Advertisement

The Elbow

  • Peter P. Yonclas
  • Michael J. Mehnert
  • Todd P. Stitik
  • Mohammad Hossein Dorri
  • Jong H. Kim
  • David J. Van Why
  • Jose Ibarbia
  • Lisa Schoenherr
  • Naimish Baxi
  • Ladislav Habina
  • Jiaxin J. Tran
Chapter

Abstract

Elbow region injection/aspiration procedures include those into joints, bursae, and tendon insertion sites as summarized in Table 7.17.1. Unlike injections into other body regions, in particular the shoulder where diagnostic injection procedures can play a major role in patient management, elbow region injections are more commonly therapeutic than diagnostic in intent. Exceptions to this, however, include aspiration in the setting of suspected crystalline arthropathy or suspected radial head fractures. Therapeutic injection procedures into the elbow region are commonly performed in conjunction with rehabilitation therapy or after conservative measures have failed.

Keywords

Radial Head Lateral Epicondyle Medial Epicondyle Lateral Epicondylitis Radial Head Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Stitik TP, Foye PM, Nadler SF, Chen B, Schoenherr L, Von Hagen S. Injections in patients with osteoarthritis and other musculoskeletal disorders: use of synthetic injection models for teaching physiatry residents. Am J Phys Med Rehabil 2005;84:550–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Gormley GJ, Corrigan M, Steele WK, Stevenson M, Taggart AJ. Joint and soft tissue injections in the community: questionnaire survey of general practitioners’ experiences and attitudes. Ann Rheum Dis 2003;62(1):61–4.CrossRefPubMedGoogle Scholar
  3. 3.
    Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006;333(7575):939. Epub.CrossRefPubMedGoogle Scholar
  4. 4.
    Field LD, Savoie FH. Common elbow injuries in sport. Sports Med 1998;26:193–205. Hay EM, Patterson SM, Lewis M, Hosie G, Croft P. Pragmatic randomized controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ 1999;319:964–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Assendelft WJ, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract 1996;46:209–16.PubMedGoogle Scholar
  6. 6.
    Zeebregts CJ, Tielliu IF, Hulsebos RG, de Bruin C, Verhoeven EL, Huisman RM et al. Ultrasound-guided autologous blood injection for tennis elbow. Skeletal Radiol 2006;35(6):371–7. Epub 2006 Mar 22.CrossRefGoogle Scholar
  7. 7.
    Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis. J Hand Surg [Am] 2003;28(2):272–8.CrossRefGoogle Scholar
  8. 8.
    Hayton MJ, Sanitin AJ, Hughes J, Frostick SP, Trail IA, Stanley JK. Botulinum toxin injection in the treatment of tennis elbow. A double-blind, randomized, controlled pilot study. J Bone Joint Surg Am 2005;87(3):503–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Ciccotti MG, Ramani MH. Medial epicondylitis. Sports Med Arthrosc Rev 2003;11(1):57–62.CrossRefGoogle Scholar
  10. 10.
    Stahl S, Kaufman T. The efficacy of an injection of steroids for medial epicondylitis: a prospective study of sixty elbows. J Bone Joint Surg Am 1997;79:1648–1652.PubMedGoogle Scholar
  11. 11.
    Suresh SP, Ali KE, Jones H, Connell DA. Medial Epicondylitis: is ultrasound guided autologous blood transfer an effective treatment? Br J Sports Med 2006;40(11):935–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Smith DL, McAfee JH, Lucas LM, Kumar KL, Romney DM. Treatment of nonseptic olecranon bursitis. A controlled, blinded prospective trial. Arch Intern Med 1989;149(11):2527–30.CrossRefPubMedGoogle Scholar
  13. 13.
    Sofka CM, Collins AJ, Adler RS. Use of ultrasonographic guidance in interventional musculoskeletal procedures: a review from a single institution. J Ultrasound Med 2001;20(1):21–6.PubMedGoogle Scholar
  14. 14.
    Genant JW, Vandevenne JE, Bergman AG, Beaulieu CF, Kee ST, Norbash AM et al. Interventional musculoskeletal procedures performed by using MR imaging guidance with a vertically open MR unit: assessment of techniques and applicability. Radiology 2002;223(1):127–36.CrossRefPubMedGoogle Scholar
  15. 15.
    Poddar SK, Hill J, Loeffler R. Elbow pain in a twenty year old football player. Med Sci Sports Exerc 2001;33(5):S8.CrossRefGoogle Scholar
  16. 16.
    Sofka CM, Adler RS. Sonography of Cubital Bursitis. AJR Am J Roentgenol 2004;183(1):51–3.PubMedGoogle Scholar
  17. 17.
    Waldman SD. Olecranon Bursitis Pain. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:90–92.Google Scholar
  18. 18.
    Waldman SD. Intra-articular Injection of the Elbow Joint. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:77–79.Google Scholar
  19. 19.
    Elhassan B. Steinmann SP. Entrapment neuropathy of the ulnar nerve. J Am Acad Orthop Surg 2007; 15(11):672–81.PubMedGoogle Scholar
  20. 20.
    Waldman SD. Cubital Tunnel. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:103–6.Google Scholar
  21. 21.
    Bracker MD, Ralph LO. The numb arm and hand. Am Fam Physician 1995;51(1):103–16.PubMedGoogle Scholar
  22. 22.
    Waldman SD. Lateral Antebrachial Cutaneous Nerve Entrapment Syndrome. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:107–9.Google Scholar
  23. 23.
    Waldman SD. Radial Nerve Block at the Elbow. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:175–77.Google Scholar
  24. 24.
    Waldman SD. Tennis Elbow Syndrome. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:80–83Google Scholar
  25. 25.
    Marmor L. Medial epicondylitis. Calif Med 1959;91(1):23.PubMedGoogle Scholar
  26. 26.
    Waldman SD. Golfer’s Elbow Syndrome. Atlas of Pain Management Injection Techniques. Philadelphia, PA: WB Saunders; 2000:87–89.Google Scholar

