Cited by 272Tendon Structure and TreatmentElbow and Forearm Trauma TreatmentShoulder Injury and Treatment

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The Epidemiology and Health Care Burden of Tennis Elbow: A Population-Based Study

Sanders, Thomas L., Maradit Kremers, Hilal, Bryan, Andrew J., Ransom, Jeanine E., Smith, Jay, Morrey, Bernard F.·2015·The American Journal of Sports Medicine

DOI 10.1177/0363546514568087

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Abstract

Background: Lateral elbow tendinosis (epicondylitis) is a common condition both in primary care and specialty clinics. Purpose: To evaluate the natural history (ie, incidence, recurrence, and progression to surgery) of lateral elbow tendinosis in a large population. Study Design: Descriptive epidemiology study. Methods: The study population comprised a population-based incidence cohort of patients with new-onset lateral elbow tendinosis between January 1, 2000, and December 31, 2012. The medical records of a 10% random sample (n = 576) were reviewed to ascertain information on patient and disease characteristics, treatment modalities, recurrence, and progression to surgery. Age- and sex-specific incidence rates were calculated and adjusted to the 2010 US population. Results: The age- and sex-adjusted annual incidence of lateral elbow tendinosis decreased significantly over time from 4.5 per 1000 people in 2000 to 2.4 per 1000 in 2012 ( P < .001). The recurrence rate within 2 years was 8.5% and remained constant over time. The proportion of surgically treated cases within 2 years of diagnosis tripled over time, from 1.1% during the 2000-2002 time period to 3.2% after 2009 ( P < .00001). About 1 in 10 patients with persistent symptoms at 6 months required surgery. Conclusion: The decrease in incidence of lateral elbow tendinosis may represent changes in diagnosis patterns or a true decrease in disease incidence. Natural history data can be used to help guide patients and providers in determining the most appropriate course at a given time in the disease process. The study data suggest that patients without resolution after 6 months of onset may have a prolonged disease course and may need surgical intervention.

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Authors: Sanders, T. L., Maradit Kremers, H., Bryan, A. J., Ransom, J. E., Smith, J., & Morrey, B. F.
Affiliations: Mayo Clinic (US)
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA
Corresponding author: Sanders, Thomas L.
ORCID: Sanders, Thomas L.
Ransom, Jeanine E.
Smith, Jay
Morrey, Bernard F.
Venue: The American Journal of Sports Medicine
Publisher: SAGE Publications
Published: 2015-02-05
Volume: 43
Issue: 5
Pages: 1066-1071
ISSN: 0363-5465 (ISSN-L)
1552-3365
DOI: 10.1177/0363546514568087
OpenAlex: W2063304669
Cited by: 257
References: 24
Citations by year: 2026: 19 · 2025: 33 · 2024: 27 · 2023: 37 · 2022: 40 · 2021: 22 · 2020: 15 · 2019: 16 · 2018: 20 · 2017: 11 · 2016: 13 · 2015: 4
FWCI: 16.25
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The American Journal of Sports Medicine (publishedVersion)
Funders: National Institute on Aging (R01AG034676)
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
Health Sciences › Medicine › Orthopedics and Sports Medicine › Elbow and Forearm Trauma Treatment
Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
Keywords: lateral epicondylitis, epicondylitis, incidence, recurrence, surgical treatment, natural history (disease), healthcare burden, persistent symptoms, diagnosis patterns

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The Epidemiology and Health Care Burden of Tennis Elbow: A Population-Based Study

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