A Comparison of Radiofrequency-Based Microtenotomy and Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon in Recalcitrant Lateral Epicondylitis: A Prospective Randomized Controlled Study

Lee, Sanghyeon; Park, In; Hyun, Hwan Sub; Shin, Sang-Jin

doi:10.1016/j.arthro.2017.11.029

Cited by 19 publications

(40 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent study in which the prognostic factors of arthroscopic surgery are analyzed [22], the MEPS values achieved were discreetly lower than those shown previously [6,22], but they can still be classified as good. In another prospective randomized study [25], in which the arthroscopic technique is compared with radiofrequency tenotomy, scores above 90 points are evidenced at the end of the follow-up, which is equivalent to an excellent result, without significant differences between the two groups.…”

Section: Discussionmentioning

confidence: 95%

“…Pomerantz [33] talks about rates between 4.3% and 1.1% for open, percutaneous and arthroscopic surgery respectively; while Karkhanis [34] describes rates between 10.6% and 0%. Lee [25] publishes rates of approximately 11% of persistent pain with MEPS less than 90 points two years after surgery, one of the patients previously undergoing arthroscopy requiring a new re-surgery 12 months after the first. hen studying the average time of surgery, significant differences appear.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic surgery versus open surgery for lateral epicondylitis in an active work population: a comparative study

López-Alameda

Varillas‐Delgado

Felipe-Gallego

et al. 2022

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Arthroscopic surgery versus open surgery for lateral epicondylitis in an active work population: a comparative study

López-Alameda

Varillas‐Delgado

Felipe-Gallego

et al. 2022

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

“…Oki et al 27 found that pain levels (VAS), DASH score, and grip strength continuously improved during the first 3 months after arthroscopic debridement of lateral epicondylitis. Lee et al 22 investigated arthroscopic release treatment of lateral epicondylitis and reported a trend of decreasing differences in VAS score over time: at 3 months (3.27 ± 1.07), 6 months (2.14 ± 1.25), 12 months (1.82 ± 1.10), and 24 months (1.41 ± 1.14). Similarly, Clark et al 7 reported that DASH score decreased from 52.6 ± 2.6 preoperatively to 33.0 ± 3.2 at 3 months, 27.6 ± 3.7 at 6 months, and 23.5 ± 4.1 at 12 months after arthroscopic ECRB release surgery.…”

Section: Discussionmentioning

confidence: 99%

“…A difference of at least 3 points in MEPS between the groups was considered significant. 22 Based on the standard deviation of the MEPS, power calculation analysis indicated that a sample size of at least 23 patients in each group would be required to identify a difference of 3 points in the MEPS at a power of 0.80. 22 Comparisons between groups were made using Student t test or 2-sample Wilcoxon rank sum test for continuous variables according to the normality and homogeneity of variances.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic Extensor Carpi Radialis Brevis Tenotomy and Debridement Versus Debridement Alone for Refractory Lateral Epicondylitis: Clinical and MRI Evaluation

Yang

Xue

et al. 2022

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon is a widely accepted procedure used in refractory lateral epicondylitis. However, residual pain occurs in some patients. Purpose: To investigate the clinical effectiveness of arthroscopic extended debridement (ECRB tenotomy and debridement) in the treatment of lateral epicondylitis. Study Design: Cohort study; Level of evidence, 3. Methods: Patients with refractory lateral epicondylitis were consecutively recruited for this study. They underwent traditional ECRB debridement (control group) or extended ECRB debridement (ED group) under arthroscopy. The Disabilities of the Arm, Shoulder and Hand (DASH) score, visual analog scale (VAS) for pain, and Mayo Elbow Performance Score (MEPS) were used to compare elbow function between the groups at 3, 6, and 12 months postoperatively. Magnetic resonance imaging (MRI) was also performed to evaluate pathology at 12 months. Results: A total of 69 patients participated in the study (33 patients in the ED group and 36 in the control group). After surgery, all patients showed improvement on all 3 outcome scores. Compared with the control group, the ED group had significantly better postoperative MEPS and VAS scores at 3 months ( P ≤ .001 for both) and 6 months ( P ≤ .03 for both) but similar values at 12 months. DASH scores between groups were similar at all time periods. At the 12-month follow-up, no patients in the ED group reported pain with strenuous work. Return-to-work (RTW) times were also shorter in the ED group compared with the controls (8 ± 4 vs 18 ± 8 weeks; P < .001). Postoperative MRI assessments revealed no high signal intensities on the lateral epicondyle in the ED group, while there was an increased internal signal intensity on the lateral epicondyle in 83% of the controls. Conclusion: Collectively, the extended ECRB debridement technique resulted in enhanced pain relief in the early postoperative period as well as providing faster RTW times compared with the traditional debridement technique. At 1 year follow-up, there were no differences in outcome measures between groups, but residual abnormal MRI findings were more common in the traditional debridement group.

