Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme

ERTEM, UĞUR; IRDESEL, FATMA JALE

doi:10.4274/tod.galenos.2021.32549

Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme

Uğur ERTEM, (Bursa Uludağ Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Bursa, Türkiye)

Fatma Jale İRDESEL (Bursa Uludağ Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Bursa, Türkiye)

Türk Osteoporoz Dergisi

10 1

Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 55 - 60 Metin Dili: Türkçe DOI: 10.4274/tod.galenos.2021.32549 İndeks Tarihi: 01-10-2021

Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme

Öz:

Lateral epikondilit, çoğunlukla tekrarlayan kavrama veya el bilek ekstansiyonundan kaynaklanan, el bilek ekstansör kas ve tendonlarınınyapışma yeri olan humerus lateral epikondilinin ağrılı tendinozudur. Lateral epikondilit dirsek yan ağrısının erişkinlerde en sık nedenlerininbaşında gelmektedir. Hastaların çoğu konservatif tedaviye cevap verirken bazı hastalarda cerrahi tedavi yöntemleri kullanılmaktadır. Bu olgubazlı derlemede kliniğe dirsek ağrısı ile başvuran 68 yaşındaki bir erkek hasta üzerinden konu irdelenecektir. Çeşitli konservatif tedavilerdenfayda görmeyen lateral epikondilit tanılı hastaya tedavi olarak sol dirsek lateral epikondil tendon yapışma bölgesine 0,5 cc prilokain hidroklorürve 1 cc triamsinolon hekzasetonid enjekte edildi. Enjeksiyondan sonra hastanın 2., 3. ve 4. parmaklarında düşme meydana geldi. Hastadaradiyal sinir felci düşünüldü ve eli uygun şekilde atele alındı. Yetmiş iki saat sonra hastanın kas güçlerini tekrar değerlendirmek için yapılankontrolde hastanın enjeksiyon sonrası oluşan şikayetlerinin düzeldiği gözlendi. Bu derlemede çok yaygın bir enjeksiyon tipinden sonraortaya çıkan geçici radiyal sinir felçli bir olgu bağlamında lateral epikondilit tedavi yöntemleri ve enjeksiyon sonrası görülen komplikasyonlarvurgulanmıştır.

Anahtar Kelime:

Transient Radial Nerve Paralysis After a Lateral Epicondylitis Injection: A Case-based Review

Öz:

