Lateral elbow pain being the most common cause of medical consultation for non- traumatic elbow disorders and defined as a chronic degenerative condition of extensor tendons (of wrist) involving their attachment to the lateral humeral epicondyle. In our study, we aim to compare the efficacy of local Corticosteroid Vs. Sod. Hyaluronate injection in the management of Tennis Elbow.
Material and Methods: A prospective randomized comparative study of 60 patients has been done, with complain of pain on lateral aspect of the elbow, which increased on pressure applied on lateral epicondyle of humerus. Positive results of Cozen’s test and Mill’s test were included in study. Two groups were made through alternate randomization, In Group I (n=30) single injection of 1 ml of Methylprednisolone Acetate (20 mg) mixed with 2 ml of 2% Lidocaine Hydrochloride was injected and In Group II (n= 30) single injection of 2 ml of Sodium Hyaluronate (20 mg) mixed with 2 ml of 2% Lidocaine Hydrochloride was injected. Criteria for evaluation of results are pain (+/-), tenderness (+/-), Cozen’s test (+/-), Mill’s test (+/-) and then reporting it as poor, good, and excellent results.
Results: Results were evaluated at the end of 4 weeks. In Group I, 56.66% patient (n=17) had excellent, 36.66% patient (n=11) had good and 6.66% patient (n=2) had poor results respectively. Whereas, in Group II, 33.33% patient (n=10) showed excellent, 43.33% patient (n=13) showed good and 23.33% patient (n=7) had poor outcome.
Discussion and Conclusion: As per our study, Corticosteroid injections are effective in reducing pain in the acute condition. Despite of many researches, there are no articles that favours single best treatment of tennis elbow, especially for effective long-term (≥52 weeks) outcomes.