Lateral epicondylitis: a comparative study of open and arthroscopic lateral release.

Lancaster Orthopedic Group, Lancaster, Pennsylvania, USA.
American journal of orthopedics (Belle Mead, N.J.) 12/2004; 33(11):565-7.
Source: PubMed


In this article, we retrospectively review cases of resistant lateral epicondylitis (tennis elbow) and compare treatment with open release versus arthroscopic release. From 1997 to 2002, 87 patients were treated: 54 with open procedures and 33 with arthroscopic procedures. Seventy-five patients were available for follow-up. Mean duration of preoperative symptoms was 16 months for open cases and 22 months for arthroscopic cases. All patients had a minimum of 6 months of conservative treatment before surgery. Results showed no significant difference in outcomes. For example, 69% of open cases and 72% of arthroscopic cases had good or excellent outcomes. Notably, patients treated with arthroscopic release returned to work earlier than patients treated with open release did, and they required less postoperative therapy.

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    • "McLaughlin et al. [14] retrospectively evaluated radiocapitellar arthritis treated by arthroscopic radial head excision and reported good results. Peart et al. [15], Rubenthaler et al. [16], and Baker Jr. and Baker III [17] in their studies evaluating results of arthroscopic ECRB release for lateral epicondylitis concluded that it gave a long lasting relief. Takahara et al. [18] in a retrospective series reported good result after arthroscopic management of OCD of capitellum. "
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    ABSTRACT: Elbow arthroscopy, though described first in 1930s, gained popularity only in the last 3 decades. There has been a steady expansion in the clinical applications of elbow arthroscopy owing to the significant improvements in instrumentation and arthroscopic skills. The procedure which was mainly used for diagnostic purpose, loose body removals, and synovial biopsy has now become an important tool for managing elbow arthritis, stiff elbow, and trauma. However, this procedure has a higher incidence of neurological complications and hence case selection and surgeon's expertise are of utmost importance.
    Full-text · Article · Oct 2012
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    • "This technique had the advantage of exploring the joint cavity during which Baker et al. found 69% joint lesions. Peart et al. [16] compared the arthroscopic release technique and the open technique. In their study, 54 patients underwent open release of the extensor radialis carpi brevis tendon and 33 patients were operated arthroscopically. "
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    ABSTRACT: The etiology, treatment, and patient management in cases of chronic epicondylitis, within the legislation on occupational disease, remain highly controversial. Recognition as an occupational disease has a negative influence on the functional result of epicondylitis treated with aponeurotomy and neurolysis of the motor branch of the radial nerve. Twenty-eight patients (30 cases of epicondylitis) were operated between January 2007 and January 2008. There were nine men and 19 women whose mean age was 46.1years. A preoperative EMG found anomalies in the deep posterior interosseous nerve in all cases. Patients were divided into two groups: one group of patients recognized as having an occupational disease and a group of patients whose disease was not considered occupation-related. The patients were seen at follow-up at a mean 21.8months. In the group of patients with occupational disease, there were six excellent, nine good, and five acceptable results; in the second group, there were six excellent, two good, and two acceptable results. Recognition of epicondylitis as an occupational disease has a significant influence only on the time to pain relief and the result on strength. Level IV. Retrospective study.
    Full-text · Article · Feb 2011 · Orthopaedics & Traumatology Surgery & Research
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    ABSTRACT: Elbow arthroscopy allows for direct visualization into the elbow joint, minimizes the potential for postoperative edema and discomfort, as well as protects the ligamentous structures. Arthroscopic procedures for the elbow and postoperative management are described for patients who have undergone loose body removal, synovectomy, and capsulectomy. The effect of early mobilization on the elbow complex and the role that splinting may play, as well as the controversies surrounding the use of continuous passive motion are discussed. Arthroscopy can significantly reduce the time frame, as well as improve the functional outcome, of a postoperative rehabilitative program. There is evidence to support the reduced need for postoperative therapy, as well as quicker return to premorbid activity. However, the evidence to suggest that there is significant difference between open vs. arthroscopic repairs with regard to functional outcome is inconsequential. Complications after an arthroscopic release can arise, such as prolonged edema, which may lead to protracted joint stiffness or delayed healing. Iatrogenic nerve injury is also a potential risk that may pose devastating consequences for the individual's functional outcome. In light of all these facts, it is imperative that arthroscopic procedures be performed by experienced surgeons, who can then refer the patient to a skilled hand therapist who will work in conjunction with and communicate to the physician if complications arise.
    No preview · Article · Apr 2006 · Journal of Hand Therapy
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