Tennis Elbow

Peter A. A. Struijs, Rachelle Buchbinder, Sally E. Green

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review


INTRODUCTION: Lateral pain in the elbow affects up to 3% of the population. The number of google hits for "tennis elbow" is 1,460,000. It is considered an overload injury of the extensor tendons of the forearm where they attach at the lateral epicondyle. Although usually self-limiting, symptoms may persist for over 1 year in up to 20% of people. METHODS AND OUTCOMES: A systematic review of literatur was performed aimed to answer the following clinical questions: Is there a place for additional imaging in tennis elbow? What are the effects of the most commonly used treatments for tennis elbow? We searched: PubMed and The Cochrane Library. RESULTS: We found 36 systematic reviews, RCTs or observational studies that met our inclusion criteria. A GRADE evaluation of the quality of evidence for interventions was performed. CONCLUSIONS: In this chapter we present information relating to the effectiveness of the following interventions: wait-and-see policy, corticosteroid injections, physical therapy, orthoses (bracing), non-steroidal anti-inflammatory drugs, extracorporeal shock wave therapy (ESWT), acupuncture and surgery. Corticosteroid seem beneficial for shortterm relief, ESWT seems unlikely to be beneficial. Other strategies are unknown to be beneficial due to limited evidence.

Original languageEnglish
Title of host publicationEvidence-Based Orthopedics
EditorsMohit Bhandari
Number of pages9
ISBN (Print)1405184760, 9781405184762
Publication statusPublished - 31 Oct 2011


  • Corticosteroid
  • Global improvement
  • Pain
  • Pain relief
  • Relevant anatomy
  • Tennis elbow

Cite this

Struijs, P. A. A., Buchbinder, R., & Green, S. E. (2011). Tennis Elbow. In M. Bhandari (Ed.), Evidence-Based Orthopedics (1st ed., pp. 787-795). Wiley-Blackwell.