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20.04.2021 | Stoßwellentherapie | Übersicht

Stadiengerechte Behandlung der lateralen Epikondylopathie des Ellenbogens – ein Update

verfasst von: Dr. C. Schoch, M. Dittrich, M. Geyer

Erschienen in: Obere Extremität | Ausgabe 3/2021

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Zusammenfassung

Hintergrund

Die laterale Epikondylopathie (LE) ist eine der häufigsten Pathologien am Ellenbogen, die Möglichkeiten der konservativen und operativen Therapie sind manigfaltig.

Material und Methode

Dargestellt wird eine kursorische Zusammenstellung der aktuellen Datenlage der konservativen und operativen Therapie der LE und eines möglichen Diagnosealgorithmus und den hieraus resultierenden Therapieempfehlungen.

Ergebnisse

Die verschiedenen Therapiemaßnahmen (konservativ wie operativ) zeigen in der Studienlage durchweg gute Ergebnisse. Keine Einzelmaßnahme ist der anderen signifikant überlegen oder in der Langfrist signifikant besser als der per se gutmütige Spontanverlauf. Die operativen Maßnahmen sind erst nach frustraner Therapie indiziert und sollten anhand der sehr genauen Diagnostik einem klaren, der Pathologie angepassten Therapieplan folgen.

Schlussfolgerung

Die LE ist eine der häufigsten Enthesopathien. Eine saubere Anamnese und klinische Untersuchung reichen normalerweise aus, um die Diagnose zu stellen. Die Verwendung nichtoperativer Behandlungsmodalitäten bei der Behandlung der LE ist der Goldstandard. Eine operative Maßnahme kommt nach frustraner konservativer Therapie und entsprechender Pathologieabklärung (MRT, Ultraschall) in Frage. Wichtig ist es, eine posterolaterale Rotationsinstabilität (PLRI) nicht zu übersehen und diese ggf. zu stabilisieren.

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Titel: Stadiengerechte Behandlung der lateralen Epikondylopathie des Ellenbogens – ein Update
verfasst von: Dr. C. Schoch
M. Dittrich
M. Geyer
Publikationsdatum: 20.04.2021
Verlag: Springer Medizin
Schlagwörter: Stoßwellentherapie
Physikalische Medizin
Epikondylitis
Wunddebridement
Erschienen in: Obere Extremität / Ausgabe 3/2021
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
DOI: https://doi.org/10.1007/s11678-021-00639-8

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Stadiengerechte Behandlung der lateralen Epikondylopathie des Ellenbogens – ein Update

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Hintergrund

Material und Methode

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Hintergrund

Material und Methode

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