Open Lateral Epicondylectomy: A Simple Technique Update for the 21st Century

Plancher, Kevin D.; Bishai, Shariff K.

doi:10.1097/01.bto.0000252116.90105.d3

Cited by 4 publications

(2 citation statements)

References 40 publications

(54 reference statements)

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“…e results were also scored as: Excellent: full return to all activities with no pain, Good: full return to all activities with occasional mild pain, Fair: no pain with normal activities; signi cant pain with heavy activities, Poor: little or no relief of pre-operative symptoms 8,9,13,14 . Subjective evaluation of patients' pain was recorded using Visual Analog Scale (VAS) for pain.…”

Section: Methodsmentioning

confidence: 99%

“…More than 90% of patients with TE respond to conservative treatment 7 . Surgery is reserved for resistant cases that have failed to respond to conservative measures, and they include open, mini-open extensor tenotomy 3,7,13 . Minimally invasive surgical methods have also been described in literature, like percutaneous needle tenotomy, with or without sonography assistance [8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Treatment Outcome of Tennis Elbow by Percutaneous Needle Tenotomy

Kayatha

Joshi

Chand

et al. 2013

Med. J. Shree Birendra Hosp.

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Introduction: Tennis elbow (TE), or lateral epicondylitis of the humerus, is a painful condition seen commonly in the daily practice of Orthopaedic surgeons. One of the myriad of treatment methods for TE is percutaneous needle tenotomy of the common extensor origin. It is a simple operation with minimal morbidity and goodto-excellent results in most of the patients. e aim of this study was to evaluate the outcome in patients with chronic TE. Methods: this was a prospective study in 33 consecutive patients of both sexes with TE who were above 30 years of age. An 18 Gauge hypodermic needle was used under local anaesthesia to percutaneously tenotomise the extensor origin at the point of maximum tenderness. Visual analogue score (VAS) was used to assess the pain prior to intervention and in subsequent follow-ups at rst, third, sixth and 12 th weeks. Persistence of pain and return to activities of the patients was used to evaluate outcome as excellent, good, fair or poor. Results: At the end of 12 weeks, eleven out of 30 elbows (36.7%) had an excellent outcome, 13 (43.3%) had good, 5 (16.7%) had fair and 1 patient (3.3%) had poor outcome. At rst week follow-up, the mean pain at rest was 4.60, the same at night was 2.73 and activity pain was a mean of 7.70 (max-9, min-5). By 12 week followup, the mean VAS scores at rest, night and activites were 0.87, 0.63 and 1.53 respectively, showing signi cant decrease in pain. Conclusions: Percutaneous tenotomy is a simple, safe, patient friendly, e ective and easily reproducible method of treating tennis elbow.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%