Lateral epicondylitis is a painful tendinosis of the lateral epicondyle of the humerus, which is the attachment site for the wrist extensor muscles and tendons. It is most commonly caused by repetitive gripping or wrist extension. Moreover, lateral epicondylitis is one of the most common causes of elbow flank pain in adults. While most patients respond to conservative treatment, surgical treatment is used in some patients. In this study, we reviewed the case of a 68-year-old man who presented to the clinic with elbow pain. In this patient with lateral epicondylitis, who had not responded to various conservative treatments, 0.5 cc prilocaine hydrochloride and 1 cc triamcinolone hexacetonide were injected in the left elbow lateral epicondyle tendon adhesion area. After the injection, the patient’s second, third and fourth fingers dropped. Further, the patient was diagnosed with radial nerve paralysis, and his hand was properly splinted. After 72 hours, in the follow-up to reevaluate the patient’s muscle strength, it was observed that the patient’s complaints after the injection resolved. This review focuses on the treatment methods of lateral epicondylitis and on complications that occur after a lateral epicondyle injection in the context of a case of transient radial nerve paralysis after a very common type of injection.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Milcan A, Ozge A, Sahin G, Saraçoğlu M, Kuyurtar F. Lateral epikondilit öntanisi konan olgularda posterior interosseöz sinir nöropatisinin elektrofizyolojik testlerle araştirilmasi [The role of electrophysiologic tests in the early diagnosis of posterior interosseous neuropathy in patients thought to have lateral epicondylitis]. Acta Orthop Traumatol Turc 2004;38:326-9.
2. Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Pain Res Manag 2020;2020:6965381.
3. Çeliktaş M, Köse Ö. Lateral epikondilit tanısında radyografik değerlendirmenin yeri. Anatol J Clin Investig 2009;3:136-7.
4. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg 2008;16:19-29.
5. Ağır İ, Çaypınar B, Topkar OM, Karahan M. Lateral epikondilit tedavisinde otolog trombositten zengin plazmanın etkisi. Dicle Tıp Derg 2011;38:40-3.
6. Struijs PA, Kerkhoffs GM, Assendelft WJ, Van Dijk CN. Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination of both-a randomized clinical trial. Am J Sports Med 2004;32:462-9.
7. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006;333:939.
8. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol 2011;25:43- 57.
9. Kroslak M, Pirapakaran K, Murrell GAC. Counterforce bracing of lateral epicondylitis: a prospective, randomized, doubleblinded, placebo-controlled clinical trial. J Shoulder Elbow Surg 2019;28:288-95.
10. Park JY, Park HK, Choi JH, Moon ES, Kim BS, Kim WS, et al. Prospective evaluation of the effectiveness of a home-based program of isometric strengthening exercises: 12-month followup. Clin Orthop Surg 2010;2:173-8.
11. Smidt N, Assendelft WJ, Arola H, Malmivaara A, Greens S, Buchbinder R, et al. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 2003;35:51-62.
12. Hoogvliet P, Randsdorp MS, Dingemanse R, Koes BW, Huisstede BM. Does effectiveness of exercise therapy and mobilisation techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review. Br J Sports Med 2013;47:1112-9.
13. Green S, Buchbinder R, Barnsley L, Hall S, White M, Smidt N, et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev 2002;:CD003686.
14. Pattanittum P, Turner T, Green S, Buchbinder R. Non-steroidal antiinflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev 2013;2013:CD003686.
15. Macit PM, Sağlam G, Erdal A. Lateral Epikondilitte Fizik Tedavi ve Steroid Enjeksiyonunun Etkinliğinin Karşılaştırılması. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 2020;15:54-9.
16. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 2010;376:1751-67.
17. Boden AL, Scott MT, Dalwadi PP, Mautner K, Mason RA, Gottschalk MB. Platelet-rich plasma versus Tenex in the treatment of medial and lateral epicondylitis. J Shoulder Elbow Surg 2019;28:112-9.
18. Peng Z, Zhang M, Li Y, Feng Z. Treatment of lateral epicondylitis with acupuncture and glucocorticoid: A retrospective cohort study. Medicine (Baltimore) 2020;99:e19227.
19. Çetinoğlu FO. Lateral epikondilit tedavisinde steroid enjeksiyonu ve ultrasonun etkinliklerinin araştırılması (Uzmanlık Tezi). İstanbul: Haydarpaşa Numune Eğitim ve Araştırma Hastanesi; 2009.
20. Gasimov E, Er G, Küçükdurmaz F, Akgülle H, Ağır İ, Zeynelov R, ve ark. Lokal Anestetikler. İçinde: Karahan M, Akgün U, Nuran R, Kocaoğlu B, editörler. Enjeksiyon Teknikleri El Kitabı. Marmara Üniversitesi Spor Bilimleri ve Sporcu Sağlığı Araştırma ve Uygulama Merkezi p. 28. Erişim Linki: https://drzeynalov.az/wp-content/ uploads/2013/04/Enjeksiyon-teknikleri-el-kitab%C4%B1.pdf. Erişim Tarihi 9 Mayıs 2021.
21. Arirachakaran A, Sukthuayat A, Sisayanarane T, Laoratanavoraphong S, Kanchanatawan W, Kongtharvonskul J. Platelet-rich plasma versus autologous blood versus steroid injection in lateral epicondylitis: systematic review and network meta-analysis. J Orthop Traumatol 2016;17:101-12.
22. Park HB, Kam M, Gwark JY. Association of steroid injection with soft-tissue calcification in lateral epicondylitis. J Shoulder Elbow Surg 2019;28:304-9.
