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Related Experiment Videos

[Lateral humeral epicondylitis. A postoperative evaluation]

M B Poulsen1, I Kjeldal

  • 1Ortopaedkirurgisk afdeling, Holstebro Centralsygehus.

Ugeskrift for Laeger
|July 8, 1996
PubMed
Summary

Surgical treatment for lateral epicondylitis (tennis elbow) can improve function, with 61% returning to work post-operation. However, patient satisfaction rates are moderate, highlighting the need for conservative treatment first.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Elbow Surgery

Context:

  • Lateral epicondylitis, commonly known as tennis elbow, affects numerous individuals, often leading to chronic pain and functional limitations.
  • Conservative treatment modalities, including rest, physical therapy, and anti-inflammatory medications, are typically the first line of management.
  • Surgical intervention is generally reserved for cases refractory to non-operative management.

Purpose:

  • To evaluate the outcomes of surgical interventions for lateral epicondylitis in patients with chronic symptoms.
  • To assess functional recovery, return to work, and patient satisfaction following surgical procedures for tennis elbow.

Summary:

  • A retrospective study reviewed 45 patients (50 elbows) who underwent surgery for lateral epicondylitis between 1982 and 1991.
  • Surgical procedures included tenotomy of the common extensor origin or lengthening of the extensor carpi radialis.
  • Postoperative follow-up at an average of 83.1 months showed 61% of patients returned to work, with 46% reporting satisfaction.

Impact:

  • Surgical treatment for recalcitrant lateral epicondylitis can lead to significant functional improvement and return to work.
  • The findings align with existing literature, reinforcing the consensus that surgery should be considered only after failure of conservative treatments.
  • Recent research suggests degenerative, rather than inflammatory, changes in tissues may explain the lack of response to conservative therapies, informing future treatment strategies.

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