniques in Shoulder and Elbow Surgery 8, no. 2 (June 2007): 75–79. http://dx.doi.org/10.1097/bte.0b013e318047c176.

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35

Barrington, John, and William D. Hage. "Lateral epicondylitis (tennis elbow)." Current Opinion in Orthopaedics 14, no. 4 (August 2003): 291–95. http://dx.doi.org/10.1097/00001433-200308000-00013.

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Kalainov, David M., Richard L. Makowiec, and Mark S. Cohen. "Arthroscopic Tennis Elbow Release." Techniques in Hand and Upper Extremity Surgery 11, no. 1 (March 2007): 2–7. http://dx.doi.org/10.1097/01.bth.0000248358.06825.98.

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37

Noteboom, Tim, Rob Cruver, Julie Keller, Bob Kellogg, and Arthur J. Nitz. "Tennis Elbow: A Review." Journal of Orthopaedic & Sports Physical Therapy 19, no. 6 (June 1994): 357–66. http://dx.doi.org/10.2519/jospt.1994.19.6.357.

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38

Vicenzino, B. "Physiotherapy for tennis elbow." Evidence-Based Medicine 12, no. 2 (April 1, 2007): 37–38. http://dx.doi.org/10.1136/ebm.12.2.37.

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Savoie, Felix H., Wade VanSice, and Michael J. O'Brien. "Arthroscopic tennis elbow release." Journal of Shoulder and Elbow Surgery 19, no. 2 (March 2010): 31–36. http://dx.doi.org/10.1016/j.jse.2009.12.016.

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Burke, Neil G., and Hannan Mullett. "Arthroscopic tennis elbow release." Annals of The Royal College of Surgeons of England 93, no. 6 (September 2011): 435–36. http://dx.doi.org/10.1308/rcsann.2011.93.6.435.

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41

CHARD, M. D., and B. L. HAZLEMAN. "TENNIS ELBOW—A REAPPRAISAL." Rheumatology 28, no. 3 (1989): 186–90. http://dx.doi.org/10.1093/rheumatology/28.3.186.

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42

COŞKUN, Hüseyin Sina, Nevzat DABAK, Ferhat SAY, and Hasan GÖÇER. "Pain Around Elbow: Not Always Tennis Elbow!" Journal of Experimental and Clinical Medicine 38, no. 2 (March 14, 2021): 121–24. http://dx.doi.org/10.52142/omujecm.38.2.12.

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Elbow is a well-known body part of muscular strains and overuse syndromes. Patients presented to the orthopedic department with elbow pain or swelling often diagnosed with benign conditions such as tennis elbow, golfer’s elbow, or olecranon bursitis. It must be kept in mind that several tumoral conditions can be seen around the elbow and the patient must be carefully evaluated. In this study, we aimed to demonstrate rare cases of bone or soft tissue tumors around the elbow. Between 2004 and 2017, patients with a symptom of elbow pain or swelling are included in the study. Finally, the study consists of 53 patients. 20 patients were male and 33 were female. The mean age of the patients was 42.94 ± 15.3. There were 9 bone tumors, 16 soft tissue tumors, 9 non-classified benign cystic lesions, 3 metastasis, and 16 cases were non-tumoral conditions. 7 of 9 bone tumors were benign. The solitary bone cyst was the most common bone tumor seen around the elbow. 2 malignant bone tumor cases were diagnosed as Ewing Sarcoma and metastatic bone disease. Among the 16 soft tissue tumors, schwannomas are the most presented cases in the tumor council followed by lipoma (6 cases). Even in a multidisciplinary bone and soft tissue tumor council, almost one-third of the elbow pain patients were non-tumoral and the most commonly seen condition was myositis ossificans (6 cases), followed by infection or bursitis (5 cases). Elbow pain is commonly seen and evaluated by every orthopedic surgeon on outpatient’s clinic. It must be kept in mind that tumoral conditions around the elbow are rarely seen but deserve further examination in the presence of chronic pain.
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43

K. Singal, Sandhya, and Yagna Shukla. "Effect of Different Positions of Body in Measuring Grip Strength in Tennis Elbow." International Journal of Health Sciences and Research 12, no. 6 (June 20, 2022): 154–57. http://dx.doi.org/10.52403/ijhsr.20220620.

