Evaluation of the Results From Arthroscopic Treatment of the Lateral Epicondylitis

ObjectiveTo evaluate the results of patients undergoing arthroscopic surgical treatment of refractory lateral epicondylitis, identifying poor prognosis factors.MethodsA retrospective study of 44 patients (47 elbows) who underwent arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon to treat refractory lateral epicondylitis from February 2013 to February 2015, operated by a single surgeon at one center. Patients were assessed by DASH score, visual analog scale of pain (VAS), and ShortForm 36 (SF-36). The mean age at surgery was 44.4 years (32–60). The duration of symptoms prior to the surgery was approximately 2.02 years (range: 6 months to 10 years). Mean follow-up was 18.6 months (range of 6–31.9).ResultsThe mean postoperative DASH score was 25.9 points; mean VAS, 1.0 point at rest (all the patients with mild pain) and 3.0 points at activity, of which 31 (66%) cases presented mild pain, 10 (21%) moderate pain, and six (13%) severe pain; mean SF-36 score was 62.5. A moderate correlation was observed between duration of pain before surgery and the DASH score with the final functional outcome. No significant complications with the arthroscopic procedure were observed.ConclusionsArthroscopic surgical treatment for recalcitrant lateral elbow epicondylitis presented good results, being effective and safe. The shorter the time of pain before surgery and the lower the preoperative DASH score, the better the prognosis.

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“…Other Brazilian studies have also shown good results with this surgery, observing a significant improvement in the scores evaluated. 16 , 17 , 18…”

Section: Discussionmentioning

confidence: 99%

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

Nascimento¹,

Claudio²

2017

Revista Brasileira de Ortopedia (English Edition)

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“…Elbow arthroscopy, besides being a less invasive procedure preserves the integrity of the skin and underlying tissues, causes less inflammatory reaction, and allows assessing the joint in its entirety for inspecting and ruling out associated pathologies. Many authors [1,6] have described good results with early reintegration to the daily activity after the arthroscopic treatment of the tennis elbow. Miyazaki et al [7] reported results of 20 patients operated over a period of 8 years, obtaining 65% excellent results.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the arthroscopic release of the tennis elbow has become popular. The debridement of the degenerated tendon, the capsular release and the underlying decortication is the most commonly used technique [1,[3][4][5][6]. The best increased knowledge of the elbow anatomy and the technical improvement and safety of the arthroscopic portals have increased the reports of the arthroscopic treatment of lateral epicondylitis.…”

Section: Introductionmentioning

confidence: 99%

Evolution of the Arthroscopic Treatment of Chronic Lateral Epicondylitis-Preliminary Result

Apóstol-González¹

2018

RISM

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Objective: To assess the outcome of arthroscopic release in patients with cronicalchronic lateral epicondylitis. Materials and methods:Arthroscopic release in three patients with lateral epicondylitis was performed. The Mayo Elbow Performance Index (or Mayo Elbow Performance score) was used pre and post surgical treatment. Sample: Two females and one male. The patients were principal labourers and not athletes. Patients had significant pain and pain was the principal symptom that affected the score of the performance index.Results: Scores on the performance index improved after surgery. No neurological complications were reported and early return to normal daily activities was noted. Conclusion:Arthroscopic treatment was an alternative safe and effective method for treating chronic lateral epicondiyitis in three cases. This method makes it possible to simultaneously scan the articulation to diagnostic and treatment associated diseases. It is necessary most wide assays and comparative studies for establish sure treatment protocols.

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“…Miyazaki et al 16 reported the results from 20 patients operated over an eight-year period and demonstrated that 65% had excellent outcomes, according to the Bruce scale. There was one case of reflex sympathetic dystrophy.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment for chronic lateral epicondylitis

Terra

Rodrigues

Filho

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo report the clinical and functional results from arthroscopic release of the short radial extensor of the carpus (SREC) in patients with chronic lateral epicondylitis that was refractory to conservative treatment.MethodsOver the period from January 2012 to November 2013, 15 patients underwent arthroscopic treatment. The surgical technique used was the one described by Romeo and Cohen, based on anatomical studies on cadavers. The inclusion criteria were that the patients needed to present lateral epicondylitis and that conservative treatment (analgesics, anti-inflammatory agents, corticoid infiltration or physiotherapy) had failed over a period of more than six months. The patients were evaluated based on the elbow functional score of the Mayo Clinic, Nirschl's staging system and a visual analog scale (VAS) for pain.ResultsA total of 15 patients (9 men and 6 women) were included. The mean Mayo elbow functional score after the operation was 95 (ranging from 90 to 100). The pain VAS improved from a mean of 9.2 before the operation to 0.64 after the operation. On Nirschl's scale, the patients presented an improvement from a mean of 6.5 before the operation to approximately one. There were significant differences from before to after the surgery for the three functional scores used (p < 0.01). No correlations were observed using the Spearman test between the results and age, gender, length of time with symptoms before the operation or injury mechanism (p > 0.05).ConclusionArthroscopic treatment for lateral epicondylitis was shown to be a safe and effective therapeutic option when appropriately indicated and performed, in refractory cases of chronic lateral epicondylitis. It also allowed excellent viewing of the joint space for diagnosing and treating associated pathological conditions, with a minimally invasive procedure.

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Evaluation of the Results From Arthroscopic Treatment of the Lateral Epicondylitis

Cited by 4 publications

References 12 publications

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

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

Evolution of the Arthroscopic Treatment of Chronic Lateral Epicondylitis-Preliminary Result

Arthroscopic treatment for chronic lateral epicondylitis

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