Author/Authors :
Augusto Stirma, Guilherme Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil , Holanda Chaves, Deginaldo Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil , Tortato, Simone Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil , Santoro Belangero, Paulo Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil , Henrique Schmidt Lara, Paulo Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil , Ejnisman, Benno Universidade Federal de São Paulo - Paulista School of Medicine, São Paulo, SP, Brazil
Abstract :
Objective: To prospectively, clinically and functionally follow-up
patients previously diagnosed with lateral epicondylitis after periar-
ticular application of hyaluronic acid and analyze the results. Meth-
ods: All patients were previously treated conservatively and had no
clinical improvement. Data such as age, positivity for specific tests
(Cozen and Mill), visual analogue pain scale (VAS) before and during
dorsiflexion of the wrist with resistance, diagnosis time, Mayo Elbow
Performance Score was collected. Patients were reevaluated 30 and
90 days after application. Results: The positivity rates for Cozen and
Mill tests were identical, starting at 100%, dropping to 50% after one
month, and ending at 41.7% after 3 months. The initial Mayo Elbow
Score average was 61.3 points; 85.8 in the first month, remaining
at 85 in the third month. VAS in active force situations had the initial
average of 8.1; after one month it dropped to 3.8, and 3.6 after
three months. At rest, the initial average was 5.9; after one month
it decreased to 3 and ended at 2.1 in three months. Conclusion:
Patients showed improvement in pain parameters, in the Mayo Elbow
Performance Score standard, but with 25% of failure in satisfaction.
Level of evidence IV, Case series.
