Entesopathy of the lateral epicondyle of the humeral bone – current treatment options

Chronic pain located on the lateral surface of the elbow in the area of the lateral epicondyle of the humerus is characteristic for a disease called tennis elbow, which belongs to the group of enthesopathies, i. e. diseases related to bone tendon attachment. The cause of the disease are micro-injuries caused by repetitive movements and chronic overloads. Degenerative changes occur in the tendons of the finger and wrist extensor muscles which attach to the lateral epicondyle of the humerus. The problem usually affects the extensor carpi radialis brevis muscle. A typical location for pain is the lateral side of the elbow joint but it can often radiate to the forearm and wrist. In our paper we presented the most commonly used and most effective methods of treatment of the disease. The least invasive methods of physiotherapy and rehabilitation include home exercise, ultrasound and phonophoresis, cryotherapy, light therapy, laser therapy and radial shock wave terapy. We compared the efficacy of pharmacological methods such as non-steroidal anti-inflammatory drugs, steroid injections with lidocaine, platelet-rich plasma, hyaluronic acid, botulinum toxin, collagen. We also mentioned the indications and surgical techniques of the tennis elbow

Intra-articular injections – current indications and contraindications

Szubstarski Mateusz, Sekuła Przemysław, Głodek Łukasz, Tarczyńska Marta, Gawęda Krzysztof, Mazur Rafał. Intra-articular injections – current indications and contraindications. Journal of Education, Health and Sport. 2017;7(8):907-916. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.995621 http://ojs.ukw.edu.pl/index.php/johs/article/view/4873 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.08.2017. Revised: 10.08.2017. Accepted: 31.08.2017. Intra-articular injections – current indications and contraindications Mateusz Szubstarski1, Przemysław Sekuła1, Łukasz Głodek1, Marta Tarczyńska1, Krzysztof Gawęda1, Rafał Mazur2 1 Medical University of Lublin, Department of Orthopaedics and Traumatology, Lublin, Poland 2 Student, I Faculty of Medicine, Medical University of Lublin Mateusz Szubstarski M.D1: http://orcid.org/0000-0001-6291-8536 e-mail: [email protected] Przemysław Sekuła M.D1: http://orcid.org/0000-0003-0328-032X e-mail: [email protected] Łukasz Głodek M.D1: http://orcid.org/0000-0002-3741-4392 e-mail: [email protected] Marta Tarczyńska M.D , Ph.D1: http://orcid.org/0000-0002-5268-6230 e-mail: [email protected] Krzysztof Gawęda M.D. Ph.D1: http://orcid.org/0000-0002-1374-3343 e-mail: [email protected] Rafał Mazur2: http://orcid.org/0000-0002-8486-5567, e-mail: [email protected] Address for correspondence: Mateusz Szubstarski [email protected] Department of Orthopaedics and Traumatology SPSK 4 Jaczewskiego 8 20-954 Lublin Abstract Therapeutic intra-articular injections are becoming an increasingly popular treatment modality for osteoarthritis, in particular in its initial stage. The available literature provides varied reports on the efficacy of drugs being administered directly into the joint cavity. This results from inconsistent research methods and assessment criteria. There is considerable controversy as to the best therapeutic approach in everyday clinical practice. The aim of this paper was to present synthetically information and research results concerning the use of selected therapeutic agents in intra-articular injection treatment. The collected data is supposed to facilitate adjusting treatment strategies to patients' individual needs. Keywords: intra-articular injections, synovial fluid, join

The use of ultrasound in the assessment of the glenoid labrum of the glenohumeral joint. Part II: Examples of labral pathologies

Labral pathologies of the glenohumeral joint are most commonly caused by trauma. The majority of lesions affect the anterior part of labrum, resulting from much higher frequency of anterior shoulder dislocations over posterior ones. Another subgroup of labral lesions, not directly related to joint instability, are SLAP tears. Other findings include degenerative changes of labrum and paralabral cysts. Diagnostic imaging is crucial for making a decision regarding operative treatment. Apart from a standard X-ray examination, the imaging mainly relies on magnetic resonance or computed tomography arthrography. Based on their own experience, the authors propose the use of ultrasound in the assessment of labral tears of the glenohumeral joint. Different signs indicating labral pathology may be discovered and assessed during ultrasound examination. They include permanent displacement of the labrum onto the glenoid, labral instability during dynamic examination, lack of the labrum in the anatomical position, hypoechoic zone at the base of the labrum >2 mm in width, residual or swollen labrum as well as paralabral cyst(s). The most frequent appearance of labral pathology is displacement of the anteroinferior labrum onto the external aspect of the glenoid typically seen after anterior shoulder dislocation. The another most important US feature is labral instability while dynamically examined. The swelling or reduced size of the labrum usually indicates degeneration. This article presents sonographic images of selected labral pathologies