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Grip strength is taken as an important measure to find effect as well as affection in tennis elbow. Measuring pain free grip strength is (PFGS) an important outcome measure for Tennis Elbow (TE). The different positions of elbow give change in the value of PFGS. This study aims to examine effects of two different position of body on PFGS in tennis elbow patients. Aims: To find out better position for measuring PFGS in tennis elbow. Methods and Material: A cross sectional study done in the Physiotherapy department. Unilateral chronic tennis elbow patients were included in the study according to inclusion and exclusion criterias after getting written informed consent. Jammer hand held dynamometer was used to measure the PFGS. PFGS was measured in sitting position with elbow flexion 90° and supine lying position with elbow extension. Average of three trials was taken with rest of 1 minute in between. Results: On comparing both positions there is significant difference (p<0.05) found in PFGS measurements in male and female at 95% confidence limit. There is significant increased PFGS noted in sitting position with elbow flexion 90° than with supine lying position with elbow extension. Conclusions: There is higher comparable PFGS (6.6%) noted in sitting with elbow flexion 90° position than with supine lying with elbow extension position. So it is better to measure PFGS in sitting with elbow 90° flexion position. Key words: Pain free grip strength, supine lying, chair sitting, grip strength measurement, dynamometer.
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44

Calvert, P. T., I. S. Macpherson, R. L. Allum, and G. Bentley. "Simple Lateral Release in Treatment of Tennis Elbow." Journal of the Royal Society of Medicine 78, no. 11 (November 1985): 912–15. http://dx.doi.org/10.1177/014107688507801106.

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The records of 340 patients with a clinical diagnosis of tennis elbow were surveyed and the results of conservative treatment assessed. Of 157 patients successfully treated by local steroid injections, 92% achieved their good result after one or two injections. Repeated injections were not helpful. Simple lateral release of the common extensor origin was carried out on 42 elbows in 37 patients. Thirty-seven elbows in 32 patients were personally reviewed. Satisfactory pain relief was achieved in 33 elbows (89%). There were no significant complications.
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45

Nabil, Bassam A., Mariam A. Ameer, Azza M. Abdelmohsen, Abeer F. Hanafy, Ahmed S. Yamani, Naglaa M. Elhafez, and Salam M. Elhafez. "The Impact of Tennis and Golfer’s Elbow on Shoulder External Rotators and Abductors’ Peak Torque." Journal of Sport Rehabilitation 29, no. 4 (May 1, 2020): 469–75. http://dx.doi.org/10.1123/jsr.2018-0159.

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Context: Upper limb activities require a repetitive movement of the shoulder external rotator and abductor muscles. The malfunction of the proximal part of the upper limb kinetic chain tends to change the mechanics of the distal part and increase the risk of injuries. Objectives: To compare the normalized eccentric peak torque (NEPT) of the shoulder external rotator and abductor muscles among healthy athletes and those with tennis elbow and golfer’s elbow. Design: An experimental cross-sectional study. Setting: Isokinetic laboratory, Faculty of Physical Therapy, Cairo University. Participants: A total of 30 male athletes participated voluntarily in this study. Intervention: Participants were distributed into 3 groups: healthy group, tennis elbow group, and golfer’s elbow group. Main Outcome Measures: NEPT of shoulder abductors and external rotators. The Biodex Isokinetic Dynamometer was used to measure the variables of interest. Results: There was a significant increase in the NEPT of shoulder abductors and external rotators in healthy control group compared with both tennis elbow and golfer’s elbow groups at an angular velocity of 60°/s (P < .05). Moreover, there was a significant increase in the NEPT of shoulder external rotators and abductors at an angular velocity of 120°/s in healthy control group compared with tennis elbow group and in golfer’s elbow group compared with tennis elbow group (P < .05). Conclusion: Tennis elbow and golfer’s elbow are associated with decreased NEPT of shoulder external rotators and abductors compared with those of healthy athletes. This tends to decrease the external stability of the shoulder joint and put high stress on the distal joints of the upper kinetic chain.
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46

K, Sreelatha, George M. J, and Rejani H. "AGNIKARMA USING HONEY IN TENNIS ELBOW." International Ayurvedic Medical Journal 9, no. 11 (November 15, 2021): 2659–64. http://dx.doi.org/10.46607/iamj0309112021.

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Tennis elbow is a condition in which there is pain on the lateral epicondyle. It is a type of repetitive strain injury due to overexertion of the common extensor tendon (snayu), micro-traumas, or its failed healing. Tennis elbow may be correlated with snāyugata vāta in kūrpara sandhi (elbow) which has symptoms of pain, stiffness and restriction of movements. Ācārya Suśruta has mentioned snigdha agnikarma (thermal cautery) in the management of snayugata vata. 16 participants satisfying the diagnostic, inclusion and exclusion criteria were selected for the study. Agnikarma using honey (madhu) was done on the 1st and 8th days. Clinical assessments were done on the 1st, 8th, 15th, 22nd, 29th days. On statistical analysis, it was found that agnikarma using madhu shows 68.22% of effect in the management of tennis elbow. Keywords: Tennis elbow, agnikarma, honey
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47

Mohandhas, Badri R., Navnit Makaram, Tim S. Drew, Weijie Wang, Graham P. Arnold, and Rami J. Abboud. "Racquet string tension directly affects force experienced at the elbow: implications for the development of lateral epicondylitis in tennis players." Shoulder & Elbow 8, no. 3 (April 6, 2016): 184–91. http://dx.doi.org/10.1177/1758573216640201.

