The Problem of Lateral Epicondylitis of the Humerus
Kundrát P.1, Gromnica R.2
1Ortopedická ambulance, Ostrava 2Oddělení nemocí z povolání, Hornická poliklinika, Ostrava, primář MUDr. Rostislav Gromnica, PhD. |
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Summary:
The authors summarize their findings and experience with the long-term assessment of the occupational character of lateral
epicondylitis of the humerus. They submit brief findings on the etiology, pathology, diagnosis, differential diagnosis and treatment of
this relatively frequent disease. This is followed by reflections and analysis of some repeated problems associated with establishment
of the diagnosis and subsequent evaluation of possible associations of the disease with the work performed. In the chapter
on therapy of lateral epicondylitis the authors emphasize the importance of adequately prolonged rest (best by major fixation) after
local corticoid injection. In the conclusion the authors emphasize the neccessity of collaboration between a specialist in occupational
medicine and an orthopedist who hopefully should have longstanding experience with evaluation of the occupational character
of this disease. The authors recommend to create an auxiliatry point system which will take into account all diagnostic parameters
as one of them alone is entirely significant.
Key words:
lateral epicondylitis, enthesopathy, local injection, fixation, rest therapy, occupational disease
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