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Cited by 21Tendon Structure and TreatmentErgonomics and Musculoskeletal DisordersElbow and Forearm Trauma Treatment

Elbow tendinopathy and occupational biomechanical overload: A systematic review with best-evidence synthesis

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Curti, Stefania, Mattioli, Stefano, Bonfiglioli, Roberta, Farioli, Andrea, Violante, Francesco S·2021·Journal of Occupational Health
DOI 10.1002/1348-9585.12186PMC PMC7857538
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Abstract

OBJECTIVES: To evaluate the evidence of an association between occupational and non-occupational exposure to biomechanical risk factors and lateral elbow tendinopathy, medial elbow tendinopathy, and olecranon bursitis. METHODS: We carried out a systematic review of the literature. We searched MEDLINE (up to November 2019) and checked the reference lists of relevant articles/reviews. We aimed to include studies where (a) the diagnosis was based on physical examination (symptoms plus clinical signs) and imaging data (if any); and (b) the exposure was evaluated with video analysis and/or direct measurements. A quality assessment of the included studies was performed along with an evaluation of the level of evidence of a causal relationship. RESULTS: We included four studies in the qualitative synthesis: two prospective cohorts and two cross-sectional studies. All the included studies investigated "lateral/medial epicondylitis", albeit the diagnosis was not supported by imaging techniques. Two cohort studies suggested that a combination of biomechanical risk factors for wrist/forearm is associated with increased risk of "lateral epicondylitis". This association was not observed in the two included cross-sectional studies. The cohort studies suggested that a Strain Index score higher than 5 or 6.1 could double the risk of "lateral epicondylitis". No association with increased risk of "medial epicondylitis" was observed. CONCLUSIONS: There is limited evidence of a causal relationship between occupational exposure to biomechanical risk factors and lateral elbow tendinopathy. For medial elbow tendinopathy, the evidence is insufficient to support this causal relationship. No studies on olecranon bursitis and biomechanical overload were identified.

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Psychosocial status, lifestyle, and occupational demands are important risk factors for elbow pain.

    “Psychosocial status [9,10], lifestyle [11,12], and occupational demands (such as heavy load handling and highly repetitive movements with the wrist/hand) [11,13,14,15,16] are important risk factors.”

    From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [14]

    The Methods (Exposure assessment; page unavailable) identify forceful exertion and repetitive wrist/elbow movements as biomechanical exposures associated with elbow tendinopathy. But the Discussion (page unavailable) finds only limited evidence of a causal relationship for lateral elbow tendinopathy and insufficient evidence for medial elbow tendinopathy. Calling occupational demands broadly 'important risk factors' overstates that conclusion; the psychosocial and lifestyle portions of the citing sentence are assigned to other citations. (LLM, conf=0.87)

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Research works printed but not linked: 1

  1. [14]Bernard BP, ed. Musculoskeletal Disorders and Workplace Factors: A Critical Review of Epidemiologic Evidence for Work‐Related Muscoloskeletal Disorders of the Neck, the Upper Limb, and Low Back. Cincinnati, OH: National Institute for Occupational Safety and Health; 1997.

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Authors
Curti, S., Mattioli, S., Bonfiglioli, R., Farioli, A., & Violante, F. S.
Affiliations
University of Bologna (IT)
Corresponding author
Curti, Stefania
ORCID
Venue
Journal of Occupational Health
Publisher
Oxford University Press (OUP)
Published
2021-01
Volume
63
Issue
1
Pages
e12186-e12186
ISSN
  • 1341-9145 (ISSN-L)
  • 1348-9585
DOI
10.1002/1348-9585.12186
PMC
PMC7857538
OpenAlex
W3127646666
Cited by
21
References
51
Citations by year
2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 6
FWCI
0.80
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Occupational Health (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by-nc-nd)
  • Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
  • Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
  • Health Sciences › Medicine › Rehabilitation › Elbow and Forearm Trauma Treatment
Keywords
elbow tendinopathy, lateral epicondylitis, medial epicondylitis, olecranon bursitis, biomechanical risk factors, strain index, causality assessment
MeSH terms
Elbow Tendinopathy, Biomechanical Phenomena, Bursitis, Humans, Occupational Diseases, Cumulative Trauma Disorders, Risk Factors, Causality, Occupational Exposure

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