Entesopathy of the lateral epicondyle of the humeral bone – current treatment options

Kamil Fatyga, Marta Tarczyńska, Krzysztof Gawęda, Rafał Mazur, Łukasz Głodek

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.03.015


Chronic pain located on the lateral surface of the elbow in the area of the lateral epicondyle of the humerus is characteristic for a disease called tennis elbow, which belongs to the group of enthesopathies, i. e. diseases related to bone tendon attachment. The cause of the disease are micro-injuries caused by repetitive movements and chronic overloads. Degenerative changes occur in the tendons of the finger and wrist extensor muscles which attach to the lateral epicondyle of the humerus. The problem usually affects the extensor carpi radialis brevis muscle. A typical location for pain is the lateral side of the elbow joint but it can often radiate to the forearm and wrist. In our paper we presented the most commonly used and most effective methods of treatment of the disease. The least invasive methods of physiotherapy and rehabilitation include home exercise, ultrasound and phonophoresis, cryotherapy, light therapy, laser therapy and radial shock wave terapy. We compared the efficacy of pharmacological methods such as non-steroidal anti-inflammatory drugs, steroid injections with lidocaine, platelet-rich plasma, hyaluronic acid, botulinum toxin, collagen. We also mentioned the indications and surgical techniques of the tennis elbow.


medicine; orthopedics; entesopathy of the lateral epicondyle of the humeral bone; enthesopathy; injection; tennis elbow; treatment

Full Text:



Shahid M, Wu F, Deshmukh SC. Operative treatment improves patient function in recalcitrant medial epicondylitis. Ann R Coll Surg Engl. 2013; 95(7): 486-488.

Morimoto Y, Saito A, Tokuhashi Y. Low level laser therapy for sports injuries. Laser Ther. 2013; 22(1): 17-20.

Raman J, MacDermid JC, Grewal R. Effectiveness of different methods of resistance exercises in lateral epicondylosis - a systematic review. J Hand Ther. 2012; 25(1): 5-25.

Salvi AE, Donini MT, Campochiaro G, Corona M, Dakovic I. Epicondylitis: etiology, pathogenesis and therapy. Tunis Med. 2011; 89(4): 320-325.

Levin D, Nazarian LN, Miller TT. et al. Lateral epicondylitis of the elbow: US findings. Radiology. 2005; 237(1): 230-234.

Maffulli N, Binfield PM, Moore D, King JB. Surgical decompression of chronic central core lesions of the Achilles tendon. Am J Sports Med. 1999; 27(6): 747-752.

Shiple BJ. How effective are injection treatments for lateral epicondylitis? Clin J Sport Med. 2013; 23(6): 502-503.

Wójcik G, Stawińska T, Szulc A, Sokołowska B. Diagnosis and conservative treatment of tennis elbow. Journal of Education, Health and Sport. 2016; 6(11): 98-107.

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014


POL-index 2011 - 2014


BASE 2011 - 2014




Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska, EuroPub database, NLM Catalog Result - NCBI, BASE, Russian Sciences Index, Arianta.



US NLM = 101679844

101679844 - NLM Catalog Result - NCBI


Find a library that holds this journal: http://worldcat.org/issn/23918306


PBN Poland






Redaction, Publisher and Editorial Office

Publisher and Editorial Office
Department of Physical Culture,
Faculty of Earth Sciences and Spatial Management,
Nicolaus Copernicus University in Toruń, Poland
Address: Str. Lwowska 1, 87-100 Toruń, Poland

  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

Indexed in Index Copernicus Journals Master List.


ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

RG Journal Impact: 0.18 *

*This value is calculated using ResearchGate data and is based on average citation counts from work published in this journal. The data used in the calculation may not be exhaustive.

RG Journal impact history

2020Available summer 2021
2018 / 20190.18

RG Journal impact over time

RG Journal impact

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski


Partnerzy platformy czasopism