Pathology

Although the term epicondylitis implies the presence of an inflammatory condition, inflammation is present only in the earliest stages of the disease process. In 1936, Cyr-iax postulated that microscopic or macroscopic tears of the common extensor origin were involved in the disease process.8 However, he made this report without studying any diseased or surgical specimens. Goldie,9 Coonrad and

Hooper,2 and Nirschl and Pettrone10 demonstrated that the condition is actually a degenerative tendinopathy. Goldie9 described granulation tissue found at the extensor carpi radialis brevis (ECRB) origin, but did not describe any tearing of the tissue. Coonrad and Hooper first described macroscopic tearing in association with the histologic findings in 1973.2 Nirschl termed this histologic process "angiofibroblastic tendinosis." It is characterized by disorganized, immature collagen formation with immature fibroblastic and vascular elements.3 This gray, friable tissue is found in association with varying degrees of tearing in the involved tendinous origins. The most common anatomic locations of the tendinosis are the ECRB tendon laterally and the pronator teres and flexor carpi radialis medially. Universally, the ECRB tendon is involved in lateral epicondylitis.11 A bony exostosis, or traction spur, can be identified at the lateral epicondyle in 20% of patients.

Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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