Prognostic Factors of Arthroscopic Extensor Carpi Radialis Brevis Release for Lateral Epicondylitis

Yoon, Jong Pil; Chung, Seok Won; Yi, Jae Hyuck; Lee, Byoung-Joo; Jeong, Won-Ju; Lee, Hyun-Joo

doi:10.1016/j.arthro.2015.02.006

Cited by 34 publications

(29 citation statements)

References 19 publications

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“…These factors may be related to the severity of the condition. Other studies 12 have detected as prognostic factors the female gender, which in the present study showed no association, and the stage of the condition at resonance, not assessed in the present study.…”

Section: Discussioncontrasting

confidence: 93%

“… 4 , 9 , 10 , 11 The vast majority have in common the release or debridement of the extensor carpi radialis brevis (ECRB) tendon. Some factors have been attributed to poor prognosis after surgical treatment, especially female gender and injury of the common extensor tendon greater than 6 mm in magnetic resonance imaging 12 ( Fig. 1 ).…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Nascimento¹,

Claudio²

2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the results of patients undergoing arthroscopic surgical treatment of refractory lateral epicondylitis, identifying poor prognosis factors.MethodsA retrospective study of 44 patients (47 elbows) who underwent arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon to treat refractory lateral epicondylitis from February 2013 to February 2015, operated by a single surgeon at one center. Patients were assessed by DASH score, visual analog scale of pain (VAS), and ShortForm 36 (SF-36). The mean age at surgery was 44.4 years (32–60). The duration of symptoms prior to the surgery was approximately 2.02 years (range: 6 months to 10 years). Mean follow-up was 18.6 months (range of 6–31.9).ResultsThe mean postoperative DASH score was 25.9 points; mean VAS, 1.0 point at rest (all the patients with mild pain) and 3.0 points at activity, of which 31 (66%) cases presented mild pain, 10 (21%) moderate pain, and six (13%) severe pain; mean SF-36 score was 62.5. A moderate correlation was observed between duration of pain before surgery and the DASH score with the final functional outcome. No significant complications with the arthroscopic procedure were observed.ConclusionsArthroscopic surgical treatment for recalcitrant lateral elbow epicondylitis presented good results, being effective and safe. The shorter the time of pain before surgery and the lower the preoperative DASH score, the better the prognosis.

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Section: Discussioncontrasting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Nascimento¹,

Claudio²

2017

Revista Brasileira de Ortopedia (English Edition)

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“…26,27,48 Radiofrequency microtenotomy and percutaneous or endoscopic lateral release also provide satisfactory results. 27 Although several case series have reported favorable outcomes of arthroscopic lateral elbow release, 24,25,27 2 Cochrane database reviews (2002 and 2011) found that there is still insufficient evidence to support or refute the effectiveness of surgery for lateral elbow pain, 49,50 and assessment of the pros and cons of each technique suggests that none is superior by any measure. 27 The only 2 studies that have compared surgery (open release) and PRP injection in LE are limited by a retrospective design and by the lack of outcome measures validated for elbow epicondylitis.…”

Section: Discussionmentioning

confidence: 95%

“…23 Arthroscopic or open lateral release as well as other procedures (radiofrequency microtenotomy and percutaneous or endoscopic lateral release) can be considered when conservative treatment fails to provide pain relief and functional recovery. [24][25][26][27] Arthroscopic release can provide good to excellent outcomes in line with those of other surgical approaches but has the advantage of enabling treatment of any intra-articular conditions. 27 Two recent retrospective studies of the effects of PRP injections compared with open surgical release in recalcitrant lateral elbow tendinosis have found that PRP seems to provide better pain relief and function in the short and medium term 28 and that it provides similar clinical outcomes and rates of return to work to open surgery.…”

mentioning

confidence: 99%

Arthroscopic Debridement Versus Platelet-Rich Plasma Injection: A Prospective, Randomized, Comparative Study of Chronic Lateral Epicondylitis With a Nearly 2-Year Follow-Up

Merolla

Dellabiancia

Ricci

et al. 2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Gripping is a delicate motion that occurs via the joint action of the flexors and the extensors of the wrists, not merely the action of the flexors of the hands. As grip strength increases, the extensor carpi ulnaris muscle is mobilized in addition to the already activated extensor carpi radialis brevis 12 ) . The extensor carpi radialis longus muscle and even the brachioradialis muscle can also be mobilized according to the posture during gripping and the degree of grip strength.…”

Section: Discussionmentioning

confidence: 99%

Effects of concentric contraction of the wrists and transcutaneous electrical nerve stimulation cycle on pain and muscle strength in lateralepicondylitis patients

2017

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[Purpose] This study examined the effects of transcutaneous electrical nerve stimulation and concentric contraction of the muscles surrounding the elbow joints on pain and muscular strength in the elbow joints of patients with lateral epicondylitis. [Subjects and Methods] The subjects of this study were 30 patients who visited our hospital with the main complaint of lateral pain in the elbow joint. All subjects were randomly and equally assigned to an experimental group that conducted concentric contraction exercises in sync with a transcutaneous electrical nerve stimulation cycle and a control group that performed concentric contraction after the application of transcutaneous electrical nerve stimulation. Patients used a 10 cm visual analogue scale to evaluate the level of pain in their elbow joints. To measure the strength of muscles around the elbow joints, the subjects’ paretic grip strength was measured using an electronic grip strength dynamometer. [Results] No statistically significant difference in visual analog scale was found between the two groups. Regarding changes in grip strength, changes in the experimental group’s grip strength were significantly greater than those in the control group. [Conclusion] These results can be used as a basis for reducing pain and improving strength in lateral epicondylitis patients.

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Prognostic Factors of Arthroscopic Extensor Carpi Radialis Brevis Release for Lateral Epicondylitis

Cited by 34 publications

References 19 publications

Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Arthroscopic Debridement Versus Platelet-Rich Plasma Injection: A Prospective, Randomized, Comparative Study of Chronic Lateral Epicondylitis With a Nearly 2-Year Follow-Up

Effects of concentric contraction of the wrists and transcutaneous electrical nerve stimulation cycle on pain and muscle strength in lateralepicondylitis patients

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