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Background Lateral epicondylitis (LE) occurs in almost half of all tennis players. Racket-string tension is considered to be an important factor influencing the development of LE. No literature yet exists that substantiates how string-tension affects force transmission to the elbow, as implicated in LE development. We establish a quantitative relationship between string-tension and elbow loading, analyzing tennis strokes using rackets with varying string-tensions. Methods Twenty recreational tennis players simulated backhand tennis strokes using three rackets strung at tensions of 200 N, 222 N and 245 N. Accelerometers recorded accelerations at the elbow, wrist and racket handle. Average peak acceleration was determined to correlate string-tension with elbow loading. Results Statistically significant differences ( p < 0.05) were observed when average peak acceleration at the elbow at 200 N string-tension (acceleration of 5.58 m/s2) was compared with that at 222 N tension (acceleration of 6.83 m/s2) and 245 N tension (acceleration of 7.45 m/s2). The 200 N racket induced the least acceleration at the elbow. Conclusions Although parameters determining force transmission to the elbow during a tennis stroke are complex, the present study was able to control these parameters, isolating the effect of string-tension. Lower string-tensions transmit less force to the elbow in backhand strokes. Reducing string-tension should be considered favourably with respect to reducing the risk of developing LE.
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48

B., Riyas Basheer K., Subhashchandra Rai, Irshana Balkies A. M., and Jasim Junaid N. P. "Incidence of tennis elbow and association of hand grip strength among college students." International Journal of Research in Medical Sciences 9, no. 1 (December 28, 2020): 177. http://dx.doi.org/10.18203/2320-6012.ijrms20205839.

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Background: Lateral epicondylitis is an overuse injury involving the origin of common extensor tendon at elbow joint. Among the college students there is more complaint on wrist and elbow. Objective was to find out the incidence of tennis elbow & grip strength among the students during the entire academic year.Methods: Three hundred and seventy subjects fulfilled the inclusion criteria with age respondents between seventeen to twenty four years. This study is done in those students who have local tenderness on palpation over the lateral epicondyle (grade 2). NPRS was used for measuring the pain intensity. Mill’s test and Cozen’s test was performed to confirm the tennis elbow. The subject is asked to squeeze the dynamometer three times with left and right hand respectively. There was one minute resting period between each squeeze were taken into account.Results: The incidence of confirmed tennis elbow was 4.05% & 2.70% in right and left respectively. Among those participants Mill’s test was positive in 16.2% on right and left side and Cozen’s test was positive in 8.1% on right side and 5.4% on left side. The mean rank of left and right grip strength for the students who are confirmed as tennis elbow were 52.75 Kg and 50.67 Kg and for not-confirmed were 36.56 Kg and 36.41 Kg respectively.Conclusions: The study concluded that 6.7% incidence rate of tennis elbow was observed in college students during the entire academic year. And also concluded there is no much significance correlation between grip strength and tennis elbow incidence rate.
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49

Maffulli, N., R. Regine, F. Carrillo, G. Capasso, and S. Minelli. "Tennis elbow: an ultrasonographic study in tennis players." British Journal of Sports Medicine 24, no. 3 (September 1, 1990): 151–55. http://dx.doi.org/10.1136/bjsm.24.3.151.

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50

Gavhale, Sandeep, Harshit Dave, Hitesh Rohra, Vipul D. Shet, Ganesh Aher, and Sagar Bansal. "Tennis elbow brace and wrist cock-up splint in the management of tennis elbow: a comparative study." International Journal of Research in Orthopaedics 6, no. 4 (June 23, 2020): 813. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20202690.

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<p class="abstract"><strong>Background:</strong> The purpose of our study was to compare the efficacy of a wrist splint with a forearm counterforce strap brace in the management of tennis elbow.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted between January and December 2018 comprising of 75 patients suffering from lateral epicondylitis managed conservatively with splints. Patients were randomized into three treatment groups, group 1 received tennis elbow forearm brace, group 2 received wrist extension splint, group 3 received both tennis elbow forearm brace and wrist extension splint. The patient-rated tennis elbow evaluation (PRTEE) score and visual analogue scale (VAS) scores were calculated at 0, 3 and 6 weeks of the treatment.<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean difference of pre-treatment and post-treatment PRTEE score was significant in all three groups and was maximum for group 3 patients (32.42) followed by group 2 patients (27.04) followed by group 1 patients (20.06). Pre-treatment and post-treatment VAS score difference was maximum for group 3 patients.</p><p class="abstract"><strong>Conclusions:</strong> Significant symptomatic relief can be achieved in patients with tennis elbow by using either tennis elbow forearm brace or wrist extension splint or both. Provided proper patient selection and compliance, wrist extension splint achieves better symptomatic relief and functional outcome as compared to tennis elbow brace.</p>
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