Abstract | BACKGROUND: METHODS: In total, 57 consecutive patients with clinically diagnosed lateral epicondylitis were divided randomly into two groups. In the HA + CS group, 25 patients received a single injection of a solution containing an HA + CS combination and prilocaine HCl, while the 32 patients in the triamcinolone group received a single injection of a solution of triamcinolone and prilocaine HCl. We evaluated the pain and function outcome measures using the Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire at the beginning of the study, and 3 and 6 months after the injection. Additionally, the Minimum Clinically Important Difference values and percentage changes in the PRTEE subscale scores between the assessments were calculated. RESULTS: No serious adverse events were reported throughout the study. The mean pain and function scores for the HA + CS and triamcinolone groups had significantly improved at 3 months, but the mean function scores in the HA + CS group were statistically significantly better when compared to the triamcinolone group. At 6 months, both groups had significantly improved mean pain and function scores, compared to the baseline scores; however, the mean pain and function scores in the 6-month HA + CS treatment group were better than in the 6-month triamcinolone group. The relative change for the mean total score in the HA + CS group was much better when compared with the triamcinolone group, and the HA + CS treatment group showed clinically significant improvement when compared with triamcinolone group at 3 and 6 months. CONCLUSIONS: This study supports the idea that for a single injection treatment of patients with lateral epicondylitis, a combination injection of HA + CS may offer better pain benefits for 6 months after injection, when compared to triamcinolone. TYPE OF STUDY/LEVEL OF EVIDENCE: Level II, Randomized Clinical Trial, Prospective Comparative Study.
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Authors | Haci Bayram Tosun, Seyitali Gumustas, Ismail Agir, Abuzer Uludag, Sancar Serbest, Demet Pepele, Kadir Ertem |
Journal | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
(J Orthop Sci)
Vol. 20
Issue 5
Pg. 837-43
(Sep 2015)
ISSN: 1436-2023 [Electronic] Japan |
PMID | 26133944
(Publication Type: Journal Article, Randomized Controlled Trial)
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Chemical References |
- Drug Combinations
- Glucocorticoids
- chondroitin sulfate, sodium hyaluronate drug combination
- Triamcinolone
- Hyaluronic Acid
- Chondroitin Sulfates
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Topics |
- Chondroitin Sulfates
(administration & dosage)
- Dose-Response Relationship, Drug
- Drug Combinations
- Drug Therapy, Combination
- Follow-Up Studies
- Glucocorticoids
(administration & dosage)
- Humans
- Hyaluronic Acid
(administration & dosage)
- Injections
- Middle Aged
- Prospective Studies
- Tennis Elbow
(physiopathology, surgery)
- Treatment Outcome
- Triamcinolone
(administration & dosage)
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