Percutaneous release of the epicondylar muscles for humeral epicondylitis

Abstract

This paper describes 44 percutaneous epidondylar releases performed on 34 patients with humeral epicondylitis. There were 35 instances of lateral epicondylitis and 6 of medical epidondylitis. Thirty-two of the lateral releases had an excellent result and 3 were unsatisfactory. Five of the medial procedures were rated as excellent and one unsatisfactory. Two of the three unsatisfactory lateral procedures were reoperated upon with an excellent result. The one unsatisfactory medial epicondylitis underwent reoperation and had excellent results. In our experience, percutaneous release has a high rate of success, is simple to perform, does not require hospitalization, and has been without complication.

Arthroscopic Treatment of Patients With Lateral Humeral Epicondylitis (Tennis Elbow)

“…B. yerger и T. Turner в 1995 г. впервые выполнили эту опе-рацию в амбулаторных условиях под местной ане-стезией. чрескожный релиз места прикрепления общего разгибателя обеспечивает до 90% хороших и отличных результатов [29].…”

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

“…Percutaneous extensor tenotomy for chronic tennis elbow preformed as an office procedure under local or general anaesthesis is a simple procedure resulting in good result, quick recovery and minimal complications [13][14][15]. Dunkow et al reported better results and quicker recovery with precutaneous release in a radomised comparative trial…”

Preliminary Clinical Results of Topaz Microdebridement Procedure in Lateral Epicondylitis Patients

“…A broad spectrum of conservative treatment includes rest, medication, injections, braces, and extracorporeal shock wave therapy (ESWT). In addition, numerous surgical procedures, open, percutaneous, and arthroscopic, were introduced [1][2][3][4][5][6] .…”

“…This theory was proposed after observing some healing potential after some traumatic insult and bleeding to the affected area 5,16 . Some researchers 15,17 think that healing process occurs either by inflammatory response resulted from local tissue irritation during the metabolism of the blood or from cell-mediated factors within the blood.…”

“…There have been many attempts to relieve resistant lateral epicondylitis by surgery, open or arthroscopic [1][2][3][4][5][6] . Historically, surgical release or slide of the extensor aponeurosis, often combined with orbicular ligaments in presumption that the force generators are weakened thereby decreasing stress to the sensitized tissues Coblation controlled cold ablation or radiofrequency electrosurgical ablation, which was originally developed for cartilage ablation in arthroscopic surgery, is now being utilized in many fields: dermatology for skin resurfacing, otolaryngology for tonsillectomy and others, in cardiology for to improve myocardial perfusion, and so forth [11][12][13]26 .…”