Yıl: 2009 Cilt: 24 Sayı: 3 Sayfa Aralığı: 123 - 130 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis

Öz:
Amaç: Lateral epikondilit (LE) esasen klinik olarak tanınır. Ultrasonografi (US) LE'nin şiddeti, boyutu ve yerleşimi hakkında yararlı bilgi sağlayabilir. Amaç, LE'nin doğrulanması için US'nin kullanılması ve bu hastalarda ağrı, kavrama gücü, fizik bakı ve engellilik arasındaki ilişkileri incelemekti.Yöntem ve Gereçler: Unilateral LE'li 52 hasta US ile incelendi. Ağrı ve fonksiyonel durum görsel analog ölçütü, Yaşam Kalitesi Short Form-36 (SF-36), patient-rated forearm evaluation questionnaire (PRFEQ) kullanılarak belirlendi. Kavrama gücü ve LE için manüel testler değerlendirildi.Bulgular: Hastaların 28'inde (%53.8) LE'nin klinik tanısı US ile doğrulandı. Sonuçlarımız sonografisi anormal hastalarda, klinik muayene bulgularıyla SF-36 ve PRFEQ ağrı değerlendirmeleri arasında yakın ilişkiyi gösterdi. Bu hastalarda kavrama gücüyle de klinik ve fonksiyonel değerlendirmeler arasında karşılıklı ilişki vardı.Sonuç: LE'de engellilik değerlendirmesinde geleneksel klinik muayeneden başka yöntemlere ihtiyaç olduğu kanısına vardık. LE'nin sonografik bulguları olan hastalarda, ağrı ve kavrama gücü ölçümleri şiddet ve engelliğin değerlendirilmesinde sayısal ve nicel bilgi verir.
Anahtar Kelime:

Konular: Romatoloji

Lateral Epikondilitli Hastalarda Ultrasonografinin Tanı ve Ağrı ve Kavrama Gücü Değerlendirmesinde Önemi

