Innervation pattern at the undersurface of the extensor carpi radialis brevis tendon in recalcitrant tennis elbow
We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow. Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscop...
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| Published in | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association Vol. 18; no. 4; pp. 528 - 535 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Tokyo
Elsevier B.V
01.07.2013
Springer Japan Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0949-2658 1436-2023 1436-2023 |
| DOI | 10.1007/s00776-013-0406-1 |
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| Abstract | We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow.
Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45years (38–66years), and the mean duration of symptoms before surgery was 23months (13–52months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns.
In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak.
Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow.
Diagnostic, Level IV. |
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| AbstractList | Purpose
We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow.
Methods
Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45 years (38–66 years), and the mean duration of symptoms before surgery was 23 months (13–52 months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns.
Results
In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak.
Conclusion
Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow.
Level of evidence
Diagnostic, Level IV. We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow.PURPOSEWe investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow.Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45 years (38-66 years), and the mean duration of symptoms before surgery was 23 months (13-52 months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns.METHODSEight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45 years (38-66 years), and the mean duration of symptoms before surgery was 23 months (13-52 months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns.In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak.RESULTSIn the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak.Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow.CONCLUSIONIncreased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow.Diagnostic, Level IV.LEVEL OF EVIDENCEDiagnostic, Level IV. We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow. Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45years (38–66years), and the mean duration of symptoms before surgery was 23months (13–52months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns. In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak. Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow. Diagnostic, Level IV. We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow. Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45 years (38-66 years), and the mean duration of symptoms before surgery was 23 months (13-52 months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns. In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak. Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow. Diagnostic, Level IV.[PUBLICATION ABSTRACT] We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients with recalcitrant tennis elbow. Eight elbows in eight consecutive patients (6 females and 2 males) with tennis elbow who underwent arthroscopic surgery were included in this study. The mean age was 45 years (38-66 years), and the mean duration of symptoms before surgery was 23 months (13-52 months). Operative treatment consisted of an arthroscopic inspection and debridement of the ECRB origin. Control tissues were obtained from biopsy of the ECRB capsule in two patients with osteochondritis dissecance of the capitellum who underwent arthroscopic resection of loose bodies. The tissue specimens were investigated immunohistochemically with antibodies delineating general (PGP9.5), sensory (SP/CGRP), and sympathetic (NPY) nerve patterns. In the non-tendinosis control tissue, SP/CGRP and NPY immunoreactions were heterogeneously distributed in association with blood vessels. Pathologic evaluation of the biopsy tissue showed atypical fibrous granulation containing numerous vessels and nerve structures in all eight patients. Marked reactions to PGP 9.5 took the form of nerve fibers associated with arteries and arterioles in the atypical granulation. Most of the perivascular innervation was found to express NPY. The immunoreactions for SP and CGRP were invariably weak. Increased perivascular sympathetic innervation accompanied with loss of sensory innervation at the undersurface of the ECRB tendon may play a role in chronic pain generation in recalcitrant tennis elbow. Diagnostic, Level IV. |
