Are “knife and fork” good enough for day case surgery of resistant tennis elbow?

Dwyer, Amitabh J.; Govindaswamy, R; Elbouni, Tariq; Chambler, Andrew

doi:10.1007/s00264-008-0712-y

Cited by 14 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We do not consider this to be a problem as the surgical technique used in our study does not include removal of tendinous tissue. In outcome studies with an observation period averaging 2 years or more, a good or excellent outcome has been reported in over 80% of the patients by both the Nirschl surgical technique or modifications of the latter that includes removal of degenerative tendinous tissue [ 11 , 12 , 25 ] and the Hohmann extensor release without removal of degenerative tendinous tissue [ 27 , 33 ]. Further, there is no correlation between the intensity of the histologic reaction and the clinical outcome [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Extensor tendon release in tennis elbow: results and prognostic factors in 80 elbows

Solheim

Hegna²,

Øyen

2011

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeThe objectives of this study were to evaluate the results in the outpatient treatment of recalcitrant lateral epicondylitis with release of the common extensor origin according to Hohmann and to determine any prognostic factors.MethodsEighty tennis elbows in 77 patients with a characteristic history of activity-related pain at the lateral epicondyle interfering with the activities of daily living refractory to conservative care for at least 6 months and a confirmatory physical examination were included. Clinical outcome was evaluated using the QuickDASH score system. Data were collected before the operation and at the medians of 18 months (range 6–36 months; short term) and 4 years (range 3–6 years; medium term) postoperatively.ResultsThe mean QuickDASH was improved both at the short- and the medium-term follow-ups and did not change significantly between the follow-ups. At the final follow-up, the QuickDASH was improved in 78 out of 80 elbows and 81% was rated as excellent or good (QuickDASH <40 points). We found a weak correlation between residual symptoms (a high QuickDASH score) at the final follow-up and high level of baseline symptoms (r = 0.388), acute occurrence of symptoms (r = 0.362), long duration of symptoms (r = 0.276), female gender (r = 0.269) and young age (r = 0.203), whereas occurrence in dominant arm, a work-related cause or strenuous work did not correlate significantly with the outcome.ConclusionOpen lateral extensor release performed as outpatient surgery results in improved clinical outcome at both short- and medium-term follow-ups with few complications. High baseline disability, sudden occurrence of symptoms, long duration of symptoms, female gender and young age were found to be weak predictors of poor outcome.Level of evidenceCase series, Level IV.

show abstract

Section: Discussionmentioning

confidence: 99%

Extensor tendon release in tennis elbow: results and prognostic factors in 80 elbows

Solheim

Hegna²,

Øyen

2011

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Numerous studies have demonstrated the efficacy and safety of open procedures for the treatment of LE. 79 – 82 Dwyer et al found that greater than 95% of LE patients reported satisfaction with the open approach at 2 years follow-up. 82 Dunn et al demonstrated sustained high long-term satisfaction rates for 44 patients, with a 97% improvement rate and a 3% rate of revision at an average of 12.6 years of follow-up after surgery.…”

Section: Introductionmentioning

confidence: 99%

“…79 – 82 Dwyer et al found that greater than 95% of LE patients reported satisfaction with the open approach at 2 years follow-up. 82 Dunn et al demonstrated sustained high long-term satisfaction rates for 44 patients, with a 97% improvement rate and a 3% rate of revision at an average of 12.6 years of follow-up after surgery. 81 These studies support the findings that an open surgical approach is highly effective for treating refractory LE cases.…”