23. Espandar R, Heidari P, Rasouli MR, Saadat S, Farzan M, Rostami M, et al. Use of anatomic measurement to guide injection of botulinum toxin for the management of chronic lateral epicondylitis: a randomized controlled trial. CMAJ 2010;182:768- 73.
24. Uygur E, Aktaş B, Özkut A, Erinç S, Yilmazoglu EG. Dry needling in lateral epicondylitis: a prospective controlled study. Int Orthop 2017;41:2321-5.
25. Spacca G, Necozione S, Cacchio A. Radial shock wave therapy for lateral epicondylitis: a prospective randomised controlled singleblind study. Eura Medicophys 2005;41:17-25.
26. Ho C. Extracorporeal shock wave treatment for chronic rotator cuff tendonitis (shoulder pain). Issues Emerg Health Technol 2007;(96 (part 3)):1-4.
27. Buchbinder R, Green SE, Youd JM, Assendelft WJ, Barnsley L, Smidt N. Systematic review of the efficacy and safety of shock wave therapy for lateral elbow pain. J Rheumatol 2006;33:1351- 63.
28. Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a metaanalysis. BMC Musculoskelet Disord 2015;16:223.
29. Yalvaç B, Mesci N, Geler Külcü D, Yurdakul OV. Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta Orthop Traumatol Turc 2018;52:357-62.
30. Ahmad Z, Siddiqui N, Malik SS, Abdus-Samee M, TytherleighStrong G, Rushton N. Lateral epicondylitis: a review of pathology and management. Bone Joint J 2013;95-B:1158-64.
31. Sims SE, Miller K, Elfar JC, Hammert WC. Non-surgical treatment of lateral epicondylitis: a systematic review of randomized controlled trials. Hand (N Y) 2014;9:419-46.
32. Dedes V, Tzirogiannis K, Polikandrioti M, Dede AM, Mitseas A, Panoutsopoulos GI. Comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis. J Med Ultrason (2001) 2020;47:319-25.
33. Dingemanse R, Randsdorp M, Koes BW, Huisstede BM. Evidence for the effectiveness of electrophysical modalities for treatment of medial and lateral epicondylitis: a systematic review. Br J Sports Med 2014;48:957-65.
34. Eraslan L, Yuce D, Erbilici A, Baltaci G. Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis? Knee Surg Sports Traumatol Arthrosc 2018;26:938-45.
35. Giray E, Karali-Bingul D, Akyuz G. The Effectiveness of Kinesiotaping, Sham Taping or Exercises Only in Lateral Epicondylitis Treatment: A Randomized Controlled Study. PM R 2019;11:681-93.
36. Richer N, Marchand AA, Descarreaux M. Management of Chronic Lateral Epicondylitis With Manual Therapy and Local Cryostimulation: A Pilot Study. J Chiropr Med 2017;16:279-88.
37. Yi R, Bratchenko WW, Tan V. Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis. Hand (N Y) 2018;13:56-9.
38. Küçükşen S, Yilmaz H, Sallı A, Uğurlu H. Muscle energy technique versus corticosteroid injection for management of chronic lateral epicondylitis: randomized controlled trial with 1-year follow-up. Arch Phys Med Rehabil 2013;94:2068-74.
39. Brummel J, Baker CL 3rd, Hopkins R, Baker CL Jr. Epicondylitis: lateral. Sports Med Arthrosc Rev 2014;22:e1-6.
40. Vaquero-Picado A, Barco R, Antuña SA. Lateral epicondylitis of the elbow. EFORT Open Rev 2017;1:391-7.
41. Oztuna V, Milcan A, Eskandari MM, Kuyurtar F. Konservatif tedaviye dirençli lateral epikondilitlerin perkütan tenotomi ile tedavisi [Percutaneous extensor tenotomy in patients with lateral epicondylitis resistant to conservative treatment]. Acta Orthop Traumatol Turc 2002;36:336-40.
42. Rocchi L, Fulchignoni C, Donsante S, Fanfani F. Semicircumferential Detachment of the Extensor Enthesis For Surgical Treatment of Chronic Lateral Epicondylitis: A Prospective Study. Tech Hand Up Extrem Surg 2019;23:146-50.
43. Altintas B, Greiner S. Epicondylitis humeri radialis: konservativ - operativ [Lateral epicondylitis: conservative - operative]. Orthopade 2016;45:870-7.
44. Riff AJ, Saltzman BM, Cvetanovich G, Frank JM, Hemu MR, Wysocki RW. Open vs Percutaneous vs Arthroscopic Surgical Treatment of Lateral Epicondylitis: An Updated Systematic Review. Am J Orthop (Belle Mead NJ) 2018;47.
45. Inagaki K. Current concepts of elbow-joint disorders and their treatment. J Orthop Sci 2013;18:1-7.
46. Buchbinder R, Johnston RV, Barnsley L, Assendelft WJ, Bell SN, Smidt N. Surgery for lateral elbow pain. Cochrane Database Syst Rev 2011;2011:CD003525.
47. Wang JP, Shen WJ, Chen WM, Huang CK, Shen YS, Chen TH. Iatrogenic radial nerve palsy after operative management of humeral shaft fractures. J Trauma 2009;66:800-3.
48. O’Driscoll SW. Optimizing stability in distal humeral fracture fixation. J Shoulder Elbow Surg 2005;14(1 Suppl S):186S-194S.
49. Ring D, Chin K, Jupiter JB. Radial nerve palsy associated with highenergy humeral shaft fractures. J Hand Surg Am 2004;29:144-7.
50. Kessler P, Steinfeldt T, Gogarten W, Schwemmer U, Büttner J, Graf BM, et al. Periphere Regionalanästhesie beim Patienten in Allgemeinanästhesie: Risikobewertung bezüglich Parästhesie, Injektionsschmerz und Nervenschäden [Peripheral regional anesthesia in patients under general anesthesia: risk assessment with respect to parasthesia, injection pain and nerve damage]. Anaesthesist 2013;62:483-8.
51. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol 2006;164:1065-74.
52. Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician 2007;76:843-8.
53. Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res 2019;105(8S):S241-S6.

