THE OUTCOME OF LOCAL STEROID INJECTION IN THE MANAGEMENT

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Abstract

The objective of this study was to determine the outcome of local steroid injection in the managem
of tennis elbow (lateral epicondylitis)
Methodology: Methodology: Methodology: Methodology: Methodology: 97 patients of Tennis elbow meeting inclusion criteria w ere included in this study. The study w
performed in the department of Orthopaedics and Traumatology of Khyber teaching hospital Peshawar, from N
2009 to August 2010. The diagnosis of the tennis elbow was done clinically by tenderness at the lateral epicond
and painful resisted extension of the wrist with elbow in full extension elicits pain at the lateral epicondyle (Coze
Test). Informed written consent was taken from the patients. Steroid plus local anesthetic injections were admin
tered under aseptic conditions in O.P.D. as a day case. The patients were followed at intervals of three weeks and
weeks. The findings were recorded in the proforma and the outcome was assessed by using Verhaar et al crite
Results: Results: Results: Results: Results: Four hundred ninety seven patients included in the study with tennis elbow. Out of these patients,
(39.6%) were males and 59(60.4%) were females. They were graded according to the Verhaar et al criteria. In t
short term follow up of three weeks 49 (51%) patients had excellent results, 28 (29%) patients had good results,
(20%) patients had fair results and none had poor results. At six weeks follow up, 70(72%) patients had excelle
16(17%) had good, 11(11%) had fair and no patient showed poor results.
Conclusion: Conclusion: Conclusion: Conclusion: Conclusion: Patients with Tennis elbow can be successfully treated with local steroid injection.
K K K K Key W ey W ey W ey W ey Words: ords: ords: ords: ords: Tennis Elbow (Lateral epicondylitis), Steroid injection, Outcome.

Authors: 
Muhammad Imran Khan
Awal Hakim
Syed Dil Bagh Ali Shah1
Raza Hassan

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