[Four surgical tips in the treatment of epicondylitis].

Abstract

INTRODUCTION AND OBJECTIVES:

Lateral epicondylitis is a common injury in the population. Most patients improve with conservative treatment, but in a small percentage surgery is necessary. The aim of this study is to analyse the clinical results obtained by a «4 surgical tips» technique.

MATERIALS AND METHOD:

This is a retrospective study of 35 operated elbows, with a mean follow-up of 5.3 years. In all cases epicondylar denervation, removal of the angiofibroblastic degeneration core, epicondylectomy, and release of posterior interosseous nerve, was performed. Each patient was evaluated using the Broberg and Morrey Rating System (BMRS), Mayo Elbow Performance Score (MEPS), Visual Analogue Scale (VAS), DASH questionnaire, and a survey of subjective assessment.

RESULTS:

BMRS mean score was 97.2 points, with 95.71 points with the MEPS. The mean decrease in VAS was 8.12 points, and the mean score on the DASH was 1.68 points. The results were rated as excellent or very good by 94.3% of patients. There was one recurrence, which resolved with further surgery. Two neuropraxia of the posterior interosseous nerve occurred, which completely recovered in 10 weeks.

CONCLUSIONS:

Using the «4 surgical tips» technique, clinical resolution of symptoms in 97.1% was achieved at the first operation. Therefore, it appears to be an effective, reproducible technique with few complications, in the surgical treatment of lateral epicondylitis resistant to conservative treatment.

• Authors: I Jiménez, A Marcos-García, G Muratore-Moreno, J Medina
• Journal: Revista espanola de cirugia ortopedica y traumatologia (Rev Esp Cir Ortop Traumatol) 2016 Jan-Feb Vol. 60 Issue 1 Pg. 38-43 ISSN: 1988-8856 [Electronic] Spain
• Vernacular Title: Cuatro gestos quirúrgicos en el tratamiento de la epicondilitis.
• PMID: 26187524 (Publication Type: Journal Article)
• Copyright: Copyright © 2015 SECOT. Published by Elsevier Espana. All rights reserved.

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Orthopedic Procedures (methods)
• Retrospective Studies
• Tennis Elbow (surgery)
• Treatment Outcome