Peppering versus Single Injection Technique in Tennis Elbow - A Prospective Comparative Study
https://doi.org/10.5704/MOJ.2203.013
- Author:
Prakash YR
1
;
Dhanda A
1
;
Yallapur KL
2
;
Inamdar SS
1
;
Darshan GT
1
;
Ramakrishna M
1
Author Information
1. Department of Orthopaedics, Bangalore Medical College and Research Institute, Bangalore, India
2. Department of Orthopaedics, Vijayanagar Institute of Medical Sciences, Ballari, India
- Publication Type:Journal Article
- Keywords:
single injection technique, peppered injection technique, PRTEE, lateral epicondylitis
- From:Malaysian Orthopaedic Journal
2022;16(No.1):91-96
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Lateral epicondylitis is a common condition
causing severe incapacitating pain. Several methods of
treatment have been approached for its management. In our
study we aim to compare the results of injecting steroid and
lignocaine mixture via single injection and peppered
injection technique and analyse the outcome in each
category.
Materials and methods: A prospective randomised study
comprising of 25 patients in each group (single vs peppered
group) were included in the study after satisfying inclusion
and exclusion criteria. Outcome of the treatment was
measured in the form of Patient Related Tennis Elbow
Evaluation (PRTEE) Questionnaire, Visual analogue score
(VAS) and tenderness grading at two weeks, six weeks and
six months after injection.
Results: Results of our study showed that the mean PRTEE
score was 22.36, 18.40 and 14.16 at 2 weeks, 6 weeks and 6
months following peppered injection as compared to 28.96,
21.84 and 25.32 in the single injection group (p value <0.05).
VAS score at 2 weeks, 6 weeks and 6 months after the
peppered injection was found to be 2.72, 1.72 and 1.36 and
in the single injection group was 2.96, 1.92 and 2.72 at
2weeks, 6 weeks and 6 months, respectively (p value <0.05).
On comparison of the 2 groups, there was a significant
reduction of VAS scores at 6 months post-injection (p value
<0.05) and PRTEE score at 6 weeks, 6 months in peppered
injection group.
Conclusion: The effects of peppered injection technique is
seen to be advantageous over the single injection technique
in the management of chronic lateral epicondylitis.
- Full text:16.2022my1230.pdf
