Outcome of Boyd-McLeod procedure for recalcitrant lateral epicondylitis of elbow

Reddy, Vrm; Satheesan, KS; Bayliss, Neil

doi:10.1007/s00296-010-1450-1

Cited by 10 publications

(7 citation statements)

References 22 publications

(22 reference statements)

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“…24,25 As regarding returning to work, the patients after arthroscopic release returned to work earlier than those with open release (5.8 weeks for group-A and 8.8 weeks for group-B) and this was comparable with the results reported by many surgeons. 9,22,[26][27][28][29][30] Care must be taken during arthroscopic tennis elbow release to avoid neurological injuries due to the proximity of important neurological structures especially the ulnar nerve. 31…”

Section: Discussionmentioning

confidence: 99%

Comparative Study: Arthroscopic Versus Open Tennis Elbow Release

Zayed

2020

Al-Azhar International Medical Journal

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Background: Tennis elbow is a very common elbow pathology caused by repetitive trauma over the tendon of Extensor Carpi Radialis Brevis (ECRB) at the common extensor origin. Most cases respond to conservative treatment while resistant cases may need arthroscopic or open surgical release. This study aimed to compare the clinical and functional outcomes of arthroscopic and open release for resistant tennis elbow in selected patients. Patients and Methods: This was a prospective study that was conducted over three years (between 2015 and 2018) and included 30 patients with resistant tennis elbow. The patients were randomized into two equal groups with fifteen patients in each group. The first group (A) had undergone an arthroscopic release while the second group (B) had undergone an open release. All patients were evaluated preoperatively, 3 weeks postoperatively, and 1 year postoperatively using MEPS, DASH Score, and VAS. Results: One year postoperatively, the mean MPES, DASH score, and VAS were improved significantly in both groups. There was no significant difference in the outcome scores between both groups. The average time for return to work was 5.8 ± 2.07 (4-12) weeks for group-A and 8.8 ± 1.97 (7-14) weeks for group-B. There were no significant complications in both groups. Conclusion: Both arthroscopic and open release are similar and effective in the treatment of resistant tennis elbow as noticed by improvement in MEPS, DASH score, and VAS at the end of follow up. The arthroscopic release permits earlier recovery and return to work.

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Section: Discussionmentioning

confidence: 99%

Comparative Study: Arthroscopic Versus Open Tennis Elbow Release

Zayed

2020

Al-Azhar International Medical Journal

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“…Only one other study describes the short-term outcomes of the procedure, with a 91% success rate at a mean postoperative follow-up of 16 months. 9 Our series is equivalent in the short-term, with 88% success rate at a discharge time of 15.35 weeks. No other studies exist regarding the outcomes of the Boyd-McLeod procedure and the present study is the first to report long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…8 First published in 1973, short-term results have proven to be encouraging. 9 In the present study, we report the midto-long-term outcomes of the Boyd-McLeod procedure.…”

Section: Introductionmentioning

confidence: 99%

The Boyd–McLeod procedure for tennis elbow: mid- to long-term results

et al. 2014

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Background: Tennis elbow is a common condition that usually responds to conservative measures. In refractory cases, surgical intervention is indicated. A plethora of surgical techniques have been described. We report the mid-to longterm outcomes of the Boyd-McLeod procedure for refractory tennis elbow. Methods: A retrospective analysis and current review of patients that had undergone the Boyd-McLeod procedure over a 12-year period was undertaken. Demographics, time to discharge, length of follow-up and outcome scores were collected. Results: Seventy patients underwent surgery. Mean time to discharge was 15.35 weeks, with 88% successful outcomes. Fifty-four patients were available for current follow-up at mean of 5.52 years (range 1.17 years to 11.49 years). Range of motion in all patients was unchanged. There were no revision procedures. Mean (SD) Mayo Elbow Performance Score was 90.85 (13.11), with 75.5% returning a good or excellent score and 24.5% a fair outcome. The mean (SD) Oxford Elbow Score was 44.04 (6.92); mean (SD) pain score was 89.5 (17.58); mean (SD) function score was 95.34 (9.59) and mean (SD) socio-psychological score was 91.50 (17.01). Overall, 83% of patients had an Oxford Elbow Score of 43 or greater, suggesting excellent outcome. Conclusions: We show that the Boyd-McLeod procedure is an excellent option over both the short-and long-term for refractory tennis elbow.

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“…Ultrasound guided percutaneous (incision 0.5 – 1 cm), tenotomy and debridement with cannula, scalpel, radio frequency ablation or special tissue ablation systems is another treatment option 143 , 149 , 150 , 151 , 152 , 153 .…”

Section: Conservative Treatmentmentioning

confidence: 99%

“…Perkutan (Inzision 0,5 – 1 cm) kann eine ultraschallgestützte Tenotomie und Débridement mittels Kanüle, Skalpell, Radiofrequenzablation oder speziellen Gewebeentfernungssystemen als eine alternative korrespondierende Therapieform durchgeführt werden 143 , 149 , 150 , 151 , 152 , 153 .…”

Section: Operative Therapieunclassified

Epicondylopathia humeri radialis

Leschinger

Tischer

Doepfer³

et al. 2021

Z Orthop Unfall

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Background Lateral epicondylitis is a common orthopaedic condition often massively restricting the quality of life of the affected patients. There are a wide variety of treatment options – with varying levels of evidence. Method The following statements and recommendations are based on the current German S2k guideline Epicondylopathia radialis humeri (AWMF registry number: 033 – 2019). All major German specialist societies participated in this guideline, which is based on a systematic review of the literature and a structured consensus-building process. Outcomes Lateral epicondylitis should be diagnosed clinically and can be confirmed by imaging modalities. The Guidelines Commission issues recommendations on clinical and radiological diagnostic workup. The clinical condition results from the accumulated effect of mechanical overload, neurologic irritation and metabolic changes. Differentiating between acute and chronic disorder is helpful. Prognosis of non-surgical regimens is favourable in most cases. Most cases spontaneously resolve within 12 months. In case of unsuccessful attempted non-surgical management for at least six months, surgery may be considered as an alternative, if there is a corresponding structural morphology and clinical manifestation. At present, it is not possible to recommend a specific surgical procedure. Conclusion This paper provides a summary of the guideline with extracts of the recommendations and statements of its authors regarding the pathogenesis, prevention, diagnostic workup as well as non-surgical and surgical management.

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Outcome of Boyd-McLeod procedure for recalcitrant lateral epicondylitis of elbow

Cited by 10 publications

References 22 publications

Comparative Study: Arthroscopic Versus Open Tennis Elbow Release

Comparative Study: Arthroscopic Versus Open Tennis Elbow Release

The Boyd–McLeod procedure for tennis elbow: mid- to long-term results

Epicondylopathia humeri radialis

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