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| Similar considerations apply to the diagnosis of triceps tendonitis. Using a similar search strategy to that described above, no primary articles concerning triceps tendonitis were found. Nirschl has coined the phrase “Posterior Tennis Elbow” for the entity 2. In a paragraph, again without references, he states that it is uncommon, but occurs in patients who have other posterior elbow problems. These include olecranon bursitis/exostosis, intra-articular lesions, olecranon fossa chondromalacia, exostoses and loose fragments. He suggests that the aetiology is repetitive elbow extension, as occurs in throwing sports. He only advances a surgical option for management. A more conventional “tendonitis” regime would seem more applicable in the acute setting. This would include rest, and ice initially, combined with some anti-inflammatory modalities, with the gentle introduction of stress to the tendon 3.
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| ==Recommendation==
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| In the absence of an evidence-base for either the diagnosis or the treatment of distal biceps tendonitis or triceps tendonitis,
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| Treatment should be guided by avoiding investigation and expensive unproven modalities.
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| An initial period of two weeks rest followed by gradual return to full activity is reasonable and falls within generally accepted principles of treatment of painful tendons.
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| ==References==
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| 1. Bennett JB. Lateral and medial epicondylitis. Hand Clin 1994; 10:157-163.
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| 2. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med 1992; 11:851-870.
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| 3. Curwin SL. The aetiology and management of tendinitis. In: Oxford Textbook of Sports Medicine. Oxford: Oxford University Press, 1995:512-528.
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| [[Category:Elbow & Forearm]] | | [[Category:Elbow & Forearm]] |
| [[Category:Tendinopathies]] | | [[Category:Tendinopathies]] |
Revision as of 12:23, 20 June 2020
