Arthroscopic R-LCL plication for symptomatic minor instability of the lateral elbow (SMILE)

Arrigoni, Paolo; Cucchi, Davide; D’Ambrosi, Riccardo; Menon, Alessandra; Aliprandi, Alberto; Randelli, Pietro

doi:10.1007/s00167-017-4531-9

Cited by 31 publications

(40 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In contrast to our intra-articular pathology assessment, recent studies highlighted subtle elbow instability as a cause of refractory LE without joint snapping. 3,25 The subtle instability of the elbow joint was demonstrated by varus stress testing with the patient under anesthesia 25 or by the sign of lateral ligamentous patholaxity during arthroscopic examination. 3 Arthroscopic plication of the lateral ligament complex was performed in a series of 27 patients with LE who had an incompetent lateral ligament complex, resulting in favorable outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…3,25 The subtle instability of the elbow joint was demonstrated by varus stress testing with the patient under anesthesia 25 or by the sign of lateral ligamentous patholaxity during arthroscopic examination. 3 Arthroscopic plication of the lateral ligament complex was performed in a series of 27 patients with LE who had an incompetent lateral ligament complex, resulting in favorable outcomes. 3 Therefore, in patients without radiocapitellar joint snapping, the clinician should consider the incompetence of the lateral ligament complex as another cause of refractory LEs.…”

Section: Discussionmentioning

confidence: 99%

“…3 Arthroscopic plication of the lateral ligament complex was performed in a series of 27 patients with LE who had an incompetent lateral ligament complex, resulting in favorable outcomes. 3 Therefore, in patients without radiocapitellar joint snapping, the clinician should consider the incompetence of the lateral ligament complex as another cause of refractory LEs.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Modified Bosworth Procedure for Refractory Lateral Elbow Pain With Radiocapitellar Joint Snapping

Kwak

Zhu

Sun

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Radiocapitellar joint snapping due to the presence of synovial plica has been described as a contributory intra-articular pathology of lateral epicondylitis (LE). Hypothesis: The arthroscopic modified Bosworth technique can provide a safe and favorable outcome for refractory LE with radiocapitellar snapping. Study Design: Case series; Level of evidence, 4. Methods: Patients treated with the arthroscopic modified Bosworth procedure for refractory LE with radiocapitellar joint snapping were included in this study. The sequential surgical procedures included excision of the upper portion of the anterolateral annular ligament, removal of the synovial plicae, and release of the extensor carpi radialis brevis for all patients. Clinical outcomes were measured at a minimum 1-year follow-up. Results: A total of 22 patients with a mean ± SD age of 51.2 ± 10.4 years were included in this study. The mean follow-up was 29.4 ± 7.7 months (range, 21-42 months). The overall visual analog scale score (from preoperative to final follow-up) was 7.5 ± 1.2 vs 2.5 ± 1.8 ( P < .001); flexion-extension motion arc was 133.8° ± 11.2° vs 146.4° ± 7.1° ( P = .001); pronation-supination motion arc was 101.8° ± 9.2° vs 141.7° ± 10.2° ( P = .001); Disabilities of the Arm, Shoulder and Hand score was 54.5 ± 13.2 vs 3.6 ± 4.1 ( P < .001); and Mayo Elbow Performance Score was 51.9 ± 12.2 vs 84.3 ± 10.3 ( P < .001). Conclusion: Radiocapitellar joint snapping may coexist with LE as a disease spectrum. The arthroscopic modified Bosworth technique provides safe and favorable outcomes for patients with refractory LE associated with radiocapitellar joint snapping.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Modified Bosworth Procedure for Refractory Lateral Elbow Pain With Radiocapitellar Joint Snapping

Kwak

Zhu

Sun

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…If we depicted LEP in this way, an increased number of patients could allegedly benefit from surgery (50,(60)(61)(62). The currently estimated percentage is 5-10% (63), bearing in mind that there is also a low incidence of complications and iatrogenic damage (e.g.…”

Section: Mobilization With Movement (Mwm)mentioning

confidence: 99%

Research proposal of a new clinic model for the interpretation of Lateral Elbow Pain: is it time to change?

Filippo

Pennella

Maselli

et al. 2020

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

Background. Lateral Elbow Tendinopathy (aka Tennis Elbow or Lateral Elbow Pain), is characterized by a specific pain located in the lateral epicondyle and referred to the dorsal compartment of the forearm. Manual labour and forceful gripping activities can exacerbate pain, by restricting a patient's ability to work, train and perform simple daily tasks. In the framework of an aetiopathogenic complexity, a multimodal approach based upon the exclusive involvement of the common extensor tendon seems to be rather obsolete. This method does not consider any intra-articular pain resulting from micro-instabilities requiring a different approach together with a detection performed in a limited time span, in order to avoid any impairment of the psychosocial condition following the failure of all the proposed conservative treatments. Objectives. The primary objective of this debate was to have elaborated a decisional algorithm called Integrated Approach of Lateral Elbow Pain (I-APPLEp), which could allow the detection of a time-optimized plan for a diagnostic, therapeutic framing. Discussion. Following the above-mentioned research proposal, this clinical approach based upon an evaluative and therapeutic management of patients with LEP allows us to draw some conclusions: 1) using the expression Lateral Elbow Pain (LEP) to refer to this musculoskeletal condition should be preferable, owing to its aetiological and pathophysiological complexity. Moreover, the expression Non-specific Lateral Elbow Pain (NSLEP) in case of suffering of the extra-articular structures (i.e. Tendinopathy) and Specific Lateral Elbow Pain (SLEP) is recommended, within the framework of arthropathy or intra-articular pathology (e.g.: Smile Symptomatic MInor Instabilities of the Lateral Elbpw); 2) an early surgical treatment can be a feasible option in the management of articular micro-instabilities, recalcitrant pathologies and psychosocial profiles with a high risk of unfavorable prognosis. Conclusions. We recommend testing brand-new diagnostic, therapeutic proposals on sampling patients, who must be adequately chosen, in order to estimate the real impact in the short, medium and long term.

show abstract

“…In lower grade PLRI, LUCL plication has had promising results. [103] PEDIATRIC Arthroscopy in the pediatric elbow has several indications (fracture reduction and fixation, contracture release, debridement, diagnostic, loose body removal, and treatment of OCD). It has been found to have an acceptable safety profile when used by specialist surgeons.…”

Section: Tennis Elbow (Lateral Epicondylitis)mentioning

confidence: 99%

Advances and future trends in elbow arthroscopy

Robinson¹

2020

JASSM

View full text Add to dashboard Cite

Elbow arthroscopy has evolved since its inception and is now a commonly used technique in the diagnosis and treatment of elbow pathology. It has many indications, from the removal of intra-articular loose bodies to the management of elbow osteoarthritis and fractures. In this paper, we will discuss the full spectrum of elbow arthroscopy covering recent evidence, surgical techniques, advances, and future trends.

show abstract

Arthroscopic R-LCL plication for symptomatic minor instability of the lateral elbow (SMILE)

Abstract: Retrospective case series, Level IV.

Cited by 31 publications

References 56 publications

Arthroscopic Modified Bosworth Procedure for Refractory Lateral Elbow Pain With Radiocapitellar Joint Snapping

Arthroscopic Modified Bosworth Procedure for Refractory Lateral Elbow Pain With Radiocapitellar Joint Snapping

Research proposal of a new clinic model for the interpretation of Lateral Elbow Pain: is it time to change?

Advances and future trends in elbow arthroscopy

Contact Info

Product

Resources

About