The Role of Elbow Tender Point Examination in the Diagnosis of Lateral Epicondylitis

Details

• Personal Author:
  Drury DL ; Foster J ; Hegmann KT ; Kapellusch J ; Merryweather A ; Ott U ; Ronna BB ; Thiese MS ; Wood EM ; Yoon SK
• Description:
  Objective: To quantify sensitivity and specificity of the tender points and demonstrate how variability in case definition impacts prevalence of lateral epicondylitis (LE). Methods: Baseline data analyzed from 1216 workers from the WISTAH study, a multicenter prospective cohort study of upper extremity musculoskeletal disorders. All workers completed computerized questionnaires, structured interviews, and two independent physical examinations in accordance with an established protocol. Results: The prevalence of LE differed based on case definition ranging from 4.7% to 12.1%. Sensitivity was low for tender points 1 to 4 ranging from 6.8% to 34.6%. Specificity was high for tender points 1 to 4 ranging from 95.2% to 97.9%. Conclusions: The prevalence of lateral epicondylitis differs markedly based on case definition used, ranging more than two-fold. Standardization of a case definition is essential to allow for comparisons across studies. [Description provided by NIOSH]
• Subjects:
  Hypersensitivity Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: Case Definitions Interobserver Variability Lateral Epicondylagia Lateral Epicondylitis MSD Musculoskeletal Disorders Musculoskeletal System Disorders Physical Examination Prevalence Questionnaires Sensitivity Sensitization Specificity Statistical Analysis Tender Points Tennis Elbow Upper Extremities Workers

  More +
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Minnesota ; OSHA Region 5 ; OSHA Region 8 ; OSHA Region 9 ; Utah ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  126-131
• Volume:
  61
• Issue:
  2
• NIOSHTIC Number:
  nn:20054563
• Citation:
  J Occup Environ Med 2019 Feb; 61(2):126-131
• Contact Point Address:
  Kurt T. Hegmann, MD, MPH, Rocky Mountain Center for Occupational and Environmental Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, 391Chipeta Way, Suite C Salt Lake City, UT 84108
• Email:
  kurt.hegmann@hsc.utah.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of California-San Francisco
• Peer Reviewed:
  True
• Start Date:
  20100901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20140831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f7053d2ae95fb6f3edbe149831a347dd543098b3c1efd195a1e230895ffe9aa4274e9541da1d1f2b351e7feac62b879b2a40988f1291e3b0d8ea46b450364cb7
• Download URL:
  https://stacks.cdc.gov/view/cdc/217088/cdc_217088_DS1.pdf
• File Type:
  [PDF - 275.44 KB ]