| Author | Yamashita, Toshihiko Kokai, Yasuo Ohki, Gosuke Sasaki, Koichi Iba, Kosuke Wada, Takuro |
| Author_xml | – sequence: 1 givenname: Koichi surname: Sasaki fullname: Sasaki, Koichi – sequence: 2 givenname: Gosuke surname: Ohki fullname: Ohki, Gosuke – sequence: 3 givenname: Kosuke surname: Iba fullname: Iba, Kosuke – sequence: 4 givenname: Toshihiko surname: Yamashita fullname: Yamashita, Toshihiko – sequence: 5 givenname: Takuro surname: Wada fullname: Wada, Takuro email: twada@sapmed.ac.jp – sequence: 6 givenname: Yasuo surname: Kokai fullname: Kokai, Yasuo organization: Department of Biomedical Engineering, Sapporo Medical University, South 1, West 17, Sapporo, 060-8556, Japan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23674348$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s40279_014_0300_9 crossref_primary_10_1016_j_jse_2017_03_026 crossref_primary_10_1016_j_jht_2022_11_005 crossref_primary_10_15563_jalliedhealthsci_8_50 crossref_primary_10_1002_ca_23538 crossref_primary_10_1016_j_jos_2021_09_003 crossref_primary_10_1097_BCO_0000000000000147 crossref_primary_10_1186_s10194_017_0741_2 crossref_primary_10_1177_2325967120929929 crossref_primary_10_1016_j_jseint_2022_03_004 crossref_primary_10_1016_j_jseint_2024_03_019 crossref_primary_10_1136_bmjsem_2022_001494 crossref_primary_10_1111_sms_12820 crossref_primary_10_1016_j_jhsa_2021_04_017 crossref_primary_10_1177_1758573218760245 |
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| Keywords | Radial Head Sensory Innervation Osteochondritis Dissecance Sympathetic Innervation Lateral Epicondylitis |
| Language | English |
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| Publisher | Elsevier B.V Springer Japan Springer Nature B.V |
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| References | Faro, Wolf (bb8195) 2007; 32 Mullett, Sprague, Brown, Hausman (bb8280) 2005; 439 Milz, Tischer, Buettner, Schieker, Maier, Redman, Emery, McGonagle, Benjamin (bb8320) 2004; 63 Andersson, Danielson, Alfredson, Forsgren (bb8290) 2007; 15 Albrecht, Hines, Eisenberg, Pud, Finlay, Connolly, Pare, Davar, Rice (bb8300) 2006; 120 Danielson, Andersson, Alfredson, Forsgren (bb8295) 2008; 16 Fernandez-Carnero, Fernandez-de-Las-Penas, de la Llave-Rincon, Ge, Arendt-Nielsen (bb8310) 2009; 25 Wittenberg, Schaal, Muhr (bb8210) 1992; 278 Nirschl, Pettrone (bb8200) 1979; 61 Smith, Castle, Ruch (bb8225) 2003; 12 Owens, Murphy, Kuklo (bb8220) 2001; 17 Sasaki, Onda, Ohki, Sonoda, Yamashita, Wada (bb8250) 2012; 37 Frisen, Risling, Theodorsson, Fried (bb8305) 1992; 577 Sasaki, Tamakawa, Onda, Iba, Sonoda, Yamashita, Wada (bb8255) 2011; 20 Kraushaar, Nirschl (bb8235) 1999; 81 Uchio, Ochi, Ryoke, Sakai, Ito, Kuwata (bb8270) 2002; 11 Bosworth (bb8205) 1965; 47 Ljung, Forsgren, Friden (bb8265) 1999; 165 Cummins (bb8275) 2006; 34 Baker, Murphy, Gottlob, Curd (bb8215) 2000; 9 Ljung, Alfredson, Forsgren (bb8285) 2004; 22 Ljung, Forsgren, Friden (bb8260) 1999; 17 Slater, Arendt-Nielsen, Wright, Graven-Nielsen (bb8315) 2005; 114 Tanaka, Aoki, Izumi, Wada, Fujimiya, Yamashita (bb8245) 2011; 36 Wada, Moriya, Iba, Ozasa, Sonoda, Aoki, Yamashita (bb8230) 2009; 14 Bunata, Brown, Capelo (bb8240) 2007; 89 Frisen, Risling, Theodorsson, Fried (CR23) 1992; 577 Nirschl, Pettrone (CR2) 1979; 61 Baker, Murphy, Gottlob, Curd (CR5) 2000; 9 Owens, Murphy, Kuklo (CR6) 2001; 17 Mullett, Sprague, Brown, Hausman (CR18) 2005; 439 Fernandez-Carnero, Fernandez-de-Las-Penas, de la Llave-Rincon, Ge, Arendt-Nielsen (CR24) 2009; 25 Bosworth (CR3) 1965; 47 Slater, Arendt-Nielsen, Wright, Graven-Nielsen (CR25) 2005; 114 Milz, Tischer, Buettner, Schieker, Maier, Redman, Emery, McGonagle, Benjamin (CR26) 2004; 63 Wada, Moriya, Iba, Ozasa, Sonoda, Aoki, Yamashita (CR8) 2009; 14 Tanaka, Aoki, Izumi, Wada, Fujimiya, Yamashita (CR11) 2011; 36 Danielson, Andersson, Alfredson, Forsgren (CR21) 2008; 16 Ljung, Forsgren, Friden (CR15) 1999; 165 Kraushaar, Nirschl (CR9) 1999; 81 Ljung, Alfredson, Forsgren (CR19) 2004; 22 Smith, Castle, Ruch (CR7) 2003; 12 Ljung, Forsgren, Friden (CR14) 1999; 17 Bunata, Brown, Capelo (CR10) 2007; 89 Albrecht, Hines, Eisenberg, Pud, Finlay, Connolly, Pare, Davar, Rice (CR22) 2006; 120 Wittenberg, Schaal, Muhr (CR4) 1992; 278 Sasaki, Onda, Ohki, Sonoda, Yamashita, Wada (CR12) 2012; 37 Uchio, Ochi, Ryoke, Sakai, Ito, Kuwata (CR16) 2002; 11 Sasaki, Tamakawa, Onda, Iba, Sonoda, Yamashita, Wada (CR13) 2011; 20 Cummins (CR17) 2006; 34 Andersson, Danielson, Alfredson, Forsgren (CR20) 2007; 15 Faro, Wolf (CR1) 2007; 32 Andersson (10.1007/s00776-013-0406-1_bb8290) 2007; 15 Slater (10.1007/s00776-013-0406-1_bb8315) 2005; 114 Wittenberg (10.1007/s00776-013-0406-1_bb8210) 1992; 278 Owens (10.1007/s00776-013-0406-1_bb8220) 2001; 17 Fernandez-Carnero (10.1007/s00776-013-0406-1_bb8310) 2009; 25 Uchio (10.1007/s00776-013-0406-1_bb8270) 2002; 11 Mullett (10.1007/s00776-013-0406-1_bb8280) 2005; 439 Baker (10.1007/s00776-013-0406-1_bb8215) 2000; 9 Cummins (10.1007/s00776-013-0406-1_bb8275) 2006; 34 Danielson (10.1007/s00776-013-0406-1_bb8295) 2008; 16 Ljung (10.1007/s00776-013-0406-1_bb8265) 1999; 165 Frisen (10.1007/s00776-013-0406-1_bb8305) 1992; 577 Ljung (10.1007/s00776-013-0406-1_bb8285) 2004; 22 Smith (10.1007/s00776-013-0406-1_bb8225) 2003; 12 Tanaka (10.1007/s00776-013-0406-1_bb8245) 2011; 36 Sasaki (10.1007/s00776-013-0406-1_bb8255) 2011; 20 Nirschl (10.1007/s00776-013-0406-1_bb8200) 1979; 61 Bosworth (10.1007/s00776-013-0406-1_bb8205) 1965; 47 Kraushaar (10.1007/s00776-013-0406-1_bb8235) 1999; 81 Milz (10.1007/s00776-013-0406-1_bb8320) 2004; 63 Sasaki (10.1007/s00776-013-0406-1_bb8250) 2012; 37 Bunata (10.1007/s00776-013-0406-1_bb8240) 2007; 89 Wada (10.1007/s00776-013-0406-1_bb8230) 2009; 14 Ljung (10.1007/s00776-013-0406-1_bb8260) 1999; 17 Faro (10.1007/s00776-013-0406-1_bb8195) 2007; 32 Albrecht (10.1007/s00776-013-0406-1_bb8300) 2006; 120 |
| References_xml | – volume: 81 start-page: 259 year: 1999 end-page: 278 ident: bb8235 article-title: Current concepts review—tendinosis of the elbow (tennis elbow): clinical features and findings of histological, immunohistochemical, and electron microscopy Studies publication-title: J Bone Joint Surg Am – volume: 22 start-page: 321 year: 2004 end-page: 327 ident: bb8285 article-title: Neurokinin 1-receptors and sensory neuropeptides in tendon insertions at the medial and lateral epicondyles of the humerus: studies on tennis elbow and medial epicondylalgia publication-title: J Orthop Res – volume: 47 start-page: 1533 year: 1965 end-page: 1536 ident: bb8205 article-title: Surgical treatment of tennis elbow; a follow-up study publication-title: J Bone Joint Surg Am – volume: 11 start-page: 570 year: 2002 end-page: 575 ident: bb8270 article-title: Expression of neuropeptides and cytokines at the extensor carpi radialis brevis muscle origin publication-title: J Shoulder Elbow Surg – 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end-page: 1491 ident: CR17 article-title: Lateral epicondylitis: in vivo assessment of arthroscopic debridement and correlation with patient outcomes publication-title: Am J Sports Med doi: 10.1177/0363546506288016 – volume: 439 start-page: 123 year: 2005 end-page: 128 ident: CR18 article-title: Arthroscopic treatment of lateral epicondylitis: clinical and cadaveric studies publication-title: Clin Orthop Relat Res doi: 10.1097/01.blo.0000176143.08886.fe – volume: 165 start-page: 45 year: 1999 end-page: 54 ident: CR15 article-title: Sympathetic and sensory innervations are heterogeneously distributed in relation to the blood vessels at the extensor carpi radialis brevis muscle origin of man publication-title: Cells Tissues Organs doi: 10.1159/000016673 – volume: 11 start-page: 570 year: 2002 end-page: 575 ident: CR16 article-title: Expression of neuropeptides and cytokines at the extensor carpi radialis brevis muscle origin publication-title: J Shoulder Elbow Surg doi: 10.1067/mse.2002.126769 – volume: 37 start-page: 748 issue: 4 year: 2012 end-page: 754 ident: CR12 article-title: Radiocapitellar cartilage