References

  1. 1.
    Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the elbow region. Am Fam Physician 2002;66(11):2097–100.PubMedGoogle Scholar
  2. 2.
    Saunders S. Elbow treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine. London: WB Saunders; 2002:50.Google Scholar
  3. 3.
    Connell DA, Ali KE, Ahmad M, Lambert S, Corbett S, Curtis M. Ultrasound-guided autologous blood injection for tennis elbow. Skeletal Radiol 2006;35(6):371–7.CrossRefPubMedGoogle Scholar

References

  1. 1.
    Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the elbow region. Am Fam Physician 2002;66(11):2097–100.PubMedGoogle Scholar
  2. 2.
    Saunders S. Elbow treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine. London: WB Saunders; 2002:50.Google Scholar
  3. 3.
    Connell DA, Ali KE, Ahmad M, Lambert S, Corbett S, Curtis M. Ultrasound-guided autologous blood injection for tennis elbow. Skeletal Radiol 2006;35(6):371–7.CrossRefPubMedGoogle Scholar

References

  1. 1.
    Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the elbow region. Am Fam Physician 2002;66(11):2097–100.PubMedGoogle Scholar
  2. 2.
    Saunders S. Elbow treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine, second edition. London: WB Saunders; 2002:48.Google Scholar

Bibliography

  1. .
    These textbook entries describe injections into the radiohumeral articulation, but not specifically into the radiocapitellar jointGoogle Scholar

References

  1. 1.
    Waldman SD. Radial nerve block at the elbow. In Andjelkovic N, Chappelle A, eds. Atlas of Interventional Pain Management, Second edition. Philadelphia, PA; 2004:175–177.Google Scholar
  2. 2.
    Saunders S. Elbow treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine, Second edition. London: WB Saunders; 2002:50–52.Google Scholar

References

  1. 1.
    Cardone DA, Tallia AF. Diagnostic and therapeutic injection of the elbow region. Am Fam Physician 2002;66(11):2097–100.PubMedGoogle Scholar
  2. 2.
    Saunders S. Elbow treatments. In Law M, ed. Injection Techniques in Orthopaedic and Sports Medicine, Second edition. London: WB Saunders; 2002:46.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Peter P. Yonclas
  • Michael J. Mehnert
  • Todd P. Stitik
    • 1
  • Mohammad Hossein Dorri
  • Jong H. Kim
  • David J. Van Why
  • Jose Ibarbia
  • Lisa Schoenherr
  • Naimish Baxi
  • Ladislav Habina
  • Jiaxin J. Tran
  1. 1.Department of Physical Medicine and RehabilitationNew Jersey Medical SchoolNewarkUSA

Personalised recommendations