Humerus Lateral Epikondilit Tedavisinde Lokal Steroid Enjeksiyonu ile Lateral Epikondilit Bandajının Etkinliğinin Karşılaştırılması

Amaç: Humerus lateral epikondilitli olgulara, lokal steroid injeksiyonu ile lateral epikondilit bandaj uygulama sonuçlarının ve etkinliğinin klinik olarak karşılaştırılması. Gereç ve Yöntem: Dirsek yan kısmında ağrı şikayetiyle kliniğimize müracaat edip, klinik ve radyolojik muayeneleri yapılarak lateral epikondilit tanısı konan ve düzenli takibi yapılan 21'i erkek, 18'i bayan olmak üzere toplam 39 hastanın 41 dirseği çalışma kapsamına alındı. Hastaların ortalama yaşı 42.3 (19-54) yaş, ortalama takip süresi ise 13.7 (12-16) ay olarak tespit edildi. Hastalar 2 gruba ayrıldı. 1. Grupta 19 hastanın 21 dirseğine lokal steroid enjeksiyonu yapılırken, 2. Gruptaki 20 hastanın 20 dirseğine lateral epikondilit bandajı uygulandı. Olgular; tedavinin başlamasından 2 hafta sonra ve 2, 6, 12. aylarda kontrol edilerek değerlendirildi. Bulgular: Grup 1'de 1 olguya ilk enjeksiyondan 2 hafta sonra ağrısının geçmemesi nedeniyle 2. enjeksiyon yapıldı. Son kontrolde Grup 1'de %80.95, Grupta 2'de ise %45 oranında mükemmel sonuç elde edildi. İki grup arasında anlamlı olarak fark vardı (p

Anahtar Kelimeler:

Humerus lateral epikondilit, kortikosteroid enjeksiyonu, epikondilit bandajı, tanı, tedavi

To compare clinically the application of lateral epikondilitis bandage with local steroid injection and its effectiveness on treatment of humerus lateral epikondilitis

Objectives: To compare clinically the application of lateral epikondilitis bandage with local steroid injection and its effectiveness on phenomena with humerus lateral epikondilitis. Material and Methods: 41 elbows of 39 patients, 21 of whom are males and 18 of whom are females, and were diagnosed with lateral epikondilitis after clinic and radiological examination and were followed-up regularly were taken into the scope of the study. The average age of the patients were determined to be 42.3 (19-54) and average follow-up duration was determined to be 13.7 (12-16) months. The patients were divided into two groups. In the first group, while local steroid injection was applied to 20 elbows of 19 patients, in the second group lateral epikondilitis bandage was applied to 20 elbows of 20 patients. The phenomena were evaluated two weeks after the onset of treatment and by controlling in the second, sixth and twelfth months Results: In Group 1, as the pain didn't abate two weeks after the first injection, a second injection was applied. During the last control, perfect results were obtained with the ratio of 80.95 % in Group 1 and with the ratio of in Group 2, 45%. There was a significant difference between two groups (p

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Kabul Tarihi:13.06.2007