Öz:
Objective: Lateral epicondylitis (LE) is generally diagnosed clinically. Ultrasonography (US) can provide useful information about the location, extent, and severity of LE. Our objective was to use US to confirm LE and to investigate the relationships between pain, grip strength, physical examination, and disability in these patients.Material and Methods: Fifty-two patients with unilateral LE were examined by US. Pain and functional status were assessed using a visual analog scale (VAS), physical functioning and bodily pain scales of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and a patient-rated forearm evaluation questionnaire (PRFEQ). Grip strength and manual tests for LE were evaluated.Results: Clinical diagnosis of LE was confirmed by US in 28 (53.8%) patients. Our results showed close associations between clinical examination findings and SF-36 and PRFEQ assessments with pain in patients who had sonographic abnormalities. Grip strength was also correlated with clinical and functional evaluations in these cases. Conclusion: We concluded that evaluation of disability in LE requires methods different from those included in the traditional clinical examination. Pain and grip strength measurements provide numerical and quantitative data for evaluation of severity and disability in patients with sonographic findings of LE.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Maffulli N, Regine R, Carrillo F, Capasso G, Minelli S. Tennis elbow: an ultrasonographic study in tennis players. Br J Sports Med 1990; 24: 151-4.
  • Werner C. Lateral elbow pain and posterior interosseus nerve entrapment. Acta Orthop Scand 1979; Suppl 174: 16-22.
  • Kaminsky SB, Baker CL. Lateral epicondylitis of the elbow. Sports Med Arthroscopy Review 2003; 11: 63-70.
  • Connell D, Burke F, Coombes P, McNealy S, Freeman D, Pryde D, et al. Sonographic examination of lateral epicondylitis. AJR 2001; 176: 777-82.
  • Miller TT, Shapiro MA, Schultz E, Kalish PE. Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound 2002; 30: 193-202.
  • Verhaar JAN, Walenkamp GHIM, Mameren H, Kester ADM, Linden AJ. Local corticosteroid injection versus Cyriax-type physiotherapy for tennis elbow. J Bone Joint Surg Br 1995; 77: 128-32.
  • Pienimaki T, Tarvainen T, Siira P, Malmivaara A, Vanharanta H. Associations between pain, grip strength, and manual tests in the treatment evaluation of chronic tennis elbow. Clin J Pain 2002; 18: 164-70.
  • Haahr JP, Andersen JH. Prognostic factors in lateral epicondylitis: a randomized trial with one-year follow- up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatology 2003; 42: 1216-25.
  • Waugh EJ, Jaglal SB, Davis AM, Tomlinson G. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil 2004; 85: 308-18.
  • Price BR, Sinclair H, Heinrich I, Gibson T. Local injection treatment of tennis elbow; hydrocortisone, triamcinolone and lignocaine compared. Br J Rheumatol 1991; 30: 39-44.
  • Wuori JL, Overend TJ, Kramer JF, MacDermid J. Strength and pain measures associated with lateral epicondylitis bracing. Arch Phys Med Rehabil 1998; 79: 832-7.
  • Thurtle OA, Tyler AK, Cawley MI. Grip strength as a measure of response to treatment for lateral epicondylitis (letter). Br J Rheumatol 1984; 23: 154-5.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-83.
  • Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther 1999; 12: 31-7.
  • Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, Gay RE, Arendt KW. Sensitivity of the Patient-rated Forearm Evaluation Questionnaire in lateral epicondylitis. J Hand Ther 2005; 18: 407-10.
  • Bouffard A, Cho KH, Cardinal E, Chhem RK. Elbow. In: Chhem R, Cardinal E, editors. Guidelines and Gamuts in Musculoskeletal Ultrasound. New York: Wiley-Liss, 1999: 73-107.
  • Pienimaki TT, Siira PT, Vanharanta H. Chronic medial and lateral epicondylitis: a comparison of pain, disability, and function. Arch Phys Med Rehabil 2002; 83: 317-21.
  • Pienimaki T, Siira P, Vanharanta H. Muscle function of the hand, wrist and forearm in chronic lateral epicondylitis. Eur J Phys Med Rehabil 1997; 7: 171-8.
  • Kane D, Grassi W, Sturrock R, Balint PV. Musculoskeletal ultrasound - a state of the art review in rheumatology. Part 2: clinical indications for musculoskeletal ultrasound in rheumatology. Rheumatology 2004; 43: 829-38.
  • Shiri R, Varonen H, Heliovaara M, Viikari-Juntura E. Hand dominance in upper extremity musculoskeletal disorders. J Rheumatol 2007; 34: 1076-82.
  • Hakim AJ, Cherkas LF, Spector TD, MacGregor AJ. Genetic associations between frozen shoulder and tennis elbow: a female twin study. Rheumatology 2004; 42: 739-42.
  • Hay EM, Paterson SM, Lewis M, Hosie G, Croft P. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ 1999; 319: 964-8.
  • Gunn CC, Milbrandt WE. Tennis elbow and the cervical spine. Can Med Assoc J 1976; 114: 803-9.
  • Gerberich SG, Priest JD. Treatment for lateral epicondylitis: variables related to recovery. Br J Sports Med 1985; 19: 224-7.
APA Tarhan S, ünlü z, OVAL G, PABU?ÇU Y (2009). Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. , 123 - 130.
Chicago Tarhan Serdar,ünlü zeliha,OVAL Gülgün Ylmaz,PABU?ÇU Yüksel Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. (2009): 123 - 130.
MLA Tarhan Serdar,ünlü zeliha,OVAL Gülgün Ylmaz,PABU?ÇU Yüksel Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. , 2009, ss.123 - 130.
AMA Tarhan S,ünlü z,OVAL G,PABU?ÇU Y Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. . 2009; 123 - 130.
Vancouver Tarhan S,ünlü z,OVAL G,PABU?ÇU Y Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. . 2009; 123 - 130.
IEEE Tarhan S,ünlü z,OVAL G,PABU?ÇU Y "Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis." , ss.123 - 130, 2009.
ISNAD Tarhan, Serdar vd. "Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis". (2009), 123-130.
APA Tarhan S, ünlü z, OVAL G, PABU?ÇU Y (2009). Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 24(3), 123 - 130.
Chicago Tarhan Serdar,ünlü zeliha,OVAL Gülgün Ylmaz,PABU?ÇU Yüksel Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 24, no.3 (2009): 123 - 130.
MLA Tarhan Serdar,ünlü zeliha,OVAL Gülgün Ylmaz,PABU?ÇU Yüksel Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.24, no.3, 2009, ss.123 - 130.
AMA Tarhan S,ünlü z,OVAL G,PABU?ÇU Y Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2009; 24(3): 123 - 130.
Vancouver Tarhan S,ünlü z,OVAL G,PABU?ÇU Y Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2009; 24(3): 123 - 130.
IEEE Tarhan S,ünlü z,OVAL G,PABU?ÇU Y "Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 24, ss.123 - 130, 2009.
ISNAD Tarhan, Serdar vd. "Value of Ultrasonography on Diagnosis and Assessment of Pain and Grip Strength in Patients with Lateral Epicondylitis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 24/3 (2009), 123-130.