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Persistent Tennis Elbow Symptoms Have Little Prognostic Value: A Systematic Review and Meta-analysis.
Clinical Orthopaedics and Related Research  (IF4.176),  Pub Date : 2021-12-07, DOI: 10.1097/corr.0000000000002058
Joona Ikonen, Tuomas Lähdeoja, Clare L Ardern, Rachelle Buchbinder, Aleksi Reito, Teemu Karjalainen

Tennis elbow is a common painful enthesopathy of the lateral elbow that limits upper limb function and frequently results in lost time at work. Surgeons often recommend surgery if symptoms persist despite nonsurgical management, but operations for tennis elbow are inconsistent in their efficacy, and what we know about those operations often derives from observational studies that assume the condition does not continue to improve over time. This assumption is largely untested, and it may not be true; meta-analyzing results from the control arms of tennis elbow studies can help us to evaluate this premise, but to our knowledge, this has not been done.