Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Nascimento, Alexandre Tadeu do; Claudio, Gustavo Kogake

doi:10.1016/j.rboe.2016.03.008

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…To date, many studies have utilized the sub-dimensions of SF 36 to rate quality of life (32,(34)(35)(36). In the present study, where the sub-dimensions of SF36 were used, we detected a significant improvement in both the ESWT and KT groups.…”

Section: Discussionsupporting

confidence: 56%

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Sultanoğlu¹,

Sultanoğlu²

2020

J Basic Clin Health Sci

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Introduction: To compare the effects of extracorporeal shock wave therapy and kinesiotaping, performed as the first-step treatments added to physiotherapy, on pain, functionality, and quality of life among newly diagnosed lateral epicondylitis patients.Patients and Methods: Our study was retrospectively performed. The medical records of 62 patients whose treatment was designed for clinically-diagnosed unilateral lateral epicondylitis were reviewed, they were categorized into two groups each containing 31 patients. The demographic properties, profession, body mass index, dominant hand, symptom duration, and the side of the affected elbow were recorded. Patients were assessed twice; prior to treatment onset and at 1st month after the treatment. Pain intensity was recorded with Visual Analog Scale at rest, at night, during activity (repeated elbow motions). Patients completed quick disabilities of the arm, shoulder, and hand questionnaire for a functional evaluation. Quality of life was assessed by Short Form-36.Results: There was no statistically significant difference between the two groups in terms of demographic characteristics. When the patients were evaluated at the fourth week after the treatment; the visual analogue scale showing pain severity at rest, at night and during activity, the Q-DASH, and all sub-parameters of Short Form 36 was found significantly difference. There was no statistically significant difference between the two groups in terms of evaluation parameters. Conclusions:We reported that treatment effect of kinesiotaping to lateral epicondylitis is similar to that of ESWT. Both treatments significantly improved pain score, functional status and patient satisfaction.

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Section: Discussionsupporting

confidence: 56%

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Sultanoğlu¹,

Sultanoğlu²

2020

J Basic Clin Health Sci

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“…It has been emphasized that it is an important scale evaluating the quality of life. 34 – 36 We also used SF36 subscales in our study. We obtained improvements in both ESWT and WES groups compared to pretreatment values.…”

Section: Discussionmentioning

confidence: 99%

Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study

Aydin¹,

Atiç²

2018

JPR

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BackgroundExtracorporeal shock-wave therapy (ESWT) and wrist-extensor splints (WESs) are two commonly used methods in the treatment of lateral epicondylitis. In this study, the efficacy of these two methods was compared.MethodsThe study was planned as a prospective randomized controlled study. A total of 67 patients were enrolled. The patients were divided into two groups: group 1 received ESWT (32 patients) and group 2 received WES (35 patients). Patients in group 1 underwent four sessions of ESWT once every week. In each session, an ESWT device at 10–12 Hz, 2,000 pulses, and 1.6–1.8 bar pressure was used. Patients in group 2 used a wrist splint, holding the wrist at 30°–45° extension for 4 weeks. Patients were assessed for handgrip strength, pain at rest, pain while working, and quality of life. Data were collected before and after treatment (at weeks 4, 12, and 24). A visual analog scale was used to evaluate pain at rest and while working, a hand dynamometer for handgrip strength, subscales of the SF36 Health Survey to evaluate quality of life, and the Turkish version of the patient-rated tennis-elbow evaluation was used to evaluate functioning of the affected arm during various daily life activities.ResultsIn both ESWT and WES groups, although there were considerably significant improvements (P<0.001) in the parameters evaluated (pain at rest and while working, handgrip strength, Patient-Rated Tennis Elbow Evaluation, Nirschl score, and SF36 subscales) were observed at 4, 12, and 24 weeks compared to pretreatment values, there was no statistically significant difference between the two groups in terms of our evaluation parameters at the three time points (P>0.05).ConclusionBoth ESWT and WES applications were found to yield significantly superior results when compared to pretreatment values. In comparison of the two groups, on the other hand, there was no statistically significant difference.

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“…Solheim et al 17 studied 80 open and 225 arthroscopic releases of the ECRB, concluding that both offer therapeutic benefit, with a slightly higher improvement in QuickDASH. Nascimento and Claudio 18 reported good outcomes with arthroscopic management overall as well, with more notable improvement corresponding to earlier treatment for recalcitrant symptoms. Burn et al 19 performed a systematic review of 83 cases (46%) treated open, 14 (8%) arthroscopically, and 82 (46%) percutaneously.…”

Section: Discussionmentioning

confidence: 91%

Surgical Management of Lateral Epicondylitis: A Retrospective Review of Technique Success

Mirvish

Fowler

2023

Hand (New York, N,Y.)

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Background: Lateral epicondylitis usually stems from overuse and failed tendon healing. Following attempt of conservative management, surgery is often considered, although there is variation in techniques and outcomes cited in the literature. Methods: This retrospective review analyzed 293 operative patients for lateral epicondylitis following conservative management. The primary outcome was change in pain from preoperative status, including pain-free, improved, unchanged, or worse. Positive outcomes included pain-free or improved symptoms postoperatively. Negative outcomes were unchanged or worse pain. Patients returned 2 weeks, 6 weeks, and 3 months postoperatively. We analyzed patients’ profession, handedness, operating surgeon, surgical technique, sex, magnetic resonance imaging findings, concomitant procedures, age, race, revisions, and complications. One surgeon repaired the common extensor using a suture anchor, whereas 2 surgeons performed a side-side repair of the extensor carpi radialis longus and extensor digitorum communis interval. Results: By the 3-month visit, 41% were pain-free and 52% improved compared with preoperatively. None were worse, and 7% were unchanged. Mean pain scores at the 2-week, 6-week, and 3-month visits were 4.22/10, 3.61/10, and 3.44/10, respectively. There were 7 revisions (2.4%) and 6 complications (2%). Manual laborers experienced more negative outcomes than sedentary workers ( P = .04). The remaining parameters were insignificant, including the operative technique. Conclusions: Surgery is successful for both techniques, with 93% positive outcomes by 3 months. There was no statistical difference in postoperative pain between patients who had suture repair versus anchor repair. Therefore, surgeons should consider suture-only repair given the cost of anchors.

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Arthroscopic surgical treatment of recalcitrant lateral epicondylitis – A series of 47 cases

Cited by 8 publications

References 21 publications

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Comparison and Short Term Effect of Extracorporeal Shock Wave Therapy and Kinesiotaping in Treatment of Lateral Epicondylitis

Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study

Surgical Management of Lateral Epicondylitis: A Retrospective Review of Technique Success

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