From: How one treats lateral epicondylitis – a survey among Brazilian orthopedists
GROUPS: | Hand | Shoulder and Elbow | General Orthopaedists | Total | |||||
---|---|---|---|---|---|---|---|---|---|
QUESTION: | ANSWER: | N | % | N | % | N | % | N | % |
How long after the initial treatment do you recommend a change in treatment? | Up to 1 month | 10 | 8.1% | 9 | 5.4% | 37 | 21.6% | 56 | 12.1% |
1–3 months | 53 | 42.7% | 57 | 33.9% | 88 | 51.5% | 198 | 42.8% | |
3–6 months | 41 | 33.1% | 75 | 44.6% | 37 | 21.6% | 153 | 33.0% | |
6–12 months | 14 | 11.3% | 21 | 12.5% | 8 | 4.7% | 43 | 9.3% | |
>12 months | 6 | 4.8% | 6 | 3.6% | 1 | 0.6% | 13 | 2.8% | |
If symptoms persist, what is your treatment option? | Surgery | 22 | 17.6% | 27 | 16.1% | 18 | 10.5% | 67 | 14.4% |
Local Infiltration | 94 | 75.2% | 130 | 77.4% | 140 | 81.4% | 364 | 78.3% | |
Other | 9 | 7.2% | 11 | 6.5% | 14 | 8.1% | 34 | 7.3% | |
When infiltrating, which is your substance of choice? | Corticosteroids | 109 | 91.6% | 133 | 83.1% | 153 | 94.4% | 395 | 89.6% |
Sodium Hyaluronate | 2 | 1.7% | 15 | 9.4% | 4 | 2.5% | 21 | 4.8% | |
Platelet-Rich Plasma | 0 | 0.0% | 1 | 0.6% | 2 | 1.2% | 3 | 0.7% | |
Anaesthetics and perforations only | 7 | 5.9% | 11 | 6.9% | 3 | 1.9% | 21 | 4.8% | |
Botulinum Toxin | 1 | 0.8% | 0 | 0.0% | 0 | 0.0% | 1 | 0.2% | |
How long after conservative treatment do you recommend surgery? | 3 months | 8 | 7.6% | 10 | 6.6% | 26 | 17.2% | 44 | 10.8% |
6 months | 59 | 56.2% | 84 | 55.3% | 82 | 54.3% | 225 | 55.1% | |
12 months | 38 | 36.2% | 58 | 38.2% | 43 | 28.5% | 139 | 34.1% | |
What is your surgery option for lateral epicondylitis of the elbow? | Open | 104 | 91.2% | 120 | 73.2% | 105 | 67.3% | 329 | 75.8% |
Arthroscopic | 10 | 8.8% | 44 | 26.8% | 51 | 32.7% | 105 | 24.2% |