Section: Introductionmentioning

confidence: 99%

Chronic lateral epicondylitis: challenges and solutions

Lai¹,

Erickson²,

Mlynarek³

et al. 2018

OAJSM

View full text Add to dashboard Cite

Lateral epicondylitis (LE) is a significant source of pain and dysfunction resulting from repetitive gripping or wrist extension, radial deviation, and/or forearm supination. Although most cases are self-limiting over several years, controversy exists regarding the best treatment strategy for chronic LE. Nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy (PT), shockwave therapy, and injections with corticosteroids or biologics are all conservative treatment options for LE. For refractory cases, surgical options include open, arthroscopic, and percutaneous techniques. In this review, the current evidence behind these treatment strategies is presented. The data demonstrate that NSAIDs, PT, bracing, and shockwave therapy provide limited benefit for treating LE. Biologics such as platelet-rich plasma and autologous whole-blood injections may be superior to steroid injections in the long-term management of LE. Although the initial results are promising, larger comparative studies on stem cell injections are needed. For refractory LE, open, arthroscopic, and percutaneous techniques are all highly effective, with no method seemingly superior over another. Arthroscopic and percutaneous approaches may result in faster recovery and earlier return to work.

show abstract

“…Historically, open surgical debridement of extensor tendons with or without suture anchor repair provides high rates (95%-97%) of patient satisfaction with minimal complications in refractory cases of lateral epicondylitis. 17,18,48 However, a recent randomized controlled trial showed no additional benefit of excision of diseased extensor carpi radialis brevis tendon compared with sham surgery. 27 Conflicting results have been observed in surgical treatment of other tendinopathies as well, with patient satisfaction ranging from 69% to 100% and complication rates varying from 0% to 85%.…”

mentioning

confidence: 99%

Utility of Percutaneous Ultrasonic Tenotomy for Tendinopathies: A Systematic Review

Vajapey

Ghenbot

Baria

et al. 2020

Sports Health: A Multidisciplinary Approach

View full text Add to dashboard Cite

Context: Chronic tendinopathy is a challenging problem that can lead to significant disability and limitation in not only athletics but also activities of daily living. While there are many treatment techniques described for this overuse injury, no single modality has been proven superior to all others. With recent advances in medical technology, percutaneous ultrasonic tenotomy (PUT) for tendinosis has gained traction with promising results. Objective: To examine the data published on PUT for treatment of tendinopathy, analyze the outcomes of the procedure, including duration of pain relief and patient-reported outcomes, and assess the rate of complications associated with the procedure. Data Sources: PubMed, MEDLINE, EMBASE, and Google Scholar. Study Selection: The following combination of keywords was entered into the electronic search engines: ultrasonic tenotomy, ultrasound tenotomy, Tenex, and ultrasonic percutaneous tenotomy. The search results were screened for studies relevant to the topic. Only English-language studies were considered for inclusion. Studies consisting of level 4 evidence or higher and those involving human participants were included for more detailed evaluation. Level of Evidence: Level 4. Data Extraction: Articles meeting the inclusion criteria were sorted and reviewed. Type of tendinopathy studied, outcome measures, and complications were recorded. Both quantitative and qualitative analyses were performed on the data collected. Results: There were a total of 7 studies that met the inclusion criteria and quality measures—5 studies involving the treatment of elbow tendinopathy and 1 study each involving the management of Achilles tendinopathy and plantar fasciitis. PUT resulted in decreased pain/disability scores and improved functional outcome scores for chronic elbow tendinopathy and plantar fasciitis. Results for Achilles tendinopathy showed modest improvement in the short term, but long-term data are lacking. Conclusion: PUT is a minimally invasive treatment technique that can be considered in patients with tendinopathy refractory to conservative treatment measures. Further higher quality studies are necessary to accurately assess the comparative effectiveness of this treatment modality.

show abstract

Are “knife and fork” good enough for day case surgery of resistant tennis elbow?

Cited by 14 publications

References 21 publications

Extensor tendon release in tennis elbow: results and prognostic factors in 80 elbows

Extensor tendon release in tennis elbow: results and prognostic factors in 80 elbows

Chronic lateral epicondylitis: challenges and solutions

Utility of Percutaneous Ultrasonic Tenotomy for Tendinopathies: A Systematic Review

Contact Info

Product

Resources

About