A Müller1, C K Spies2, F Unglaub3,4, T Bruckner5, W Pötzl6. 1. Abteilung für Schulter- und Ellenbogenchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland. axel.mueller@vulpiusklinik.de. 2. Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. christianspies27@gmail.com. 3. Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. 4. Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland. 5. The Department of Medical Biometry and Informatics, Ruprecht-Karls University Heidelberg, Heidelberg, Deutschland. 6. Abteilung für Schulter- und Ellenbogenchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Abstract
PURPOSE: Reduction of burden insufficiency. INDICATION: Chronic lateral epicondylitis. CONTRAINDICATIONS: Acute infection in the surgical area. C6/7 nerve root and plexus irritation. Frohse Arcade syndrome. Posterolateral rotatory instability. SURGICAL TECHNIQUE: Incision slightly cranial to the radial epicondyle. Identification of the extensor carpi radial brevis tendon (ERCB) and longus (ECRL). Mobilisation of the ECRL tendon, identification of degenerative tendons of the ECRB. Excision of degenerative tissue. Drill holes in the area of the smoothed radial epicondyle, thermal denervation. POSTOPERATIVE MANAGEMENT: Arm plaster splint for 14 days. Unrestricted activity after 4-6 weeks. Maximum loading after 6 months. RESULTS: Of the 24 consecutively operated patients, 83.3 % were included. High patient satisfaction. Nirschl tennis and elbow score improved from 35 to 75 points postoperatively. Pain levels decreased from 6.8 to 1.4 points postoperatively.
PURPOSE: Reduction of burden insufficiency. INDICATION: Chronic lateral epicondylitis. CONTRAINDICATIONS: Acute infection in the surgical area. C6/7 nerve root and plexus irritation. Frohse Arcade syndrome. Posterolateral rotatory instability. SURGICAL TECHNIQUE: Incision slightly cranial to the radial epicondyle. Identification of the extensor carpi radial brevis tendon (ERCB) and longus (ECRL). Mobilisation of the ECRL tendon, identification of degenerative tendons of the ECRB. Excision of degenerative tissue. Drill holes in the area of the smoothed radial epicondyle, thermal denervation. POSTOPERATIVE MANAGEMENT: Arm plaster splint for 14 days. Unrestricted activity after 4-6 weeks. Maximum loading after 6 months. RESULTS: Of the 24 consecutively operated patients, 83.3 % were included. High patient satisfaction. Nirschl tennis and elbow score improved from 35 to 75 points postoperatively. Pain levels decreased from 6.8 to 1.4 points postoperatively.
Authors: Daniel Trudel; Jennifer Duley; Ingrid Zastrow; Erin W Kerr; Robyn Davidson; Joy C MacDermid Journal: J Hand Ther Date: 2004 Apr-Jun Impact factor: 1.950
Authors: Paweł Depukat; Brandon Michael Henry; Patrick Popieluszko; Joyeeta Roy; Ewa Mizia; Tomasz Konopka; Krzysztof A Tomaszewski; Jerzy A Walocha Journal: Arch Orthop Trauma Surg Date: 2016-12-23 Impact factor: 3.067