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Vol. 6. Issue 2.
Pages 79-88 (June 2005)
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Vol. 6. Issue 2.
Pages 79-88 (June 2005)
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Epicondilitis
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18951
Rosa María Hortal Alonsoa, Marina Salido Olivaresb, Pilar Navarro Alonsob, Gloria Candelas Rodríguezc
a Sección de Reumatología. Hospital Universitario Dr. Peset. Valencia. España
b Departamento de Reumatología. Clínica SAS. Madrid. España
c Servicio de Reumatología. Hospital Clínico. Madrid. España
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Resumen

La epicondilitis es la enfermedad del codo más frecuente. Se trata de una tendinosis crónica producida en la mayoría de los casos por el sobreuso de los músculos extensores del antebrazo, relacionado principalmente con la actividad laboral o deportiva. Tiene un claro perfil ocupacional al igual que otras tendinopatías crónicas del miembro superior con las que puede aparecer asociada. Produce dolor en la cara lateral del codo irradiado al antebrazo, sensación de pérdida de fuerza en la mano y, con frecuencia, discapacidad. La duración de la sintomatología es prolongada, generalmente de 6 a 9 meses, si bien puede superar el año. El diagnóstico es eminentemente clínico; las exploraciones complementarias sólo son necesarias en casos de duda, para valorar enfermedad asociada o para planificar la cirugía cuando esté indicada. El tratamiento es siempre conservador, precisa de una terapia combinada con antiinflamatorios no esteroideos, ejercicios de fisioterapia, modificaciones posturalesergonómicas y banda preventiva de epicondilitis; en las más sintomáticas también infiltraciones locales con corticoides y/o rehabilitación. El tratamiento quirúrgico sólo está indicado cuando, tras 1 año de tratamiento conservador adecuado, persiste dolor que interfiere con las actividades cotidianas. Es una causa relativamente frecuente de incapacidad laboral transitoria por lo que conlleva importantes costes económicos.

Palabras clave:
Epicondilitis
Codo de tenista
Tratamiento conservador
Abstract

The epicondylitis is a common disease at the elbow. It is a chronic tendinosis originated in most of the cases by the repetitive injury of the extensor muscles of the forearm, related with work activity or sport. It has a clear occupational profile as other upper extremity chronic tendinopathies and it can appear associated with them simultaneously. It produces pain at the lateral aspect of the elbow irradiated down the forearm, sensation of weakness in the hand, and frequently disability. The duration of the sintomatology is prolonged, generally require from 6 to 9 months to resolve, although it can overcome a year. The diagnosis is eminently clinical; adjunct studies are only necessary in cases of doubt, to assess asociated entities or to plan the surgery when it is suitable. The treatment is always conservative, precise of a therapy combined with NSAIDs, physiotherapy exercises, activity and ergonomic modifications and preventive brace; in the most symptomatic cases also local corticosteroid injections and/or rehabilitation are required. The surgical treatment is indicated when after a year with optimum conservative management, pain that interferes with the daily activities persists. It is a relatively frequent cause of transitory work disability for what bears important economic costs.

Key words:
Epicondylitis
Tennis elbow
Conservative treatment
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Copyright © 2005. Sociedad Española de Reumatología
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