• Muhammad Shoaib Khan
  • Haider Kamran
  • Shamsher Ali Khan
  • Mukhtar Ahmed
  • Alamzeb Khan
  • Mohammad Younas
  • Sadulah Khan


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, epicondylitis


Yerger B, Turner T. Percutaneous extensor tenotomy for

chronic tennis elbow: an office procedure. Orthopedics 1985


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


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


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.



Most read articles by the same author(s)

<< < 1 2 3 > >>