injuries associated with tennis elbow syndrome publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2012.01.005 – volume: 15 start-page: 1272 year: 2007 end-page: 1279 ident: CR20 article-title: Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-007-0364-2 – volume: 25 start-page: 555 year: 2009 end-page: 561 ident: CR24 article-title: Widespread mechanical pain hypersensitivity as sign of central sensitization in unilateral epicondylalgia: a blinded, controlled study publication-title: Clin J Pain doi: 10.1097/AJP.0b013e3181a68a040 – volume: 17 start-page: 554 year: 1999 end-page: 559 ident: CR14 article-title: Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow publication-title: J Orthop Res doi: 10.1002/jor.1100170414 – volume: 22 start-page: 321 year: 2004 end-page: 327 ident: CR19 article-title: Neurokinin 1-receptors and sensory neuropeptides in tendon insertions at the medial and lateral epicondyles of the humerus: studies on tennis elbow and medial epicondylalgia publication-title: J Orthop Res doi: 10.1016/S0736-0266(03)00183-9 – volume: 81 start-page: 259 year: 1999 end-page: 278 ident: CR9 article-title: Current concepts review—tendinosis of the elbow (tennis elbow): clinical features and findings of histological, immunohistochemical, and electron microscopy Studies publication-title: J Bone Joint Surg Am doi: 10.1302/0301-620X.81B2.9154 – volume: 16 start-page: 621 year: 2008 end-page: 626 ident: CR21 article-title: Marked sympathetic component in the perivascular innervation of the dorsal paratendinous tissue of the patellar tendon in arthroscopically treated tendinosis patients publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-008-0530-1 – volume: 32 start-page: 1271 year: 2007 end-page: 1279 ident: CR1 article-title: Lateral epicondylitis: review and current concepts publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2007.07.019 – volume: 63 start-page: 1015 year: 2004 end-page: 1021 ident: CR26 article-title: Molecular composition and pathology of entheses on the medial and lateral epicondyles of the humerus: a structural basis for epicondylitis publication-title: Ann Rheum Dis doi: 10.1136/ard.2003.016378 – volume: 36 start-page: 81 year: 2011 end-page: 88 ident: CR11 article-title: Effect of elbow and forearm position on contact pressure between the extensor origin and the lateral side of the capitellum publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2010.10.005 – volume: 120 start-page: 244 year: 2006 end-page: 266 ident: CR22 article-title: Pathologic alterations of cutaneous innervation and vasculature in affected limbs from patients with complex regional pain syndrome publication-title: Pain doi: 10.1016/j.pain.2005.10.035 – volume: 61 start-page: 832 year: 1979 end-page: 839 ident: CR2 article-title: Tennis elbow: the surgical treatment of lateral epicondylitis publication-title: J Bone Joint Surg Am – volume: 9 start-page: 475 year: 2000 end-page: 482 ident: CR5 article-title: Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results publication-title: J Shoulder Elbow Surg doi: 10.1067/mse.2000.108533 – volume: 89 start-page: 1955 year: 2007 end-page: 1963 ident: CR10 article-title: Anatomic factors related to the cause of tennis elbow publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.F.00727 – volume: 577 start-page: 142 year: 1992 end-page: 146 ident: CR23 article-title: NPY-like immunoreactivity in sensory nerve fibers in rat sciatic neuroma publication-title: Brain Res doi: 10.1016/0006-8993(92)90547-M – volume: 278 start-page: 73 year: 1992 end-page: 80 ident: CR4 article-title: Surgical treatment of persistent elbow epicondylitis publication-title: Clin Orthop Relat Res – volume: 20 start-page: 420 year: 2011 end-page: 425 ident: CR13 article-title: The detection of the capsular tear at the undersurface of the extensor carpi radialis brevis tendon in chronic tennis elbow: the value of magnetic resonance imaging and computed tomography arthrography publication-title: J Shoulder Elbow Surg doi: 10.1016/j.jse.2010.12.002 – volume: 47 start-page: 1533 year: 1965 end-page: 1536 ident: CR3 article-title: Surgical treatment of tennis elbow; a follow-up study publication-title: J Bone Joint Surg Am – volume: 12 start-page: 375 year: 2003 end-page: 379 ident: CR7 article-title: