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Vol. 56. Issue 211. (In progress)
(July - September 2021)
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Vol. 56. Issue 211. (In progress)
(July - September 2021)
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DOI: 10.1016/j.apunsm.2021.100353
Intractable lateral epicondilytis: A differential diagnosis algorithm for a correct clinical interpretation
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Jose Miguel Aguililla Liñana,
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jose.aguililla@eug.es

Corresponding author.
, Maria Isabel Miguel Pérezb, Jordi Palau Gonzálezc, Ingrid Möller Parerab
a Gimbernat School of Physiotherapy, Universitat Autònoma de Barcelona, Sant Cugat del Vallès 08174, Spain
b Department of Pathology and Experimental Therapeutics, Human Anatomy and Embryology Unit, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
c Centre for Hand Therapy (Centre de la Mà de Barcelona), Barcelona, Spain
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Tables (2)
Table 1. Differential diagnosis of intractable lateral epicondylitis if the patient has snapping, blockage and/or apprehension.
Table 2. Muscles whose Myofascial Trigger Points can be involved in intractable lateral epicondylitis and that the clinician must assess (from highest to lowest prevalence).
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Abstract

The epicondylalgia is the most frequent upper extremity pathology in adults and it can become an “intractable lateral epicondylitis” when patients do not improve with the treatment received. This is a complex entity that includes several musculo-tendinous, articular and neural syndromes than can coexist and they can also be confused with each other. For this reason, it is necessary to do a systematized and exhaustive evaluation where all the dysfunctions capable of generating the symptoms are precisely and independently analyzed. On this basis, a 7 steps assessment algorithm is proposed on this paper to enable the clinician to perform a complete and organized evaluation of these patients, to achieve a correct clinical interpretation.

Keywords:
Tennis elbow
Chronic pain
Diagnosis
Physical examination

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