Four surgical tips in the treatment of epicondylitis

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

“…The demographic data of patients in the study presented are repeated in the different series reviewed [14,[21][22][23][24], as well as the higher prevalence of right elbow surgery, which in this series was the dominant one in a high percentage (97.9%), a fact that is not repeated in other series [21].…”

“…Although, the technique they describe is not the one proposed in this work. Jiménez [14] proposes the release of the NIP as a fourth gesture added to epicondylar denervation, excision of the angiofibroblastic degeneration nucleus and epicondylectomy and with all this they publish excellent values of MEPS and BMRS, both above 90 points.…”

“…Several studies has been published about the involvement of radial entrapment in the clinical presentation of epicondylitis and there are authors who continue to make a surgical gesture in this regard [14,18,[26][27][28]. It coincides with Jimenez´s study [14], in which it is difficult to establish a clinical difference and the complementary tests do not help much, so it was decided not to perform EMG in screening.…”

“…Although the study does not seem to have an influence in the workplace, 37.5% of the patients did not return to their previous work, which is undoubtedly noteworthy. Jiménez's work [14] also collects this data with 14.28% of patients who did not return to their previous activity. In the series of work presented, all patients returned to their previous work except one patient who ended up with a Total Permanent Disability (IPT), who had a post-surgical paralysis of the NIP due to neurapraxia that improved spontaneously, but with recurrence of epicondylitis clinic that required a reintervention.…”

“…have been described [11,12]. Despite these treatments, 5-10% of patients develop chronic symptoms that end up requiring surgery [13,14]. Various surgical techniques have been described; the open release described by Nirschl and Ashman [15] is one of the most used techniques, with another alternative being the percutaneous release described in 1985 [16].…”