Arthroscopic resection of the common extensor origin: anatomic considerations publication-title: J Shoulder Elbow Surg doi: 10.1016/S1058-2746(02)86823-9 – volume: 14 start-page: 167 year: 2009 end-page: 174 ident: CR8 article-title: Functional outcomes after arthroscopic treatment of lateral epicondylitis publication-title: J Orthop Sci doi: 10.1007/s00776-008-1304-9 – volume: 17 start-page: 582 year: 2001 end-page: 587 ident: CR6 article-title: Arthroscopic release for lateral epicondylitis publication-title: Arthroscopy doi: 10.1053/jars.2001.20098 – volume: 114 start-page: 118 year: 2005 end-page: 130 ident: CR25 article-title: Sensory and motor effects of experimental muscle pain in patients with lateral epicondylalgia and controls with delayed onset muscle soreness publication-title: Pain doi: 10.1016/j.pain.2004.12.003 – volume: 37 start-page: 748 issue: 4 year: 2012 ident: 10.1007/s00776-013-0406-1_bb8250 article-title: Radiocapitellar cartilage injuries associated with tennis elbow syndrome publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2012.01.005 – volume: 20 start-page: 420 year: 2011 ident: 10.1007/s00776-013-0406-1_bb8255 article-title: The detection of the capsular tear at the undersurface of the extensor carpi radialis brevis tendon in chronic tennis elbow: the value of magnetic resonance imaging and computed tomography arthrography publication-title: J Shoulder Elbow Surg doi: 10.1016/j.jse.2010.12.002 – volume: 47 start-page: 1533 year: 1965 ident: 10.1007/s00776-013-0406-1_bb8205 article-title: Surgical treatment of tennis elbow; a follow-up study publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-196547080-00008 – volume: 165 start-page: 45 year: 1999 ident: 10.1007/s00776-013-0406-1_bb8265 article-title: Sympathetic and sensory innervations are heterogeneously distributed in relation to the blood vessels at the extensor carpi radialis brevis muscle origin of man publication-title: Cells Tissues Organs doi: 10.1159/000016673 – volume: 16 start-page: 621 year: 2008 ident: 10.1007/s00776-013-0406-1_bb8295 article-title: Marked sympathetic component in the perivascular innervation of the dorsal paratendinous tissue of the patellar tendon in arthroscopically treated tendinosis patients publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-008-0530-1 – volume: 17 start-page: 582 year: 2001 ident: 10.1007/s00776-013-0406-1_bb8220 article-title: Arthroscopic release for lateral epicondylitis publication-title: Arthroscopy doi: 10.1053/jars.2001.20098 – volume: 439 start-page: 123 year: 2005 ident: 10.1007/s00776-013-0406-1_bb8280 article-title: Arthroscopic treatment of lateral epicondylitis: clinical and cadaveric studies publication-title: Clin Orthop Relat Res doi: 10.1097/01.blo.0000176143.08886.fe – volume: 15 start-page: 1272 year: 2007 ident: 10.1007/s00776-013-0406-1_bb8290 article-title: Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis publication-title: Knee Surg Sports Traumatol Arthrosc doi: 10.1007/s00167-007-0364-2 – volume: 120 start-page: 244 year: 2006 ident: 10.1007/s00776-013-0406-1_bb8300 article-title: Pathologic alterations of cutaneous innervation and vasculature in affected limbs from patients with complex regional pain syndrome publication-title: Pain doi: 10.1016/j.pain.2005.10.035 – volume: 114 start-page: 118 year: 2005 ident: 10.1007/s00776-013-0406-1_bb8315 article-title: Sensory and motor effects of experimental muscle pain in patients with lateral epicondylalgia and controls with delayed onset muscle soreness publication-title: Pain doi: 10.1016/j.pain.2004.12.003 – volume: 14 start-page: 167 year: 2009 ident: 10.1007/s00776-013-0406-1_bb8230 article-title: Functional outcomes after arthroscopic treatment of lateral epicondylitis publication-title: J Orthop Sci doi: 10.1007/s00776-008-1304-9 – volume: 36 start-page: 81 year: 2011 ident: 10.1007/s00776-013-0406-1_bb8245 article-title: Effect of elbow and forearm position on contact pressure between the extensor origin and the lateral side of the capitellum publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2010.10.005 – volume: 32 start-page: 1271 year: 2007 ident: 10.1007/s00776-013-0406-1_bb8195 article-title: Lateral epicondylitis: review and current concepts publication-title: J Hand Surg Am doi: 