Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 33 321 2015 03 21 The Coincidence of Radial Tunnel Syndrome with Tennis Elbow The Coincidence of Radial Tunnel Syndrome with Tennis Elbow 45 53 14556 FA Mohammad Dehghani Associate Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Maziar Hafezi Student of Medicine, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran Shaghayegh Dehghani Student of Medicine, School of Medicine And Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran Journal Article 2015 02 24 Background: Lateral epicondylitis is a common disease that in some instances does not respond to the usual treatment, even after different treatment efforts. Management of lateral epicondylitis is firstly based upon the conservative treatments and local injection of steroids; but if radial tunnel syndrome presented coincidently, alternative management must be planned on surgical decompression of radial nerve. As a result, diagnosis of cases with radial tunnel syndrome and tennis elbow simultaneously is significantly important for the planning of the management. The aim of this study was to determine the coincidence of radial tunnel syndrome with tennis elbow.Methods: In a cross-sectional study, 52 patients with confirmed lateral epicondylitis who referred to orthopedic clinic of Kashani hospital (Isfahan, Iran) during 2013-2014 were studied. The coincidence of lateral epicondylitis and radial tunnel syndrome was investigated among them via clinical examination and electromyogram (EMG) and nerve conduction velocity (NCV).Findings: In physical examination, coincidence of lateral epicondylitis with radial tunnel syndrome was seen in 24 patients (46.2%); according to EMG and NCV tests, this coincidence was seen in 19 patients (36.5%). Coincidence of lateral epicondylitis with carpal tunnel syndrome and lateral epicondyle of elbow sclerosis was seen in 4 (7.7%) and 7 patients (13.5%), respectively.Conclusion: Coincidence of radial tunnel syndrome with lateral epicondylitis is of high prevalence. So, it is necessary to conclude radial tunnel syndrome as the first diagnosis when faced to a patients suffering from tennis elbow who does not respond to usual conservative treatments; for these patients, supplementary paraclinical tests may be needed. Background: Lateral epicondylitis is a common disease that in some instances does not respond to the usual treatment, even after different treatment efforts. Management of lateral epicondylitis is firstly based upon the conservative treatments and local injection of steroids; but if radial tunnel syndrome presented coincidently, alternative management must be planned on surgical decompression of radial nerve. As a result, diagnosis of cases with radial tunnel syndrome and tennis elbow simultaneously is significantly important for the planning of the management. The aim of this study was to determine the coincidence of radial tunnel syndrome with tennis elbow.Methods: In a cross-sectional study, 52 patients with confirmed lateral epicondylitis who referred to orthopedic clinic of Kashani hospital (Isfahan, Iran) during 2013-2014 were studied. The coincidence of lateral epicondylitis and radial tunnel syndrome was investigated among them via clinical examination and electromyogram (EMG) and nerve conduction velocity (NCV).Findings: In physical examination, coincidence of lateral epicondylitis with radial tunnel syndrome was seen in 24 patients (46.2%); according to EMG and NCV tests, this coincidence was seen in 19 patients (36.5%). Coincidence of lateral epicondylitis with carpal tunnel syndrome and lateral epicondyle of elbow sclerosis was seen in 4 (7.7%) and 7 patients (13.5%), respectively.Conclusion: Coincidence of radial tunnel syndrome with lateral epicondylitis is of high prevalence. So, it is necessary to conclude radial tunnel syndrome as the first diagnosis when faced to a patients suffering from tennis elbow who does not respond to usual conservative treatments; for these patients, supplementary paraclinical tests may be needed. https://jims.mui.ac.ir/article_14556_14aa36297925d3c82891d74fa28d7df1.pdf