Is Posterior Synovial Plica Excision Necessary for Refractory Lateral Epicondylitis of the Elbow?

Rhyou, In Hyeok; Kim, Kang Wook

doi:10.1007/s11999-012-2585-z

Cited by 13 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kim et al [ 2 ] reported arthroscopic results on 12 throwing athletes and attributed the plicae to this repetitive strain and trauma. Both Antuna and O’Driscoll [ 4 ] and Rhyou and Kim [ 11 ] described the pain caused by SP as a plausible differential diagnosis to lateral epicondylitis.…”

Section: Discussionmentioning

confidence: 99%

Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures

Pedersen

Kristensen

Mønsted

et al. 2017

SICOT-J

View full text Add to dashboard Cite

-Introduction: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results after arthroscopic plica resection of the elbow. Methods: In this case series, we included a consecutive series of 64 arthroscopies (60 patients) with arthroscopic plica resection of the elbow. Inclusion criteria were six months of lateral elbow pain and unsuccessful conservative treatment. Patients had either ultrasonography verified plicae or pain on palpation of the plica. Patients were evaluated with an Oxford Elbow Score (OES) preoperatively, after three months and after mean 22 months (range: 12-31) of follow-up. Furthermore, baseline characteristics were recorded including, gender, age, body mass index (BMI), occupation, smoking and cartilage damage. Results: The mean age was 44 years (range: 18-66). In 13 elbows, International Cartilage Repair Society (ICRS) grade 1 lesions were present in association with the plica. Preoperatively the mean OES was 19 (95% CI: 17-20). At three and 22 month follow-up the OES increased to 33 (95% CI: 30-36) and 35 (95% CI: 32-38), respectively (p < 0.001). Cartilage injury and gender did not affect the outcome. We reported no complications. Discussion: Arthroscopic plica resection of the elbow indicates an improved OES after three and 22 months. A randomized prospective trial is needed to validate the effect of arthroscopic treatment of synovial elbow plicae.

show abstract

Section: Discussionmentioning

confidence: 99%

Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures

Pedersen

Kristensen

Mønsted

et al. 2017

SICOT-J

View full text Add to dashboard Cite

show abstract

“…Debridement of the extensor carpi radialis brevis tendon 1) with synovial fold excision 4)12) 17) is the accepted treatment method for recalcitrant lateral epicondylitis. However, a recent report argues that the debridement of the extensor carpi radialis brevis tendon accompanied by posterior synovial fold excision does not provide any additional symptomatic improvement when compared with the debridement of only the extensor carpi radialis brevis tendon 18) . The relationship between lateral epicondylitis and synovial fold syndrome has not yet been fully elucidated.…”

Section: Discussionmentioning

confidence: 99%

The Radiohumeral Synovial Fold: Analysis with 3D Isotropic MR Imaging in 80 Asymptomatic Subjects

Kitsukawa

Tachizawa

Kobayashi

et al. 2015

J St. Marianna Univ

View full text Add to dashboard Cite

Purpose: To evaluate prospectively the size of the synovial fold protruding into the radiohumeral joint using 3D isovoxel MR imaging in asymptomatic volunteers, and to find a new reference value of the synovial fold on MR imaging. Materials and methods: Eighty asymptomatic volunteers (36 women, 44 men; age range, 23-56 years; median age, 39; 20 patients in each decade from 20s to the 50s) were examined in this study. MR imaging of both sides of the elbow was performed using 3D isovoxel fast field-echo sequence with selective water excitation. The width of the synovial fold, which is defined as the distance between the tip of the synovial fold and the outer edge of the radial head, was measured at eight locations on the radiohumeral joint. We analyzed the relationship between the results and age, sex, and handedness. Results: The posterior synovial fold was largest (range, 0.2-11.6 mm; median, 6.9 mm; 95th percentile, 10.0 mm). The width of the lateral synovial fold and posterolateral synovial fold was larger in patients in their 50s than in their 20s (p < 0.05 and p < 0.01, respectively). Conclusion: Most normal synovial folds are smaller than 10.0 mm in width. Aging is a factor which influences the width of lateral to posterolateral synovial folds.

show abstract

“…Othman [22], in his study on 33 patients comparing the arthroscopic versus percutaneous release in treatment of chronic tennis elbow, noticed that the mean DASH score of the 14 patients who underwent arthroscopic release, improved from 72 points to 48 points postoperatively and he concluded that the arthroscopic treatment of lateral epicondylitis gives more favorable results in comparison to percutaneous one. Rhyou and Kim [23], in their retrospective study on 39 patients who underwent arthroscopic treatment for refractory lateral epicondylitis from November 2003 to October 2009. They grouped 20 patients treated with arthroscopic release of the ECRB origin.…”

Section: The Quick Dash Scorementioning

confidence: 99%

Functional Outcome of Arthroscopic Release of Extensor Carpi Radialis Brevis Muscle in Treatment of Chronic Lateral Epicondylitis (Tennis Elbow)

Mohamed

Zaghlool

Addosooki

et al. 2021

Egyptian Journal of Orthopedic Research

View full text Add to dashboard Cite

The purpose of this study was to evaluate results of the release of extensor carpi radialis brevis (ECRB) in tennis elbow patients. A prospective study including twenty patients with resistant chronic lateral epicondylitis was carried out in the period between June 2018 and June 2019 at Sohag University Hospital. These 20 patients underwent arthroscopic ECRB release. Evaluation of the pain and function included visual analog scale (VAS), Quickdash score, and Nirschl staging score preoperatively, postoperatively, two weeks, four weeks, ten weeks, and six months postoperatively. The patients showed highly statistically and clinically significant differences in the form of clinical improvement indicated by the level of Quickdash, VAS, and Nirschl staging scores at each time interval of the patients follow up. There was minimal postoperative pain, early rehabilitation, and early return to activity could be achieved. Arthroscopic release of the ECRB is an effective method of treatment in patients with resistant tennis elbow.

show abstract

Is Posterior Synovial Plica Excision Necessary for Refractory Lateral Epicondylitis of the Elbow?

Cited by 13 publications

References 23 publications

Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures

Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures

The Radiohumeral Synovial Fold: Analysis with 3D Isotropic MR Imaging in 80 Asymptomatic Subjects

Functional Outcome of Arthroscopic Release of Extensor Carpi Radialis Brevis Muscle in Treatment of Chronic Lateral Epicondylitis (Tennis Elbow)

Contact Info

Product

Resources

About