[Epicondylitis: etiology, pathogenesis and therapy]. / Epicondylites: etiologie, pathogénie et traitement.

Epicondilites are pathologies poorly understood from the aetiopathogenetic point of view. In this regard, many hypotheses have been considered and numerous anatomical structures are involved. Current therapeutic options are either conservative or surgical. Conservative treatments are: immobilization of the elbow flexed at 90-degrees, stretching the forearm muscles, manipulating the wrist, the application of low-energy extracorporeal shock waves, acupuncture, autologous blood injection under the extensor carpi radialis brevis, laser therapy and pulsed electromagnetic field therapy. Surgical treatments are: fasciotomy, excision of angiofibroblastic hyperplasias located at the origin of extensor carpi radialis brevis, partial release of the orbicular ligament, release of the extensor muscles, elongation of the tendon of extensor carpi radialis brevis and arthroscopic treatment. Advantages and disadvantages are described for each treatment according to the international literature.

Spontaneous healing of an avulsed ischial tuberosity in a young football player. A case report.

There is a paucity of orthopaedic literature describing avulsion of the ischial tuberosity, but its spontaneous healing does not seem to have been reported to-date. This article describes the case of a young football player who suffered an avulsion fracture of the ischial tuberosity while kicking vigorously next to the ball during a football match. The diagnosis was not made at the time of trauma, and the fracture was found five years later to have healed spontaneously. A review of the literature is provided.