Arthroscopic Biportal Visualization and "Precise Resection" for Recalcitrant Lateral Epicondylitis Lesion

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Tendon Pathology

Background:

• Refractory lateral epicondylitis presents a significant clinical challenge.
• Conservative treatments often fail, necessitating surgical intervention for persistent symptoms.
• Arthroscopic techniques provide a minimally invasive surgical option.

Purpose of the Study:

• To describe a specific arthroscopic extensor carpi radialis brevis tendon resection technique.
• To highlight the technique's ability for precise visualization and targeted resection of pathological tissue.
• To address concomitant intra-articular pathologies during the procedure.

Main Methods:

• Arthroscopic extensor carpi radialis brevis tendon resection.
• Precise visualization of pathological tendon tissue.
• Targeted resection of diseased tissue while preserving healthy tissue.
• Simultaneous management of intra-articular pathology.

Main Results:

• The described technique allows for accurate identification and removal of pathological tendon tissue.
• It minimizes the risk of over- or under-resection of the extensor carpi radialis brevis tendon.
• The approach effectively manages associated intra-articular issues.

Conclusions:

• Arthroscopic resection of the extensor carpi radialis brevis tendon is an effective surgical option for refractory lateral epicondylitis.
• This technique enables precise tissue management and addresses concurrent intra-articular problems.
• It offers a refined, minimally invasive approach for durable symptomatic relief.