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Arthroscopic release for lateral epicondylitis.
B D Owens1, K P Murphy, T R Kuklo
1Orthopaedic Surgery Service, Walter Reed Army Medical Center, Washington, D.C. 20307, U.S.A.
Summary
Arthroscopic release of the extensor carpi radialis brevis (ECRB) origin effectively treats recalcitrant lateral epicondylitis. This minimally invasive procedure allows early rehabilitation and return to normal activities.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Minimally Invasive Procedures
Background:
- Lateral epicondylitis, commonly known as tennis elbow, is a challenging condition.
- Recalcitrant cases often fail conservative treatments, necessitating surgical intervention.
Purpose of the Study:
- To review the outcomes of arthroscopic release for recalcitrant lateral epicondylitis.
- To evaluate the efficacy and safety of this minimally invasive surgical technique.
Main Methods:
- A case series of consecutive patients with lateral epicondylitis treated by a single surgeon.
- Arthroscopic release of the extensor carpi radialis brevis (ECRB) origin was performed.
- Intra-articular pathology was identified and addressed concurrently.
Main Results:
- Sixteen patients underwent arthroscopic ECRB release, with lesions classified by morphology.
- Concurrent intra-articular pathology was noted in 18.8% of cases.
- All 12 patients with adequate follow-up reported improvement, with an average return to work in 6 days.
Conclusions:
- Arthroscopic release is an effective treatment for recalcitrant lateral epicondylitis.
- The procedure allows visualization and treatment of associated intra-articular pathology.
- Minimally invasive approach facilitates early rehabilitation and return to activities.