Hand-Grip Strength and Return to Heavy Manual Work at a Mean 5-Year Follow-up After Arthroscopic Release of Recalcitrant Lateral Epicondylitis

Fahmy, Fahmy Samir; ElAttar, Mohamed; Salem, Hossam Fathi

doi:10.1177/23259671221078586

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…Fahmy et al 32 also looked at the outcomes of arthroscopic releases prospectively for RLE in 22 patients engaged primarily in heavy manual occupations and a minimum of 48 months of follow-up. Highly significant improvements were found between preoperative and 1-month postoperative scores regarding handgrip strength, VAS score for pain, and MEPS (p < 0.00001 for all 3), as well as with all 3 outcome measures between 1 and 6 months (grip strength and MEPS, p < 0.00001; VAS, p = 0.03).…”

Section: Resultsmentioning

confidence: 99%

Recalcitrant Lateral Epicondylitis

Kim,

Hoy,

Smith

et al. 2024

JBJS Reviews

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Background: Lateral epicondylitis is a common cause of elbow pain that is generally self-limiting. For patients who have persistent symptoms refractory to conservative treatment, there is still no clear consensus on the most favorable treatment modality. The purpose of this systematic review was to synthesize the available literature regarding both nonoperative and operative treatment modalities for recalcitrant lateral epicondylitis (RLE) to provide insight into the efficacy of treatment options. Methods: A systematic review was performed in accordance with the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, where the PubMed, MEDLINE/Ovid, CINAHL, Cochrane, and Scopus databases were queried to identify studies evaluating treatment options for RLE. Results: A total of 27 studies with 1,958 patients were included. Of the reviewed studies, there were a wide variety of treatments including platelet-rich plasma injections, percutaneous tenotomies, and various arthroscopic and open procedures. Conclusion: There are a wide variety of treatment modalities available for RLE that have promising efficacy in the short, medium, and long terms. A comprehensive approach combining evidence-based and patient-centered care is critical for effective management of refractory symptoms. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

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Section: Resultsmentioning

confidence: 99%

Recalcitrant Lateral Epicondylitis

Kim,

Hoy,

Smith

et al. 2024

JBJS Reviews

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“…Several determinants were reported to be associated with LET, such as working procedures characterized by the long-term repetitive forearm and hand movement [ 2 ], the excessive neuronal activity by nociceptors that derive from the radial nerve leading to axonal sprouting of the free nerve endings and peripheral sensitization, smoking habits, and metabolic factors, such as estrogen decline, hypercholesterolemia, and obesity [ 1 ]. LET is a degenerative overuse process of the extensor carpi radialis brevis and of the common extensor tendon [ 3 ] characterized by histological micro-rupture, vascular proliferation, and hyaline degeneration without inflammatory cells infiltrating within the tendon tissue [ 4 ]. The main clinical manifestation is hyperalgesia during active range of motion of the elbow and at the palpation in the lateral epicondyle area, which is exacerbated by prono-supination of the forearm [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy

Pellegrino

Paolucci

Brindisino

et al. 2022

JCM

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Lateral elbow tendinopathy (LET) is a common painful musculoskeletal disorder. Several treatments have been proposed to provide pain reduction and functional recovery, including laser therapy, hyaluronic acid peritendinous injection (Hy-A), and therapeutic exercise (TE). Our study aims to assess the effectiveness of a combined approach with high-intensity laser therapy (HILT) and Hy-A injections compared to TE on pain, muscle strength, and disability in patients with painful LET. A retrospective longitudinal study was carried out by consulting the medical records of patients with a diagnosis of painful LET formulated by clinical and instrumental findings that received functional evaluations, including the Patient-Rated Tennis Elbow Evaluation (PRTEE) and muscle strength measurement at least four times: T0 (“baseline”), 1-month (T1), 3-month (T2), and 6-month follow-ups (T3). Medical records of 80 patients were analyzed. In the HILT + HyA group, the Peak-strength (p < 0.001) and mean strength (p < 0.001) significantly increased compared to the TE group between study times. For the PRTEE-total-score as for the subscales, the HILT + HyA group reported statistically significant reductions only for the comparisons of baseline versus T1 and baseline versus T2. No serious adverse events occurred. Our findings suggest that Hy-A associated with HILT might be more effective than TE for people with LET in the short–medium term.

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“…Open surgery approaches mainly concentrated on releasing the origin of the extensor and offered long-term results [12]. The literature research showed favourable results for LE patients treated with arthroscopic surgery, patients reported to be satis ed with the operative results, but the technical requirements were high, and the signi cant improvements were found on functional measures between 1 and 6 months [13]. Cho, B. K.et al reported that the mini-open surgical procedure was an effective method for LE [14].…”

Section: Introductionmentioning

confidence: 99%

Effects of a minimally invasive technique for patients diagnosed with different classifications of tennis elbow: A randomized control trial

Cheng

Zhang

et al. 2022

Preprint

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Background Tennis elbow has long been one of the most controversial subjects in orthopaedics. Many scholars thought the use of open or arthroscopic surgery was reserved for patients with refractory symptoms. Therapy with percutaneous acupotomy performed under local anaesthesia also removes degenerated tissue, releases strain, and therefore provides an alternative treatment option to surgical excision. Purpose The aim of this single-blinded randomized control trial was to examine the long-term clinical effectiveness of a nonsurgical percutaneous release technique (acupotomy) and the current standard of care (steroid injection) in people diagnosed with a refractory tennis elbow. Methods Ninety patients with refractory symptoms were included. The intervention period was 6 weeks. According to the classification, 38 patients had extra-articular tennis elbow, 36 patients had intraarticular tennis elbow, and 16 patients had mixed type tennis elbow. Forty-five patients were randomly assigned to treatment with percutaneous release by acupotomy according to their classified condition, and 45 patients were randomly assigned to treatment with steroid injection alone. The visual analogue scale (VAS), a tenderness assessment, a grip assessment, and the Nirschl staging system were used for outcome evaluation at pretreatment and the posttreatment timepoints at 1, 6, 12, 24 and 48 weeks. Results During the first weeks, there were no differences observed between the groups. By 6, 24 and 48 weeks, significant differences were observed between the two groups. The acupotomy group scored significantly better in nearly all outcome measures than the corticosteroid group. Conclusions For patients with lateral epicondylitis, acupotomy is just as effective as corticosteroid injections in the short term (< 6 weeks). In the long term, acupotomy has greater efficacy and is associated with a lower rate of recurrence than corticosteroid injections in the management of lateral epicondylitis.

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Hand-Grip Strength and Return to Heavy Manual Work at a Mean 5-Year Follow-up After Arthroscopic Release of Recalcitrant Lateral Epicondylitis

Cited by 6 publications

References 21 publications

Recalcitrant Lateral Epicondylitis

Recalcitrant Lateral Epicondylitis

Effectiveness of High-Intensity Laser Therapy Plus Ultrasound-Guided Peritendinous Hyaluronic Acid Compared to Therapeutic Exercise for Patients with Lateral Elbow Tendinopathy

Effects of a minimally invasive technique for patients diagnosed with different classifications of tennis elbow: A randomized control trial

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