Author/Authors :
harmouch, amani saint joseph university - university hospital hôtel-dieu de france (chu-hdf) - department of rheumatology, Beirut, Lebanon , haddad zebouni, soha university hospital hôtel-dieu de france (chu-hdf) - department of radiology, Beirut, Lebanon , fayad, fouad saint joseph university - university hospital hôtel-dieu de france (chu-hdf) - department of rheumatology, Beirut, Lebanon
Abstract :
Hyaluronic acid (HA) injections are increasingly used for the treatment of various soft-tissue disorders. We report the case of total healing of tennis elbow with cicatrizing of the tendon tear following three injections of HA performed under ultrasound guidance. A 46-year-old table tennis player was diagnosed with chronic right lateral epicondylitis without any improvement after optimal medical treatment. Ultrasound of the right elbow showed a focal hypoechoic region with a big linear intra-substance tear (12 x 4 x 2 mm) next to the bone insertion of the lateral epicondyle tendons. The patient underwent a course of three injections of HA at one-month interval. One month after the 3rd injection, ultrasound showed almost a complete healing of the tendon tear with a decrease of more than 90% of the pain intensity. Our case suggested that HA injections under ultrasound guidance may be a successful treatment for refractory lateral epicondylitis allowing complete cicatrizing of the tendon tear.
NaturalLanguageKeyword :
hyaluronic acid , tennis elbow , ultrasound , treatment
