Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Nascimento, Alexandre Tadeu do; Claudio, Gustavo Kogake

doi:10.1016/j.rboe.2016.03.008

Cited by 7 publications

(4 citation statements)

References 21 publications

(27 reference statements)

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“…To date, many studies have utilized the sub-dimensions of SF 36 to rate quality of life (32,(34)(35)(36). In the present study, where the sub-dimensions of SF36 were used, we detected a significant improvement in both the ESWT and KT groups.…”

Section: Discussionsupporting

confidence: 56%

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Sultanoğlu¹,

Sultanoğlu²

2020

J Basic Clin Health Sci

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Introduction: To compare the effects of extracorporeal shock wave therapy and kinesiotaping, performed as the first-step treatments added to physiotherapy, on pain, functionality, and quality of life among newly diagnosed lateral epicondylitis patients.Patients and Methods: Our study was retrospectively performed. The medical records of 62 patients whose treatment was designed for clinically-diagnosed unilateral lateral epicondylitis were reviewed, they were categorized into two groups each containing 31 patients. The demographic properties, profession, body mass index, dominant hand, symptom duration, and the side of the affected elbow were recorded. Patients were assessed twice; prior to treatment onset and at 1st month after the treatment. Pain intensity was recorded with Visual Analog Scale at rest, at night, during activity (repeated elbow motions). Patients completed quick disabilities of the arm, shoulder, and hand questionnaire for a functional evaluation. Quality of life was assessed by Short Form-36.Results: There was no statistically significant difference between the two groups in terms of demographic characteristics. When the patients were evaluated at the fourth week after the treatment; the visual analogue scale showing pain severity at rest, at night and during activity, the Q-DASH, and all sub-parameters of Short Form 36 was found significantly difference. There was no statistically significant difference between the two groups in terms of evaluation parameters. Conclusions:We reported that treatment effect of kinesiotaping to lateral epicondylitis is similar to that of ESWT. Both treatments significantly improved pain score, functional status and patient satisfaction.

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Section: Discussionsupporting

confidence: 56%

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Sultanoğlu¹,

Sultanoğlu²

2020

J Basic Clin Health Sci

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“…It has been emphasized that it is an important scale evaluating the quality of life. 34 – 36 We also used SF36 subscales in our study. We obtained improvements in both ESWT and WES groups compared to pretreatment values.…”

Section: Discussionmentioning

confidence: 99%

Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study

Aydin¹,

Atiç²

2018

JPR

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BackgroundExtracorporeal shock-wave therapy (ESWT) and wrist-extensor splints (WESs) are two commonly used methods in the treatment of lateral epicondylitis. In this study, the efficacy of these two methods was compared.MethodsThe study was planned as a prospective randomized controlled study. A total of 67 patients were enrolled. The patients were divided into two groups: group 1 received ESWT (32 patients) and group 2 received WES (35 patients). Patients in group 1 underwent four sessions of ESWT once every week. In each session, an ESWT device at 10–12 Hz, 2,000 pulses, and 1.6–1.8 bar pressure was used. Patients in group 2 used a wrist splint, holding the wrist at 30°–45° extension for 4 weeks. Patients were assessed for handgrip strength, pain at rest, pain while working, and quality of life. Data were collected before and after treatment (at weeks 4, 12, and 24). A visual analog scale was used to evaluate pain at rest and while working, a hand dynamometer for handgrip strength, subscales of the SF36 Health Survey to evaluate quality of life, and the Turkish version of the patient-rated tennis-elbow evaluation was used to evaluate functioning of the affected arm during various daily life activities.ResultsIn both ESWT and WES groups, although there were considerably significant improvements (P<0.001) in the parameters evaluated (pain at rest and while working, handgrip strength, Patient-Rated Tennis Elbow Evaluation, Nirschl score, and SF36 subscales) were observed at 4, 12, and 24 weeks compared to pretreatment values, there was no statistically significant difference between the two groups in terms of our evaluation parameters at the three time points (P>0.05).ConclusionBoth ESWT and WES applications were found to yield significantly superior results when compared to pretreatment values. In comparison of the two groups, on the other hand, there was no statistically significant difference.

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“…The structures of joints, tendons, ligaments, nerves, and blood vessels are mutually adjacent and easily injured during operation. Common complications in intracapsular method includes temporary nerve injuries (forearm sensory abnormalities [18,19], reflex sympathetic dystrophy syndrome [20]and radial nerve paralysis [21]), suture infection [13,21,22], and large hematoma [13]. Elbow joint instability, permanent nerve injury and deep infection are serious but rare complications [23].…”

Section: Evaluation Of Clinical Application Of Extracapsular Methodsmentioning

confidence: 99%

Evolution of arthroscopic treatment from intracapsular to extracapsular for patients with refractory tennis elbow: A mixed-method study.

Yang¹,

Chu²,

Yuan³

et al. 2020

Preprint

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Background Arthroscopic surgery is widely used in the treatment of refractory tennis elbow due to its advantages of minimally invasive, safe and direct vision. Intra-capsular arthroscopy(intracapsular method), which is performed via natural cavity, is the mainstream arthroscopic procedure. However, intracapsular method requires the damage of joint capsule and may cause intraoperative neurovascular injury and other complications. In view of the defects of intracapsular method, the surgical scheme of the extracapsular arthroscopy (referred to as "extracapsular method") has emerged. The aim of this study was to investigate the exploration history, key theories, methods, and techniques involved in the evolution from the intracapsular method to the extracapsular method for arthroscopic treatment of tennis elbow, and explore the effectiveness and safety of extracapsular method. Methods Qualitative data were collected via focus group interview. 7 surgeons who were selected through purposive sampling discussed on the theories, methods, and technical specifications of the transition from intracapsular method to extracapsular method. Qualitative data were analysed using NVivo11. Quantitative data of consecutive 43 patients were analysed to evaluate the effectiveness and safety of the extracapsular method. Descriptive analysis was conducted to analyse the demographic characteristics and clinical outcomes after surgery. Results The experts agreed that the extracapsular method maintains the integrity of joint capsule and avoids complications caused by joint capsule damage. Extracapsular method was considered easy for surgeons to master and convenient to operate. Technical specifications for extracapsular method were formed based on group discussion. The median time for pain relief and recovery of daily activities of 43 patients treated with these specifications were 3 months and 6 weeks, respectively. The satisfaction rates of Mayo Elbow Performance Scores were 87.2%, 95.6%, and 100% respectively at 3, 6, and 12 months after operation. Conclusion On the basis of international peer innovation, the extracapsular method has been continuously developed in our clinical practice to avoid the possible complications of the intracapsular method. The resulting technical specifications have been shown to have good clinical efficacy and safety in a small sample cohort.

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Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Cited by 7 publications

References 21 publications

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study

Evolution of arthroscopic treatment from intracapsular to extracapsular for patients with refractory tennis elbow: A mixed-method study.

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