Risk factors in lateral epicondylitis (tennis elbow): A case-control study

A. G. Titchener, A. Fakis, A. A. Tambe, C. Smith, R. B. Hubbard, D. I. Clark

Research output: Journal PublicationArticlepeer-review

49 Citations (Scopus)


Lateral epicondylitis is a common condition, but relatively little is known about its aetiology and associated risk factors. We have undertaken a large case-control study using The Health Improvement Network database to assess and quantify the relative contributions of some constitutional and environmental risk factors for lateral epicondylitis in the community. Our dataset included 4998 patients with lateral epicondylitis who were individually matched with a single control by age, sex, and general practice. The median age at diagnosis was 49 (interquartile range 42-56) years. Multivariate analysis showed that the risk factors associated with lateral epicondylitis were rotator cuff pathology (OR 4.95), De Quervain's disease (OR 2.48), carpal tunnel syndrome (OR 1.50), oral corticosteroid therapy (OR 1.68), and previous smoking history (OR 1.20). Diabetes mellitus, current smoking, trigger finger, rheumatoid arthritis, alcohol intake, and obesity were not found to be associated with lateral epicondylitis.

Original languageEnglish
Pages (from-to)159-164
Number of pages6
JournalJournal of Hand Surgery: European Volume
Issue number2
Publication statusPublished - Feb 2013
Externally publishedYes


  • case-control study
  • epidemiology
  • Lateral epicondylitis
  • THIN

ASJC Scopus subject areas

  • Surgery


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