Transcatheter arterial embolization of abnormal vessels as a treatment for lateral epicondylitis refractory to conservative treatment: a pilot study with a 2-year follow-up

• Published in: Journal of shoulder and elbow surgery 2017-08, Vol.26 (8), p.1335-1341
• Main Authors: Iwamoto, Wataru, Okuno, Yuji, Matsumura, Noboru, Kaneko, Takao, Ikegami, Hiroyasu
• Format: Article
• Language: English
• Subjects: abnormal vessels; Adult; Aged; Arteries - abnormalities; Conservative Treatment; Elbow - blood supply; Elbow pain; embolization; Embolization, Therapeutic; Female; Follow-Up Studies; Humans; lateral epicondylitis; Magnetic Resonance Imaging; magnetic resonance imaging score; Male; Middle Aged; Musculoskeletal Pain - etiology; Pain Measurement; Pilot Projects; Prospective Studies; resistant cases; Retreatment; Tennis Elbow - complications; Tennis Elbow - diagnostic imaging; Tennis Elbow - therapy; Treatment Failure
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1016/j.jse.2017.03.026

Abnormal vessels and accompanying nerves are possible sources of pain with lateral epicondylitis. The purpose of this study was to describe the safety and efficacy of transcatheter arterial embolization (TAE) for lateral epicondylitis resistant to conservative treatment. This prospective study was conducted in 24 patients with lateral epicondylitis resistant to conservative treatments for more than 3 months, with a symptom duration longer than 6 months, and with moderate to severe pain who were treated with TAE between March 2013 and October 2014. Two patients were lost to follow-up, and the remaining 22 patients were followed up for 2 years after TAE. Abnormal vessels were identified in all of the patients. No major adverse events were observed. The Quick Disabilities of the Arm, Shoulder and Hand scores at baseline significantly decreased at 1, 3, 6, and 24 months after treatment (50.8 vs 23.4, 8.3, 5.3, and 2.7, respectively; all P