10.1016/j.jhsa.2007.07.019 – volume: 9 start-page: 475 year: 2000 ident: 10.1007/s00776-013-0406-1_bb8215 article-title: Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results publication-title: J Shoulder Elbow Surg doi: 10.1067/mse.2000.108533 – volume: 25 start-page: 555 year: 2009 ident: 10.1007/s00776-013-0406-1_bb8310 article-title: Widespread mechanical pain hypersensitivity as sign of central sensitization in unilateral epicondylalgia: a blinded, controlled study publication-title: Clin J Pain doi: 10.1097/AJP.0b013e3181a68a040 – volume: 22 start-page: 321 year: 2004 ident: 10.1007/s00776-013-0406-1_bb8285 article-title: Neurokinin 1-receptors and sensory neuropeptides in tendon insertions at the medial and lateral epicondyles of the humerus: studies on tennis elbow and medial epicondylalgia publication-title: J Orthop Res doi: 10.1016/S0736-0266(03)00183-9 – volume: 12 start-page: 375 year: 2003 ident: 10.1007/s00776-013-0406-1_bb8225 article-title: Arthroscopic resection of the common extensor origin: anatomic considerations publication-title: J Shoulder Elbow Surg doi: 10.1016/S1058-2746(02)86823-9 – volume: 89 start-page: 1955 year: 2007 ident: 10.1007/s00776-013-0406-1_bb8240 article-title: Anatomic factors related to the cause of tennis elbow publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.F.00727 – volume: 17 start-page: 554 year: 1999 ident: 10.1007/s00776-013-0406-1_bb8260 article-title: Substance P and calcitonin gene-related peptide expression at the extensor carpi radialis brevis muscle origin: implications for the etiology of tennis elbow publication-title: J Orthop Res doi: 10.1002/jor.1100170414 – volume: 61 start-page: 832 year: 1979 ident: 10.1007/s00776-013-0406-1_bb8200 article-title: Tennis elbow: the surgical treatment of lateral epicondylitis publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-197961060-00005 – volume: 34 start-page: 1486 year: 2006 ident: 10.1007/s00776-013-0406-1_bb8275 article-title: Lateral epicondylitis: in vivo assessment of arthroscopic debridement and correlation with patient outcomes publication-title: Am J Sports Med doi: 10.1177/0363546506288016 – volume: 81 start-page: 259 year: 1999 ident: 10.1007/s00776-013-0406-1_bb8235 article-title: Current concepts review—tendinosis of the elbow (tennis elbow): clinical features and findings of histological, immunohistochemical, and electron microscopy Studies publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199902000-00014 – volume: 63 start-page: 1015 year: 2004 ident: 10.1007/s00776-013-0406-1_bb8320 article-title: Molecular composition and pathology of entheses on the medial and lateral epicondyles of the humerus: a structural basis for epicondylitis publication-title: Ann Rheum Dis doi: 10.1136/ard.2003.016378 – volume: 278 start-page: 73 year: 1992 ident: 10.1007/s00776-013-0406-1_bb8210 article-title: Surgical treatment of persistent elbow epicondylitis publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-199205000-00012 – volume: 577 start-page: 142 year: 1992 ident: 10.1007/s00776-013-0406-1_bb8305 article-title: NPY-like immunoreactivity in sensory nerve fibers in rat sciatic neuroma publication-title: Brain Res doi: 10.1016/0006-8993(92)90547-M – volume: 11 start-page: 570 year: 2002 ident: 10.1007/s00776-013-0406-1_bb8270 article-title: Expression of neuropeptides and cytokines at the extensor carpi radialis brevis muscle origin publication-title: J Shoulder Elbow Surg doi: 10.1067/mse.2002.126769 |
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| Snippet | We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in patients... Purpose We investigated the general, sensory, and sympathetic innervation patterns at the undersurface of the extensor carpi radialis brevis (ECRB) origin in... |
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| SubjectTerms | Adult Aged Female Humans Male Medicine Medicine & Public Health Middle Aged Original Article Orthopedics Rheumatology Tendons - innervation Tendons - pathology Tennis Elbow - pathology Tennis Elbow - surgery |
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| Title | Innervation pattern at the undersurface of the extensor carpi radialis brevis tendon in recalcitrant tennis elbow |
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