Ocena skuteczności PRP w leczeniu „kolana skoczka” = Effectiveness of PRP in the treatment of „jumper's knee”

Tarczyńska Marta, Gawęda Krzysztof, Majewska Daria, Latosiewicz Robert, Goguł Paweł. Ocena skuteczności PRP w leczeniu „kolana skoczka” = Effectiveness of PRP in the treatment of „jumper's knee”. Journal of Education, Health and Sport. 2016;6(8):190-205. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60083 http://ojs.ukw.edu.pl/index.php/johs/article/view/3747       The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015). 755 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2016; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.07.2016. Revised 25.07.2016. Accepted: 12.08.2016.     Ocena skuteczności PRP w leczeniu „kolana skoczka” Effectiveness of PRP in the treatment of „jumper's knee”   Marta Tarczyńska1, Krzysztof Gawęda1, Daria Majewska1, Robert Latosiewicz2, Paweł Goguł2   1Katedra Ortopedii, Klinika Ortopedii i Traumatologii, Uniwersytet Medyczny w Lublinie 2Zakład Rehabilitacji i Fizjoterapii, Uniwersytet Medyczny w Lublinie     1Department of Orthopaedics and Traumatology, Medical University of Lublin 2 Department of Rehabilitation and Physiotherapy, Medical University of Lublin     Słowa kluczowe: tendinopatia, kolano skoczka, terapia, czynniki wzrostu, PRP. Key words: tendinopathy, jumper’s knee, therapy, growth factors, PRP.     Streszczenie Cel pracy: Celem pracy była analiza wyników leczenia tendinopatii więzadła rzepki autogennym osoczem bogatopłytkowym bogatoleukocytarnym (L-PRP). Materiał i metody: Badaniem objęto 43 mężczyzn leczonych autogennym L-PRP z powodu tendinopatii więzadła rzepki, powszechnie nazywanej „kolanem skoczka”. L-PRP przygotowano metodą Curasan. Do oceny stanu czynnościowego badanych kolan wykorzystano skale: IKDC-2000 i KSS. Stopień satysfakcji oceniano za pomocą skali VAS. Badania przeprowadzono przed rozpoczęciem leczenia oraz 3, 6, 9, 12 i 24 miesiące po ostrzyknięciach. Wyniki i wnioski: Na podstawie uzyskanych wyników badań stwierdzono dużą skuteczność i trwałość leczenia tendinopatii więzadła rzepki L-PRP. W 2-letnim okresie obserwacji liczba punktów uzyskanych przez pacjentów w zastosowanych do oceny skalach świadczyła o normalizacji funkcji kolan i znacznej poprawie ich sprawności.     Abstract The aim: The aim of the study was to analyze the results of treatment of patellar tendinopathy with autologous leukocyte platelet-rich plasma (L-PRP). Material and methods: The prospective study included 43 men treated with autologous L-PRP because of patellar tendinopathy of the, commonly known as ‘jumper's knee’. L-PRP was prepared using the Curasan method. To assess the functional state of the examined knees such scales were used:  IKDC-2000 and KSS. Satisfaction level was evaluated with VAS scale. The follow-up examinations was carried out before treatment and 3, 6, 9, 12 and 24 months after the injections. Results and conclusions: On the basis of obtained results high efficiency and durability of results of the patellar tendinopathy L-PRP injections was found. Within the 2-year observation the number of points obtained by patients from the examined group, in accordance with the used scale, proves normalization of the knee function and significant improvement of its fitness.             Autor do korespondencji: Daria Majewska WOMP CP-L, Filia nr 2 20-418 Lublin, ul. Nowy Świat 38 budynek A - Ośrodek Rehabilitacji Lecznicze