RT Journal Article
SR Electronic
T1 Position statement: nonoperative management of lateral epicondylitis in adults
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E625
OP E629
DO 10.1503/cjs.019221
VO 65
IS 5
A1 Lapner, Peter
A1 Alfonso, Ana
A1 Herbert-Davies, Jonah
A1 Pollock, JW
A1 Marsh, Jonathan
A1 King, Graham
A1 
YR 2022
UL http://canjsurg.ca/content/65/5/E625.abstract
AB We sought to compare methods of nonsurgical treatment of lateral epicondylitis in men and women older than 18 years to develop a guideline intended for orthopedic surgeons and other health care providers who assess, counsel and care for these patients. We searched Medline, Embase and Cochrane through to Mar. 9, 2021, and included all English-language studies comparing nonsurgical approaches. We compared physiotherapy versus no active treatment, corticosteroids versus placebo, platelet-rich plasma (PRP) versus placebo, and autologous blood injection versus placebo. Outcomes of interest were pain outcomes (visual analogue scale scores) and functional outcomes. We rated the quality of the evidence and strength of recommendations using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. This guideline will benefit patients seeking nonsurgical intervention for lateral epicondylitis by improving counselling on nonsurgical treatment options and possible outcomes. It will also benefit surgical providers by improving their knowledge of various nonsurgical approaches. Data presented could be used to develop frameworks and tools for shared decision-making.