APA	ERTEM U, IRDESEL F (2021). Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. , 55 - 60. 10.4274/tod.galenos.2021.32549
Chicago	ERTEM UĞUR,IRDESEL FATMA JALE Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. (2021): 55 - 60. 10.4274/tod.galenos.2021.32549
MLA	ERTEM UĞUR,IRDESEL FATMA JALE Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. , 2021, ss.55 - 60. 10.4274/tod.galenos.2021.32549
AMA	ERTEM U,IRDESEL F Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. . 2021; 55 - 60. 10.4274/tod.galenos.2021.32549
Vancouver	ERTEM U,IRDESEL F Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. . 2021; 55 - 60. 10.4274/tod.galenos.2021.32549
IEEE	ERTEM U,IRDESEL F "Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme." , ss.55 - 60, 2021. 10.4274/tod.galenos.2021.32549
ISNAD	ERTEM, UĞUR - IRDESEL, FATMA JALE. "Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme". (2021), 55-60. https://doi.org/10.4274/tod.galenos.2021.32549

APA	ERTEM U, IRDESEL F (2021). Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. Türk Osteoporoz Dergisi, 27(2), 55 - 60. 10.4274/tod.galenos.2021.32549
Chicago	ERTEM UĞUR,IRDESEL FATMA JALE Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. Türk Osteoporoz Dergisi 27, no.2 (2021): 55 - 60. 10.4274/tod.galenos.2021.32549
MLA	ERTEM UĞUR,IRDESEL FATMA JALE Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. Türk Osteoporoz Dergisi, vol.27, no.2, 2021, ss.55 - 60. 10.4274/tod.galenos.2021.32549
AMA	ERTEM U,IRDESEL F Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. Türk Osteoporoz Dergisi. 2021; 27(2): 55 - 60. 10.4274/tod.galenos.2021.32549
Vancouver	ERTEM U,IRDESEL F Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme. Türk Osteoporoz Dergisi. 2021; 27(2): 55 - 60. 10.4274/tod.galenos.2021.32549
IEEE	ERTEM U,IRDESEL F "Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme." Türk Osteoporoz Dergisi, 27, ss.55 - 60, 2021. 10.4274/tod.galenos.2021.32549
ISNAD	ERTEM, UĞUR - IRDESEL, FATMA JALE. "Lateral Epikondilit Enjeksiyonundan Sonra Geçici Radiyal Sinir Felci: Olgu Bazlı Derleme". Türk Osteoporoz Dergisi 27/2 (2021), 55-60. https://doi.org/10.4274/tod.galenos.2021.32549