{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T04:36:05Z","timestamp":1769056565175,"version":"3.49.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: We aimed to compare the efficacy of two different injection techniques of local corticosteroid and local anesthetic in the management of lateral epicondylitis.\\r\\nMethods: This prospective study followed 80 consecutive patients who were diagnosed with lateral epicondylitis at our hospital outpatient clinic between 2005 and 2006. Patients were randomly assigned into two equal groups. Group 1 received a single injection of 1 ml betamethasone and 1 ml prilocaine on the lateral epicondyle at the point of maximum tenderness. Group 2 patients received an injection of the same drug mixture. Following the initial injection, the needle tip was redirected and reinserted down the bone approximately 30 to 40 times without emerging from the skin, creating a hematoma. Patients were evaluated with the Turkish version of the Disabilities of the Arm, Shoulder and Hand questionnaire before injection and at the final follow-up. The unpaired t-test and chi-square tests were used to compare results. \\r\\nResults: Sixteen patients in Group 1 and 15 patients in Group 2 were lost during follow-up. The average follow-up period of the remaining 49 patients was 21.6 months. There were no significant differences between the two groups with regard to gender, age, follow-up period, symptom duration, involvement side and number of dominant limbs. The Turkish DASH scores of Group 2 were significantly lower than those of Group 1 (p=0.017). \\r\\nConclusion: Long-term clinical success in the treatment of lateral epicondylitis depends on the injection method. The peppering technique appears to be more effective than the single injection technique in the long-term.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda lateral epikondilit tedavisinde 2 farkl\u0131 teknikle uygulanan lokal kortikosteroid ve anestezik enjeksiyonunun etkinli\u011fini kar\u015f\u0131la\u015ft\u0131rmay\u0131 ama\u00e7lad\u0131k.\\r\\n\u00c7al\u0131\u015fma plan\u0131: 2005-2006 y\u0131llar\u0131 aras\u0131nda hastanemiz Ortopedi ve Travmatoloji poliklini\u011fine ba\u015fvuran ve lateral epikondilit tan\u0131s\u0131 koyulan 80 ard\u0131\u015f\u0131k hasta rastgele olarak iki e\u015fit gruba ayr\u0131ld\u0131 ve ileriye d\u00f6n\u00fck olarak izlendi. Grup 1 hastalar\u0131na 1 ml betametazon + 1 ml prilokain kar\u0131\u015f\u0131m\u0131 tek enjeksiyon \u015feklinde lateral epikondil \u00fczerinde en fazla hassasiyetin oldu\u011fu noktaya yap\u0131ld\u0131. Grup 2 hastalar\u0131na ise ayn\u0131 doz ila\u00e7 kar\u0131\u015f\u0131m\u0131 ayn\u0131 \u015fekilde yap\u0131ld\u0131ktan sonra, i\u011fne ciltten \u00e7\u0131kar\u0131lmadan i\u011fne ucu ile epikondil \u00e7evresine 30-40 kez de\u011fi\u015fik y\u00f6nlerde infiltrasyon yap\u0131ld\u0131 ve \u00e7evrede bir hematom olu\u015fturuldu. T\u00fcm hastalar enjeksiyon \u00f6ncesi ve son kontrolde Kol, Omuz, El Sorunlar\u0131 (Disabilities of the Arm, Shoulder and Hand, DASH-T\u00fcrk\u00e7e) anketi ile de\u011ferlendirildi. Sonu\u00e7lar e\u015fle\u015ftirilmemi\u015f 2 grup aras\u0131ndaki t-testi ve ki-kare testleri kullan\u0131larak kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. \\r\\nBulgular: Grup 1\u2019de 16 hasta, Grup 2\u2019de ise 15 hasta takip edilemedi. Takip edilebilen 49 hastada ortalama takip s\u00fcresi 21.6 ay idi. Her iki grup aras\u0131nda cinsiyet, ya\u015f, takip s\u00fcresi, \u015fikayet s\u00fcresi, taraf tutulumu ve bask\u0131n taraf a\u00e7\u0131s\u0131ndan anlaml\u0131 fark saptanmad\u0131. Son kontrolde DASH-T\u00fcrk\u00e7e anketinde Grup 1 ve 2 aras\u0131nda, Grup 2 lehine anlaml\u0131 bir fark saptand\u0131 (p=0.017). \\r\\n\u00c7\u0131kar\u0131mlar: Lateral epikondilitte ge\u00e7 d\u00f6nemdeki tedavi ba\u015far\u0131s\u0131 kortikosteroidin lokal etkisinden \u00e7ok, enjeksiyon tekni\u011fine ba\u011fl\u0131d\u0131r. \u0130\u011fne ucu ciltten \u00e7\u0131kar\u0131lmadan \u00e7oklu bat\u0131rmalar yap\u0131larak uygulanan infiltrasyon tekni\u011fi tek enjeksiyon tekni\u011fine g\u00f6re uzun s\u00fcreli ve daha etkili sonu\u00e7 vermektedir.<\/jats:p>","DOI":"10.3944\/aott.2012.2577","type":"journal-article","created":{"date-parts":[[2012,3,27]],"date-time":"2012-03-27T15:17:41Z","timestamp":1332861461000},"page":"26-29","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of injection techniques in the treatment of lateral epicondylitis: a prospective randomized clinical trial"],"prefix":"10.5152","volume":"46","author":[{"given":"Guvenir","family":"Okcu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serkan","family":"Erkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Senturk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Tackin Ozalp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Serhat Yercan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2574\/2530","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:31Z","timestamp":1763465251000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2574"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2012,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2577","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}