Resection and Repair for Medial Tennis Elbow

Ollivierre, Carl O.; Nirschl, Robert P.; Pettrone, Frank A.

doi:10.1177/036354659502300215

Cited by 114 publications

(90 citation statements)

References 14 publications

(3 reference statements)

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“…Ollivierre et al also reported on 50 surgically-treated cases using a resection and repair technique with drilling of the medial epicondyle [25]. Twelve had ulnar nerve symptoms, with eight undergoing cubital tunnel release and four undergoing subcutaneous transposition.…”

Section: Excellentmentioning

confidence: 99%

Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

et al. 2014

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In the second part of this review article the management of medial elbow tendinopathy, distal biceps and distal triceps tendinopathy will be discussed. There is a scarcity of publications concerning any of these tendinopathies. This review will summarise the current best available evidence in their management. Medial elbow tendinopathy, also known as Golfer's elbow, is up to 6 times less common than lateral elbow tendinopathy. The tendinopathy occurs in the insertion of pronator teres and flexor carpi radialis. Diagnosis is usually apparent through a detailed history and examination but care must be made to exclude other conditions affecting the ulnar nerve or less commonly the ulnar collateral ligament complex. If doubt exists then MRI/US and electrophysiology can be used. Treatment follows a similar pattern to that of lateral elbow tendinopathy. Acute management is with activity modification and topical NSAIDs. Injection therapy and surgical excision are utilised for recalcitrant cases. Distal biceps and triceps tendinopathies are very rare and there is limited evidence published. Sequelae of tendinopathy include tendon rupture and so it is vital to manage these tendinopathies appropriately in order to minimise this significant complication. Their management and that of partial tears will be considered. INTRODUCTIONThe tendinopathies to the common flexor origin, distal biceps and distal triceps occur much less commonly than lateral elbow tendinopathy. The second part of this two-part review article focuses on these tendinopathies and the current best evidence to manage them.

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Section: Excellentmentioning

confidence: 99%

Tendinopathies Around the Elbow Part 2: Medial Elbow, Distal Biceps and Triceps Tendinopathies

et al. 2014

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“…Ollivierre et al 10) found of the 50 patients with medial epicondylitis of the elbow who underwent operative treatment 28 patients had lesions in the flexor carpi radialis-pronator teres muscle interval. They also reported that patients showed signs of angiofibroblastic tendinosis and fibrillary degeneration of the collagen.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Thornton et al 5) found that when 22 patients with chronic lateral epicondylitis received anatomical restoration using suture anchors a satisfactory clinical outcome was seen in 18 patients. Ollivierre et al 10) reported that pain was resolved either partially or completely in every patients who received treatment for the medial epicondylitis. Other studies also describe results of satisfactory outcome after surgical treatment of the lateral or medial epicondylitis.…”

Section: Discussionmentioning

confidence: 99%

Operative Treatment of Medial Epicondylitis: A Comparative Analysis of the Clinical Outcomes between the Suture Anchor Group and the Non-suture Anchor Group

Cheon

Jeon

2015

Clinics in Shoulder and Elbow

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Background: The The purpose of this study was to make a comparative analysis of the clinical outcomes after the operative treatment of refractory medial epicondylitis between the suture anchor group and the non-suture anchor group. Methods: We enrolled 20 patients (7 men and 13 women) with recalcitrant medial epicondylitis who were able to receive operative treatment in a minimum of an 18-month follow-up. The mean age was 48.6 years (range, 36-59 years). The patients were allocated into either the suture anchor group (7 patients) or the non-suture anchor group (13 patients). We evaluated clinical outcomes using the visual analog scale (VAS), the pain grading system of Nirschl and Pettrone, and postoperative grip strength. Results: The VAS score decreased from 8.8 to 2.0 for the suture anchor group and from 8.6 to 1.3 for the non-suture anchor group (p=0.16). The postoperative grip strength was 95%, 93% of the non-treated arm in both groups (p=0.32). The postoperative satisfaction level was good in 5 patients and fair in 2 for the suture anchor group and excellent in 5 patients, good, in 4, and fair, in 4 for the nonsuture anchor group (p=0.43). The clinical outcomes did not show a statistically significant difference between the two groups. Conclusions: We found that patients with recalcitrant medial epicondylitis were treated reliably with satisfactory clinical outcomes whether or not suture anchors were used. We believe the use of suture anchors when more than 50% of the tendon origin is affected provides an effective and favorable treatment modality. (Clin Shoulder Elbow 2015;18(4):221-228)

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“…5,15,[23][24][25][26][27] The most common examples of tendinosis in the upper extremity are the rotator cuff 16,20 and lateral and medial tennis elbow. 11,12,18,19,28,29 In addition, tendinosis is the symptomatic pathology in cases of patellar tendinosis, 14,23,24,30,31 Achilles tendinosis, 14,25,31-33 triceps tendinosis, and tendinopathies of the adductors of the hip. 11 The term tendinosis is used rather than tendinitis because it more accurately defines the histopathologic presentation of the degenerative process.…”

Section: Discussionmentioning

confidence: 99%