Epicondylitis, Lateral Humeral, Tennis Elbow
Conditions
Brief summary
Our primary objective is to study the relationship between ultra sound data and the pain associated with tennis elbow.
Interventions
PROCEDUREUltrasound of the elbow 1, days 7 to 15
The primary endpoint is evaluated a first time via an ultrasound exam.
PROCEDUREUltrasound of the elbow 2, days 7 to 15
The primary endpoint is evaluated a second time by a second practitioner.
PROCEDUREUltrasound of the elbow 3, days 45 to 90
A third ultrasound is performed only on tennis elbow patients between days 45 and 90.
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
for Tennis Elbow patients: * The patient must have given his/her informed and signed consent * The patient must be insured or beneficiary of a health insurance plan * The patient is available for 90 days of follow up * Pain when pressure applied to the epicondyl * Pain upon forced movement of both epicondylien muscles * Absence of pain upon forced movement of an epitrochlear muscle * Absence of one or more skeletal-muscle problem on the homolateral arm felt by the patient to be just as problematic as his/her tennis elbow * at least one consult for pain treatment associated with tennis elbow (on the same elbow) Inclusion Criteria for healthy volunteers: * The patient must have given his/her informed and signed consent * The patient must be insured or beneficiary of a health insurance plan * No pain when pressure applied to the epicondyl * No pain upon forced movement of both epicondylien muscles * No neck pain * No skeletal-muscle problems in the arms during the 3 months preceding the study
Exclusion criteria
for Tennis Elbow patients: * The patient is included in another study * The patient is in an exclusion period determined by a previous study * The patient is under judicial protection, under tutorship or curatorship * The patient refuses to sign the consent * It is impossible to correctly inform the patient * The patient is pregnant * The patient is breastfeeding * Absence of one or more skeletal-muscle problem on the homolateral arm felt by the patient to be just as problematic as his/her tennis elbow
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Epicondylar surface movement relative to the supinators - extensor carpi radialis brevis and longus (affected elbow) | Days 7 to 15 | The movement of the superficial epicondyliens relative to the supinator is studied via ultrasound and classified as follows: A) good interface movement in both directions; B) good movement in only 1 direction; C) bad movement over less than half of the interface; D) bad movement over a majority of the interface; E) no movement along the interface. |
| Epicondylar surface movement relative to the supinators - extensor carpi radialis brevis and longus (good elbow) | Days 7 to 15 | The movement of the superficial epicondyliens relative to the supinator is studied via ultrasound and classified as follows: A) good interface movement in both directions; B) good movement in only 1 direction; C) bad movement over less than half of the interface; D) bad movement over a majority of the interface; E) no movement along the interface. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Thickness of the ECR longus and ECR brevis interface | Between days 7 and 15 | The thickness of the interface between the extensor carpi radialis (ECR) longus and the extensor carpi radialis brevis is measured during the ultrasound (mm) |
| Visual Analog Scale for pain | Baseline | A visual analog scale ranging from 0 to 100 is used to evaluate pain. |
| Thickness of the ECR -supinator interface | Between 7 and 15 days | The thickness of the intersection (at the base) between the Extensor Carpi Radialis (ECR) muscles and the supinator is measured during ultrasound (mm) |
| Thickness of the ECR longus and ECR brevis interface, tennis elbow patients only | Between days 45 and 90 | The thickness of the interface between the extensor carpi radialis (ECR) longus and the extensor carpi radialis brevis is measured during the ultrasound (mm) |
| Q-Dash Questionnaire | Baseline | The Quick DASH questionnaire is used to evaluate functional changes. |
Countries
France
Outcome results
None listed