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JKM > Volume 45(2); 2024 > Article
Oh, Kim, and Park: A Case Report of Ultrasound-guided Hominis Placenta Pharmacopuncture on Lateral epicondylitis



This case study aims to demonstrate the efficacy of ultrasound-guided hominis placenta pharmacopuncture in lateral epicondylitis.


A 42-year-old male patient presented with lateral epicondylitis of the right arm of 4 months’ duration. Sonographic findings were tearing of the common extensor tendon at the lateral epicondyle. The patient was treated with ultrasound-guided hominis placenta pharmacopuncture and acupuncture for 9 weeks. The numeric rating scale (NRS) and patient-rated tennis elbow evaluation(PRTEE) were used to assess pain, function and progression. Ultrasound images were compared every 2 weeks.


After treatments, NRS and PRTEE were reduced from 7 to 1 and from 106 to 22, respectively. And improvement was observed in the torn region of the common extensor tendon on ultrasound imaging.


This case demonstrates that ultrasound-guided hominis placenta pharmacopuncture could improve lateral epicondylitis and tear with minimally invasive methods.

Fig. 1
Lateral epicondylitis of the right elbow and healing changes after ultrasound-guided pharmacopuncture.
(A) Long-axis ultrasound image of the common extensor tendon at visit 1. The arrow indicates the torn region. LE, Lateral epicondyle; RH, Radial head. (B) Ultrasound-guided Pharmacopuncture injection to the wound site and fascia of the extensor digitorum brevis tendon. The arrow heads indicates the approach of the needle. (C) 3 weeks after visit 1. (D) 5 weeks. (E) 7 weeks. (F) 9 weeks.
Table 1
Changes in pain and functional assessment of lateral epicondylitis
Visit 1 2 3 4 5 6 7 8 9 10 11 12
weeks (1) (2) (3) (5) (6) (7) (8) (9)
NRS 7 7 4 3 3 2 1 1 2 1 1 1
PRTEE 106 22

NRS, Numeric Rating Scale; PRTEE, Patient-Rated Tennis Elbow Evaluation


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