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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
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 c...
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| Published in: | Journal of shoulder and elbow surgery 2017-08, Vol.26 (8), p.1335-1341 |
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| container_end_page | 1341 |
| container_issue | 8 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Iwamoto, Wataru Okuno, Yuji Matsumura, Noboru Kaneko, Takao Ikegami, Hiroyasu |
| description | 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 |
| doi_str_mv | 10.1016/j.jse.2017.03.026 |
| format | article |
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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 < .001). There was a statistically significant (P < .001) change from baseline to the last observed value in all of the clinical parameters, including visual analog scale pain score, Patient-Rated Tennis Elbow Evaluation score, and pain-free grip strength. Magnetic resonance images obtained 2 years after TAE showed an improvement in tendinosis and tear scores compared with baseline, and no patients showed bone marrow necrosis, obvious cartilage loss, or muscle atrophy.
TAE could be one possible treatment option for patients with lateral epicondylitis that fails to improve with conservative treatments.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2017.03.026</identifier><identifier>PMID: 28734535</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of shoulder and elbow surgery, 2017-08, Vol.26 (8), p.1335-1341</ispartof><rights>2017 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-4d7de715287591152840b12610aeb16c15b1dc9981a37f5efae50e789b8cf023</citedby><cites>FETCH-LOGICAL-c353t-4d7de715287591152840b12610aeb16c15b1dc9981a37f5efae50e789b8cf023</cites><orcidid>0000-0001-7345-4618</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28734535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwamoto, Wataru</creatorcontrib><creatorcontrib>Okuno, Yuji</creatorcontrib><creatorcontrib>Matsumura, Noboru</creatorcontrib><creatorcontrib>Kaneko, Takao</creatorcontrib><creatorcontrib>Ikegami, Hiroyasu</creatorcontrib><title>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</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>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 < .001). There was a statistically significant (P < .001) change from baseline to the last observed value in all of the clinical parameters, including visual analog scale pain score, Patient-Rated Tennis Elbow Evaluation score, and pain-free grip strength. Magnetic resonance images obtained 2 years after TAE showed an improvement in tendinosis and tear scores compared with baseline, and no patients showed bone marrow necrosis, obvious cartilage loss, or muscle atrophy.
TAE could be one possible treatment option for patients with lateral epicondylitis that fails to improve with conservative treatments.</description><subject>abnormal vessels</subject><subject>Adult</subject><subject>Aged</subject><subject>Arteries - abnormalities</subject><subject>Conservative Treatment</subject><subject>Elbow - blood supply</subject><subject>Elbow pain</subject><subject>embolization</subject><subject>Embolization, Therapeutic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>lateral epicondylitis</subject><subject>Magnetic Resonance Imaging</subject><subject>magnetic resonance imaging score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Musculoskeletal Pain - etiology</subject><subject>Pain Measurement</subject><subject>Pilot Projects</subject><subject>Prospective Studies</subject><subject>resistant cases</subject><subject>Retreatment</subject><subject>Tennis Elbow - complications</subject><subject>Tennis Elbow - diagnostic imaging</subject><subject>Tennis Elbow - therapy</subject><subject>Treatment Failure</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kcuO1DAQRSMEYoaBD2CDvGSTULbjPGCFRrykkdj03nKcisYtJw6206PwTXwk1eoBdkiWq-S690jlWxSvOVQcePPuWB0TVgJ4W4GsQDRPimuupCgbBfCUelBdKdq6uSpepHQEgL4G8by4El0rayXVdfHrEM2SrMn3mDEyE-l2xjOch-DdT5NdWFiYmBmWEGcanDAl9IkZOixHNHnGJbMpROYNmc_e1dmwjLt32SUWcYrG5hB3lgOjQcJ4Iu4J_9nfE2t1PmSW8jbu7MHle3oS5Y4mEtv78FBu68vi2WR8wleP9aY4fP50uP1a3n3_8u32411ppZK5rMd2xJYr2lL1_FxrGLhoOBgceGO5Gvho-77jRraTwsmgAmy7fujsBELeFG8v2DWGHxumrGeXLHpvFgxb0rwXkkPfCEVSfpHaGFKiVfUa3Wzirjnoc0b6qCkjfc5Ig9SUEXnePOK3Ycbxr-NPKCT4cBHQP-PJYdTJOlwsji6izXoM7j_431F3pjs</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Iwamoto, Wataru</creator><creator>Okuno, Yuji</creator><creator>Matsumura, Noboru</creator><creator>Kaneko, Takao</creator><creator>Ikegami, Hiroyasu</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7345-4618</orcidid></search><sort><creationdate>201708</creationdate><title>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</title><author>Iwamoto, Wataru ; Okuno, Yuji ; Matsumura, Noboru ; Kaneko, Takao ; Ikegami, Hiroyasu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-4d7de715287591152840b12610aeb16c15b1dc9981a37f5efae50e789b8cf023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>abnormal vessels</topic><topic>Adult</topic><topic>Aged</topic><topic>Arteries - abnormalities</topic><topic>Conservative Treatment</topic><topic>Elbow - blood supply</topic><topic>Elbow pain</topic><topic>embolization</topic><topic>Embolization, Therapeutic</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>lateral epicondylitis</topic><topic>Magnetic Resonance Imaging</topic><topic>magnetic resonance imaging score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Musculoskeletal Pain - etiology</topic><topic>Pain Measurement</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>resistant cases</topic><topic>Retreatment</topic><topic>Tennis Elbow - complications</topic><topic>Tennis Elbow - diagnostic imaging</topic><topic>Tennis Elbow - therapy</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iwamoto, Wataru</creatorcontrib><creatorcontrib>Okuno, Yuji</creatorcontrib><creatorcontrib>Matsumura, Noboru</creatorcontrib><creatorcontrib>Kaneko, Takao</creatorcontrib><creatorcontrib>Ikegami, Hiroyasu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwamoto, Wataru</au><au>Okuno, Yuji</au><au>Matsumura, Noboru</au><au>Kaneko, Takao</au><au>Ikegami, Hiroyasu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2017-08</date><risdate>2017</risdate><volume>26</volume><issue>8</issue><spage>1335</spage><epage>1341</epage><pages>1335-1341</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>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 < .001). There was a statistically significant (P < .001) change from baseline to the last observed value in all of the clinical parameters, including visual analog scale pain score, Patient-Rated Tennis Elbow Evaluation score, and pain-free grip strength. Magnetic resonance images obtained 2 years after TAE showed an improvement in tendinosis and tear scores compared with baseline, and no patients showed bone marrow necrosis, obvious cartilage loss, or muscle atrophy.
TAE could be one possible treatment option for patients with lateral epicondylitis that fails to improve with conservative treatments.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28734535</pmid><doi>10.1016/j.jse.2017.03.026</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7345-4618</orcidid></addata></record> |
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| ispartof | Journal of shoulder and elbow surgery, 2017-08, Vol.26 (8), p.1335-1341 |
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| source | ScienceDirect Journals |
| 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 |
| title | 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 |
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