The surgical treatment of Tennis Elbow by small Incision with local anesthesia
Abstract
Background: When non-operative treatment of tennis elbow fails; a surgical procedure can be performed to improve the associated symptoms.
Methods: This manner was performed on 38 consecutive patients which treated surgically for lateral or medial epicondylitis. The indication for surgery was uncontrolled pain after six months of conservative treatment, more than 3 local injections of steroid and severe functional loss in occupational activities. The treatment results were assessed in terms of the pain using the visual analogue scale (VAS), Roles & Maudsley score, and Nirschl & Pettrone grade.
Results: in this study 38 patients of tennis elbow were involved, the preoperative VAS scores of pain were medium at rest 4.96, daily activity 5.96, and 7.6 at sports. After surgery, the VAS scores regulated significantly (p < 0.01): 0.3 at rest, 1.53 daily activities, and 2.04 at sports. The preoperative Roles & Maudsley score was acceptable in 5 cases, and poor in 33 cases, which was changed to excellent in 22 cases, good in 14 cases, acceptable in 3 cases after surgery.
Conclusions: The surgical treatment of Tennis Elbow by small Incision with local anesthesia appears to be one of effective methods for intractable lateral or medial epicondylitis.
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References
2. Boyer MI. Comprehensive orthopedic review. American Academy of Orthopedic Surgeons. 2014;2: 988–90, 1027–8. ISBN: 978–0–89203-845-9.
3. Cho DY, Hahm YG, Lee ZM. Surgical treatment in recurrent tennis elbow. J Korean Orthop Assoc. 1996;31(3):477–483.
4. Coonrad RW, Hooper WR. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am. 1973;55(6):1177–1182.
5. Cyriax JH. The pathology and treatment of tennis elbow. J Bone Joint Surg Am. 1936;18(4):921–940.
6. Gellman H. Tennis elbow (lateral epicondylitis) Orthop Clin North Am. 1992;23(1):75–82.
7. James H. Beatty, MD Orthopedic Knowledge Update 6th Edition p, 267
8. Kamien M. A rational management of tennis elbow. Sports Med. 1990;9(3):173–191.
9. Kim SJ, Park BM, Oh KS. Arthroscopic treatment of lateral epicondylitis. J Korean Orthop Sports Med. 2007;6(2):105–109.
10. Lo MY, Safran MR. Surgical treatment of lateral epicondylitis: a systematic review. Clin Orthop Relat Res. 2007;(463):98–106.
11. Morrey BF. Reoperation for failed surgical treatment of refractory lateral epicondylitis. J
Shoulder Elbow Surg. 1992;1(1):47–55.
12. Nirschl RP. Elbow tendinosis/tennis elbow. Clin Sports Med. 1992;11(4):851–870.
13. Olivier CO, Nirschl RP, Pettrone FA: Resection and repair for medial tennis elbow: A prospective analysis. Am J Sports Med 1995;23;214-221
14. Owens BD, Murphy KP, Kuklo TR. Arthroscopic release for lateral epicondylitis. Arthroscopy. 2001;17(6):582–587
15. Organ SW, Nirschl RP, Kraushaar BS, Guidi EJ. Salvage surgery for lateral tennis elbow. Am J Sports Med. 1997;25(6):746–750.
16. Ramsey mL: Distal biceps tendon injuries: Diagnosis and management. J Am Accad Orthop Surg 1999; 7:199-207.
17. Rhyou I, Chung C, Suh BG, Ko BW, Park HK. Arthroscopic treatment of refractory lateral epicondylitis and associated synovitis. J Korean Soc Surg Hand. 2005;10(3):156–161.
18. Shin DB, Cho SD, Park TW, Cho YS, Kim BS, Kim YH. Surgical treatment of tennis elbow. J Korean Orthop Assoc.1997;32(5):1142-7.
19.Sanders Jr TL, et al. The epidemiology and health care burden of tennis elbow: a population-based study. Am J Sports Med. 2015;43(5):1066–71.
20. Verhar J, Walenkamp G, Kester A, van Mameren H, van der Linden T. Lateral extensor release for tennis elbow: a prospective long-term follow-up study. J Bone Joint Surg Am. 1993;75(7):1034–1043.
21. Whaley AL, Baker CL. Lateral epicondylitis. Clin Sports Med. 2004;23(4):677–91. X
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