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Related Experiment Video

Updated: Jun 13, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Published on: May 26, 2023

Common extensor origin release in recalcitrant lateral epicondylitis - role justified?

Faizal Rayan¹, Vittal Rao, Sanjay Purushothamdas

¹Department of Trauma & Orthopaedics, University College Hospital, London UK. rayanmarakkar@yahoo.co.uk.

Journal of Orthopaedic Surgery and Research

|May 13, 2010

Summary

Operative management via extensor fasciotomy effectively treated recalcitrant lateral epicondylitis (tennis elbow) in most patients unresponsive to steroid injections. This surgical approach improved pain and function for the majority, offering a viable option for chronic elbow pain.

Related Experiment Videos

Last Updated: Jun 13, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

Published on: May 26, 2023

Area of Science:

Orthopaedic Surgery
Sports Medicine
Elbow Conditions

Background:

Recalcitrant lateral epicondylitis, commonly known as tennis elbow, often presents persistent pain and functional limitation.
Previous treatments, including multiple steroid injections, may fail to provide lasting relief for chronic cases.

Purpose of the Study:

To evaluate the efficacy of operative management, specifically extensor fasciotomy, for patients with refractory lateral epicondylitis.
To assess the functional outcomes and pain relief following surgical intervention in a cohort of patients with chronic tennis elbow.

Main Methods:

A prospective study involving forty patients diagnosed with tennis elbow and unresponsive to at least two steroid injections.
All patients underwent a simple extensor fasciotomy procedure at the origin of the extensor muscles.
Outcomes were assessed based on pain improvement, functional recovery, and overall patient satisfaction.

Main Results:

Thirty-five out of forty patients (87.5%) reported improvement in pain and function post-surgery.
Excellent or good outcomes were achieved in 35 patients (87.5%), with fair outcomes in 2 and poor outcomes in 3.
Only two patients experienced persistent symptoms requiring further evaluation, and three did not perceive significant improvement.

Conclusions:

Simple extensor fasciotomy is an effective surgical treatment for chronic and refractory lateral epicondylitis.
Operative management provides significant pain relief and functional improvement for the majority of patients with persistent tennis elbow symptoms.
Further research is warranted to explore long-term outcomes and refine surgical techniques for lateral epicondylitis.