{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:16:16Z","timestamp":1767665776244},"reference-count":25,"publisher":"BMJ","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2008,7,18]]},"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Tennis elbow is a tendinopathy affecting the upper extremity. Recent studies have shown high sensitivity for ultrasound (US) examination and high specificity for colour Doppler (CD) examination. There are no mid- or long-term follow-up investigations of the tendon structure and blood flow using these techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To use US and CD to study structure and blood flow in the extensor origin in patients with tennis elbow treated with intratendinous injections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Follow-up study<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Sports Medicine Unit, Ume\u00e5 University.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>25 patients (28 elbows), mean age 46 years (range 27\u201366), treated with intratendinous injections due to chronic pain from tennis elbow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>US and CD examination of the extensor origin was carried out at inclusion and at follow-up two years after intratendinous injection treatment with polidocanol and\/or a local anaesthetic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measurements<\/jats:title><jats:p>US (structure) and CD (blood flow) findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients had structural tendon changes and high blood flow at inclusion when given the injection treatment. At the two-year follow-up, structural tendon changes were seen in 20\/28 elbows and high blood flow was seen in 4\/28 elbows. The majority of patients with a good clinical result after treatment had no visible blood flow (17\/20), but the structural changes showed no relation to a good result (13\/20 remaining changes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Doppler findings, but not structure, might be related to the clinical result after intratendinous injection treatment of tennis elbow.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsm.2008.049874","type":"journal-article","created":{"date-parts":[[2008,7,30]],"date-time":"2008-07-30T02:49:47Z","timestamp":1217386187000},"page":"584-587","source":"Crossref","is-referenced-by-count":34,"title":["A two-year sonographic follow-up after intratendinous injection therapy in patients with tennis elbow: Figure 1a\u2013e"],"prefix":"10.1136","volume":"44","author":[{"given":"E","family":"Zeisig","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Fahlstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"\u00d6hberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Alfredson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2008,7,29]]},"reference":[{"key":"2024051313343860000_44.8.584.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90081-2"},{"key":"2024051313343860000_44.8.584.2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj325"},{"key":"2024051313343860000_44.8.584.3","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.1998.0178"},{"key":"2024051313343860000_44.8.584.4","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1148\/radiology.196.1.7784585","article-title":"Lateral epicondylitis: correlation of MR imaging, surgical, and histopathologic findings.","volume":"196","author":"Potter","year":"1995","journal-title":"Radiology"},{"key":"2024051313343860000_44.8.584.5","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000618"},{"key":"2024051313343860000_44.8.584.6","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.2106\/00004623-197355060-00004","article-title":"Tennis elbow: its course, natural history, conservative and surgical management.","volume":"55","author":"Coonrad","year":"1973","journal-title":"J Bone Joint Surg"},{"key":"2024051313343860000_44.8.584.7","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0278-5919(20)30489-0","article-title":"Elbow tendinosis\/tennis elbow.","volume":"11","author":"Nirschl","year":"1992","journal-title":"Clin Sports Med"},{"key":"2024051313343860000_44.8.584.8","doi-asserted-by":"publisher","DOI":"10.1080\/000164700317381162"},{"key":"2024051313343860000_44.8.584.9","doi-asserted-by":"crossref","unstructured":"Khan KM Cook JL Kannus P . Time to abandon the \u201ctendonitis\u201d myth. BM J (Clin Res Ed) 200216;324:626\u20137.","DOI":"10.1136\/bmj.324.7338.626"},{"key":"2024051313343860000_44.8.584.10","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.016170"},{"key":"2024051313343860000_44.8.584.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-006-0081-9"},{"key":"2024051313343860000_44.8.584.12","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506288850"},{"key":"2024051313343860000_44.8.584.13","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00401"},{"key":"2024051313343860000_44.8.584.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00388-8"},{"key":"2024051313343860000_44.8.584.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0156-0"},{"key":"2024051313343860000_44.8.584.16","doi-asserted-by":"crossref","unstructured":"Green S Buchbinder R Barnsley L . Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. Chichester, UK: John Wiley & Sons, Ltd 2001.","DOI":"10.1002\/14651858.CD003686"},{"key":"2024051313343860000_44.8.584.17","doi-asserted-by":"crossref","unstructured":"Buchbinder R Green S Bell S . Surgery for lateral elbow pain. Cochrane Database Syst Rev 2002 (1):CD003525.","DOI":"10.1002\/14651858.CD003525"},{"key":"2024051313343860000_44.8.584.18","doi-asserted-by":"crossref","unstructured":"Struijs PA Smidt N Arola H . Orthotic devices for the treatment of tennis elbow. Cochrane Database Syst Rev 2002 (1):CD001821.","DOI":"10.1002\/14651858.CD001821"},{"key":"2024051313343860000_44.8.584.19","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.042762"},{"key":"2024051313343860000_44.8.584.20","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0060-7"},{"key":"2024051313343860000_44.8.584.21","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.043901"},{"key":"2024051313343860000_44.8.584.22","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0161-3"},{"key":"2024051313343860000_44.8.584.23","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1148\/radiol.2371040784","article-title":"Lateral epicondylitis of the elbow: US findings.","volume":"237","author":"Levin","year":"2005","journal-title":"Radiology"},{"key":"2024051313343860000_44.8.584.24","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100170414"},{"key":"2024051313343860000_44.8.584.25","first-page":"167","article-title":"Grip strength in tennis elbow: long-term results of operative treatment.","volume":"64","author":"De Smet","year":"1998","journal-title":"Acta Orthop Belg"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.2008.049874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T20:34:49Z","timestamp":1715632489000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.2008.049874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,7,29]]},"references-count":25,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2010,6,14]]},"published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1136\/bjsm.2008.049874"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.2008.049874","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,7,29]]}}}