Denervation of the Lateral Humeral Epicondyle for Treatment of Chronic Lateral Epicondylitis

Rose, Nicholas E.; Forman, Scott K.; Dellon, A. Lee

doi:10.1016/j.jhsa.2012.10.033

Cited by 45 publications

(31 citation statements)

References 21 publications

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“…Lateral elbow pain is the most common symptom among patients seeking medical attention for elbow‐related symptoms and affects 4 to 7 per 1000 people annually . The differential diagnosis of lateral elbow pain is broad and includes common extensor tendinopathy (also known as “lateral epicondylitis” or “tennis elbow”), posterolateral rotatory instability, plica syndrome, osteochondritis dissecans of the capitellum, radiocapitellar arthritis, distal bicipital tendinopathy, and neuropathy affecting the lateral cutaneous nerve of the forearm or posterior cutaneous nerve of the forearm (PCNF) . Lateral epicondylitis or lateral epicondylopathy is the most common cause of lateral elbow pain and affects 1% to 3% of all adults during their lifetimes .…”

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confidence: 99%

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Sonographic Visualization of the Posterior Cutaneous Nerve of the Forearm: Technique and Validation Using Perineural Injections in a Cadaveric Model

Maida

Chiavaras

Jelsing

et al. 2017

J of Ultrasound Medicine

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High-resolution sonography can identify the PCNF and its distal epicondylar branches. Sonographic evaluation of the PCNF should be included in the evaluation of patients presenting with refractory or atypical lateral elbow pain syndromes. Diagnostic and therapeutic sonographically guided procedures targeting the PCNF or its lateral epicondylar branches are feasible and warrant further investigation.

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confidence: 99%

“…The lateral epicondylar region receives consistent innervation from the PCNF . The PCNF arises from the radial nerve (RN) at the posterolateral arm, distal to the spiral groove and proximal to the lateral intermuscular septum (LIMS; Figure ).…”

mentioning

confidence: 99%

Sonographic Visualization of the Posterior Cutaneous Nerve of the Forearm: Technique and Validation Using Perineural Injections in a Cadaveric Model

Maida

Chiavaras

Jelsing

et al. 2017

J of Ultrasound Medicine

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“…H= hiatus, IEL= interepicondylar line, LE= lateral epicondyle, CP= crossing point of the PACN on the IEL. a= p < 0,01 vs. female, b= p <0.05 vs. left male which likely supplied the LE as posterior branches (Rose et al, 2013). However, more details were not provided.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

et al. 2016

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CHODEWARATHAM, P.; CHENTANEZ, V.; AGTHONG, A. & HUANMANOP, T.Anatomy of posterior antebrachial cutaneous nerve related to the lateral epicondyle and interepicondylar line. Int. J. Morphol., 34(3):953-957, 2016. SUMMARY:Posterior antebrachial cutaneous nerve (PACN) is a branch of radial nerve supplying the skin of posterior forearm. Data regarding its anatomy remain insufficient especially the origin and number of branches. We dissected 101 upper extremities from 32 male and 20 female cadavers to expose the PACN. In all specimens, the nerve emerged from the deep fascia at the hiatus proximal to the interepicondylar line (IEL) with mean distances of 7.24 and 7.44 cm in males and females, respectively. Percentage of this distance to the arm length was 23.2 % and 26.1 % in males and females, respectively. After penetrating the deep fascia, the PACN coursed in the subcutaneous layer and crossed the IEL anterior to the lateral epicondyle (LE) in all cases. The mean distances from the crossing point to the LE along the IEL were 1.52 cm in males and 1.34 cm in females. Regarding the branches of PACN, at least 50 % of the specimens had up to 3 or 4 branches originating either proximal or distal to the hiatus. In two arms, one of these branches passed posterior to the LE. Moreover, there were communicating branches between the PACN and the lateral antebrachial cutaneous nerve in 9 specimens. Gender and side differences were found in some measurement parameters. These data are crucial for avoiding the PACN injury during surgical procedures around the elbow.

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“…For recalcitrant tennis elbow, both open and arthroscopic release have shown to be equally effective [21]. Denervation of the lateral epicondyle was effective in relieving pain in 80% of patients with chronic lateral epicondylitis as stated by Rose et al [22].…”

Section: Treatmentmentioning

confidence: 91%

"Tennis elbow". A challenging call for computation and medicine

Sfetsioris¹,

Bontioti²

2014

AIP Conference Proceedings

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An attempt to give an insight on the features composing this musculotendinous disorder. We address the issues of definition, pathophysiology and the mechanism underlying the onset and the occurrence of the disease, diagnosis and diagnostic tools as well as the methods of treatment. We focus mostly on conservative treatment protocols and we recognize the need for a more thorough investigation with the aid of computation.

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Denervation of the Lateral Humeral Epicondyle for Treatment of Chronic Lateral Epicondylitis

Cited by 45 publications

References 21 publications

Sonographic Visualization of the Posterior Cutaneous Nerve of the Forearm: Technique and Validation Using Perineural Injections in a Cadaveric Model

Sonographic Visualization of the Posterior Cutaneous Nerve of the Forearm: Technique and Validation Using Perineural Injections in a Cadaveric Model

Anatomy of Posterior Antebrachial Cutaneous Nerve Related to the Lateral Epicondyle and Interepicondylar Line

"Tennis elbow". A challenging call for computation and medicine

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