Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment

Posterolateral impingement is sometimes diagnosed as a cause of refractory elbow pain, often after other treatments have been tried for common conditions such as lateral epicondylitis (tennis elbow) or subtly different conditions common in throwing athletes, such as valgus extension overload syndrom...

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Main Authors: Gur-Aziz Singh Sidhu, Niyam Amanullah, Harjot Kaur, Saphalya Pattnaik, Neil Ashwood, Andrew Peter Dekker, Harpal Singh Selhi
Format: Article
Language:English
Published: Korean Shoulder and Elbow Society 2024-08-01
Series:Clinics in Shoulder and Elbow
Subjects:
Online Access:http://cisejournal.org/upload/pdf/cise-2023-01081.pdf
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author Gur-Aziz Singh Sidhu
Niyam Amanullah
Harjot Kaur
Saphalya Pattnaik
Neil Ashwood
Andrew Peter Dekker
Harpal Singh Selhi
author_facet Gur-Aziz Singh Sidhu
Niyam Amanullah
Harjot Kaur
Saphalya Pattnaik
Neil Ashwood
Andrew Peter Dekker
Harpal Singh Selhi
author_sort Gur-Aziz Singh Sidhu
collection DOAJ
description Posterolateral impingement is sometimes diagnosed as a cause of refractory elbow pain, often after other treatments have been tried for common conditions such as lateral epicondylitis (tennis elbow) or subtly different conditions common in throwing athletes, such as valgus extension overload syndrome. Arthroscopic surgical treatment is effective when targeting abnormal anatomy such as plicae folds. Partial excision of the olecranon must be undertaken with caution because it can lead to instability. This systematic review of the current literature uses a narrative synthesis to identify anatomical morphological variations of the olecranon, humeral and capitellar geometry, and overloading of the lateral part of the elbow as causative factors for this condition and discusses how arthroscopic techniques can resolve symptoms. Further understanding of the static and dynamic anatomy of the lateral part of the elbow will help to develop future treatment and preventive strategies.
format Article
id doaj-art-46d06197ec1d472fb52e7b7eedc76e02
institution DOAJ
issn 2288-8721
language English
publishDate 2024-08-01
publisher Korean Shoulder and Elbow Society
record_format Article
series Clinics in Shoulder and Elbow
spelling doaj-art-46d06197ec1d472fb52e7b7eedc76e022025-08-20T03:07:58ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212024-08-0127448749510.5397/cise.2023.010811000Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatmentGur-Aziz Singh Sidhu0Niyam Amanullah1Harjot Kaur2Saphalya Pattnaik3Neil Ashwood4Andrew Peter Dekker5Harpal Singh Selhi6 Department of Trauma and Orthopaedics, University Hospital Lewisham, London, UK Department of Trauma and Orthopaedics, University Hospitals of Derby and Burton, Derby, UK Department of Trauma and Orthopaedics, Dayanand Medical College and Hospital, Ludhiana, India Department of Trauma and Orthopaedics, University Hospital Lewisham, London, UK Department of Trauma and Orthopaedics, University Hospitals of Derby and Burton, Derby, UK Department of Trauma and Orthopaedics, University Hospitals of Derby and Burton, Derby, UK Department of Trauma and Orthopaedics, Dayanand Medical College and Hospital, Ludhiana, IndiaPosterolateral impingement is sometimes diagnosed as a cause of refractory elbow pain, often after other treatments have been tried for common conditions such as lateral epicondylitis (tennis elbow) or subtly different conditions common in throwing athletes, such as valgus extension overload syndrome. Arthroscopic surgical treatment is effective when targeting abnormal anatomy such as plicae folds. Partial excision of the olecranon must be undertaken with caution because it can lead to instability. This systematic review of the current literature uses a narrative synthesis to identify anatomical morphological variations of the olecranon, humeral and capitellar geometry, and overloading of the lateral part of the elbow as causative factors for this condition and discusses how arthroscopic techniques can resolve symptoms. Further understanding of the static and dynamic anatomy of the lateral part of the elbow will help to develop future treatment and preventive strategies.http://cisejournal.org/upload/pdf/cise-2023-01081.pdfposterolateral impingementepicondylitislateral epicondylitisinstabilityarthroscopy
spellingShingle Gur-Aziz Singh Sidhu
Niyam Amanullah
Harjot Kaur
Saphalya Pattnaik
Neil Ashwood
Andrew Peter Dekker
Harpal Singh Selhi
Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
Clinics in Shoulder and Elbow
posterolateral impingement
epicondylitis
lateral epicondylitis
instability
arthroscopy
title Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
title_full Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
title_fullStr Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
title_full_unstemmed Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
title_short Persistent lateral elbow pain from overlooked posterolateral impingement of the elbow: a literature review and guidance for treatment
title_sort persistent lateral elbow pain from overlooked posterolateral impingement of the elbow a literature review and guidance for treatment
topic posterolateral impingement
epicondylitis
lateral epicondylitis
instability
arthroscopy
url http://cisejournal.org/upload/pdf/cise-2023-01081.pdf
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