Tennis Elbow—Outcome following the Garden Procedure: A Retrospective Study

Kumar, VS; Shetty, Asode Ananthram; Ravikumar, K.J.; Fordyce, M. J. F.

doi:10.1177/230949900401200217

Cited by 18 publications

(7 citation statements)

References 9 publications

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“…6 Table 4 summarizes the available literature in PubMed-indexed English language journals. [5][6][7]11,12,14,[16][17][18][19][20][21][22][23][24][25][26][27][28] Comparison of results across studies is hampered by variations in reporting. The literature thus far suggests a median return to full sporting activity in 95% of patients, comparable with our own figures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Inguinal Ligament Tenotomy and Mesh Reinforcement of the Anterior Abdominal Wall

Lloyd

Sutton²,

Altafa³

et al. 2008

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Inguinal Ligament Tenotomy and Mesh Reinforcement of the Anterior Abdominal Wall

Lloyd

Sutton²,

Altafa³

et al. 2008

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…Open surgery involves a small lateral incision with dissection and degenerated tendon identification. After debridement of denatured tendon tissues, the main structure of the tendon can be repaired, lengthened, and fixed by drilling or decortication of the lateral epicondyle [88,89]. Nirschl and Pettrone [90] reported 88 elbow surgical cases out of clinical series of 1,213 patients which involved excision and repair of the ECRB tendinosis tissue.…”

Section: Open Surgerymentioning

confidence: 99%

Management of Lateral Epicondylitis: A Narrative Literature Review

Wang

2020

Pain Research and Management

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Lateral epicondylitis, also termed as “tennis elbow,” is the most common cause of elbow pain and dysfunction, mainly resulting from repetitive gripping or wrist extension during various activities. The exact pathogenesis remains largely elusive with putative tendinosis, a symptomatic degenerative process of the local tendon. It is usually diagnosed by clinical examinations. Sometimes, additional imaging is required for a specific differential diagnosis. Although most cases can be self-healing, the optimal treatment strategy for chronic lateral epicondylitis remains controversial. This article presents a landscape of emerging evidence on lateral epicondylitis and focuses on the pathogenesis, diagnosis, and management, shedding light on the understandings and treatment for healthcare professionals.

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“…However, several studies described relatively substantial complications related to both conventional and arthroscopic surgery: peripheral nerve injury, heterotopic ossification, and posterolateral elbow instability 32 – 35 . Some other complications associated with conventional surgery have been described: residual scar pain, extension and strength deficits, and surgical wound infection 33 , 36…”

Section: Discussionmentioning

confidence: 99%

Selective 360° Percutaneous Extensor Carpi Radialis Brevis Tendon Release for Tennis Elbow

Capa-Grasa

Rojo-Manaute

Rodríguez-Maruri

et al. 2012

Journal of Ultrasound in Medicine

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Objectives The purpose of this study was to define in volunteers and cadavers the positions of structures at risk and the extensor carpi radialis brevis (ECRB) origin limits for sonographically guided percutaneous tendon release in tennis elbow. Methods First, in volunteers, we used Doppler sonography to determine the position (danger zone) of the structures at risk (neurovascular bundle and radial collateral ligament) from the most lateral point of the epicondyle (point of entry). Second, in cadavers, we studied the footprint of the ECRB's origin for finally performing sonographically guided tendon release (1‐ to 2‐mm incision) away from the danger zone. Efficacy was measured in terms of detachment ratios for the ECRB and safety as the absence of neurovascular bundle or radial collateral ligament injuries. Results In 10 volunteers (20 elbows), the neurovascular bundle was located 18.1 mm or greater anteromedially from the point of entry. The neurovascular bundle was not in direct contact with the bone. In 13 formaldehyde‐embalmed cadaver elbows, the distance between the origin of the ECRB and the radial collateral ligament was 0 mm or greater. The anterior origin of the ECRB did not contact the neurovascular bundle. The maximum attachment limits of the ECRB were at 15, 5, 15, and 16 mm from the point of entry (anterior, posterior, proximal, and distal margins, respectively). Average detachment ratios were excellent for anterior and distal margins and good for posterior and proximal margins, without neurovascular bundle or radial collateral ligament injuries. Conclusions This study determined a danger zone to avoid and an area of probability in which to enclose most of the ECRB's origin for sonographically guided percutaneous tendon release. A 360° ECRB detachment can be performed safely and effectively. Clinically, sonographically guided percutaneous tendon release should selectively target pathologic regions.

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Tennis Elbow—Outcome following the Garden Procedure: A Retrospective Study

Abstract: The Garden procedure produced good results for tennis elbow with minimal morbidity in an unselected group of patients. This retrospective study supports the view that the underlying lesion in tennis elbow is in the origin of extensor carpi radialis brevis.

Cited by 18 publications

References 9 publications

Laparoscopic Inguinal Ligament Tenotomy and Mesh Reinforcement of the Anterior Abdominal Wall

Laparoscopic Inguinal Ligament Tenotomy and Mesh Reinforcement of the Anterior Abdominal Wall

Management of Lateral Epicondylitis: A Narrative Literature Review

Selective 360° Percutaneous Extensor Carpi Radialis Brevis Tendon Release for Tennis Elbow

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