April 1952


AMA Arch Surg. 1952;64(4):501-505. doi:10.1001/archsurg.1952.01260010517009

THIS PAPER is presented as an attempt to clarify what seems to many to be rather an obscure condition commonly referred to as "tennis elbow." The usual concept of this term is largely incorrect and misleading. The majority of articles dealing with the condition describe it as being epicondylitis (Cooper,1 Dwyer and Murray2), an incomplete tearing of the fibers of origin of the forearm extensors (Hansson and Horwich,3 Hansson4), or bursitis (Carp5). In general, these authors and others cited by North6 in a collective review agree and further cite many other textbooks and authorities (McMurray, Mercer, Watson-Jones, Cyriax and Thomsen). The treatments recommended include manipulation, local procaine injection, limited activity, various splints, plaster immobilization and extensive physical therapy. Operation apparently is not recommended by them. It is to be noted that the lesion is extracapsular and will heal eventually whatever the treatment. However, in

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