OUTCOME OF MODIFIED OPEN SURGERY IN TENNIS ELBOW
Abstract
Background: Tennis elbow is a common disorder of upper extremity. It can be treatedconservatively in majority of the patients but some resistant cases eventually need surgery.Material & Methods: This descriptive study was conducted at Department of Orthopaedics,Ayub Teaching Hospital, Abbottabad, from January 2002 to June 2006. Sixteen patients hadsurgical release of the extensor tendon origin along with excision of the lateral epicondyle ridge.These patients did not res pond to conservative treatment i.e. rest, non- steroidal anti inflammatorydrugs (NSAIDS), local steroid injections and physiotherapy. Patients were followed upto sixmonths. Outcome was graded as excellent, good and poor according to pain relief and function ofthe hand. Results: Sixteen patients (17 elbows) were studied. Thirteen were female (81.25%) andthree were male (18.75%). Fifteen patients (93.75%) had unilateral Tennis Elbow, while one hadbilateral involvement (6.25%). In unilateral disease, right side was affected in eleven patients(68.75%) and left side in four (25%). Excellent outcome was noticed in eleven patients (68.75%)and good result in five patient (31.25% ). Conclusion: Open surgical technique of releasingextensor tendon origin along with excision of lateral condylar ridge of the humerus is new andsimple procedure and yields excellent and good result in patients with resistant Tennis ElbowKeywords: Tennis elbow, lateral, epicondylitisReferences
Yerger B, Turner T. Percutaneous extensor tenotomy for
chronic tennis elbow: an office procedure. Orthopedics 1985
Oct;8(10):1261-3.
J Ayub Med Coll Abbottabad 2007; 19(1)
Coonrad RW, Hooper WR. Tennis elbow: its course, natural
history, conservative and surgical management. J Bone Joint
Surg Am 1973;55(6):1177-82.
Boyd HB, Mcleod AC. Tennis elbow. J Bone Joint Surg Am
;55(6):1183-7.
Posch JN, Goldberg VM, Larrey R. Extensor fasciotomy for
tennis elbow: a long-term follow-up study. Clin Orthop Relat
Res 1978;135:179-82.
Bosworth DM. Surgical treatment of tennis elbow, a followup study. J Bone Joint Surg Am 1965;47(8):1533-6.
Rosen MJ, Duffy FP, Miller EH, Kremchek EJ. Tennis elbow
syndrome: results of the “lateral release” procedure. Ohio
State Med J 1980;76(2):103-9.
Nirschl RP. Lateral extensor release for tennis elbow. J Bone
Joint Surg Am 1994;76(6):951.
Nirschl RP, Pettrone FA. Tennis elbow. The surgical
treatment of lateral epicondylitis J Bone Joint Surg Am
;61(6A):832-9.
Grundberg AB, Dobson JF. Percutaneous release of the
common extensor origin for tennis elbow. Clin Orthop Relat
Res. 2000;(376):137-40.
Baumgard SH, Schwartz DR. Percutaneous release of the
epicondylar muscles for humeral epicondylitis. Am J Sports
Med. 1982;10(4):233-6.
Das D, Maffulli N. Surgical management of tennis elbow . J
Sports Med Phys Fitness. 2002 ; 42 (2):190-7.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
