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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.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|July 12, 2001
PubMed
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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.

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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.