show abstract

“…Some studies had their final follow-up 12 months postprocedure, [13,14] while other studies had as low as 6 months [12,18] or as high as 24 months. [15,19] Tasto et al reported that their follow-up of patients ranged from 6 months to 9 years with an average of 2.5 years. [20] This variability in timeframe for collecting data limited the comparison of the different studies.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous microtenotomy using a microdebrider coblation wand for the treatment of lateral epicondylitis: A systematic review

2022

View full text Add to dashboard Cite

Background: Lateral epicondylitis is one of the most common causes of elbow pain. Most patients recover with conservative treatments; however, some patients require surgical intervention. There are 3 common procedures offered: open tenotomy, arthroscopic tenotomy, and percutaneous microtenotomy. In comparison, percutaneous microtenotomy has been proven as a less invasive procedure to treat lateral epicondylitis. We reviewed the literature on the safety and efficacy of using a microdebrider coblation wand to treat lateral epicondylitis, and we compared its outcomes to open and arthroscopic tenotomy.Methods: A search was completed through PubMed Central, Google Scholar, EBSCO host, and Embase for studies that performed percutaneous microtenotomy with a microdebrider coblation wand to treat lateral epicondylitis. Studies were then screened to determine if they met inclusion and exclusion criteria and were reviewed for data analysis and potential risks of bias.Results: A total of 27 articles were identified and 9 articles (eight studies) met the inclusion criteria. Small sample sizes in the studies and heterogeneity of the methodology limited the capacity to carry out a meta-analysis. Percutaneous microtenotomy outcomes seem to be favorable for reduced pain, increased grip strength, and improved functional outcomes, which were similar to outcomes reported with the other surgical techniques. There were no major adverse events reported in the studies secondary to the use of the microdebrider coblation wand. Procedure time and return to daily activities were shorter for the microtenotomy group. Conclusion:Percutaneous microtenotomy performed with a microdebrider coblation seems to be an effective treatment for lateral epicondylitis that provides similar outcomes to the surgical techniques with a lower rate of complications.Abbreviations: DASH = disabilities of the arm, shoulder and hand, MEPS = Mayo Elbow Performance Score, MRI = magnetic resonance imaging, NRS = numerical rating scale, PRP = platelet-rich plasma, RCT = randomized controlled trials, VAS = visual analog scale.

show abstract

A Comparison of Radiofrequency-Based Microtenotomy and Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon in Recalcitrant Lateral Epicondylitis: A Prospective Randomized Controlled Study

Cited by 19 publications

References 19 publications

Arthroscopic surgery versus open surgery for lateral epicondylitis in an active work population: a comparative study

Arthroscopic surgery versus open surgery for lateral epicondylitis in an active work population: a comparative study

Arthroscopic Extensor Carpi Radialis Brevis Tenotomy and Debridement Versus Debridement Alone for Refractory Lateral Epicondylitis: Clinical and MRI Evaluation

Percutaneous microtenotomy using a microdebrider coblation wand for the treatment of lateral epicondylitis: A systematic review

Contact Info

Product

Resources

About