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Original articles  SPORT INJURIES AND REHABILITATION 

The Journal of Sports Medicine and Physical Fitness 2002 June;42(2):190-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Surgical management of tennis elbow

Das D., Maffulli N.

From the Department of Orthopaedic Surgery, University of Aberdeen Medical School, Aberdeen, Scotland *Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, North Staffordshire Hospital, Staffordshire, England


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Background. To ascer­tain wheth­er ­there ­were any dif­fer­enc­es in the out­come of ­release of the com­mon exten­sor ori­gin and ­release of the com­mon exten­sor ori­gin and drill­ing of the lat­er­al epi­con­dyle in the man­age­ment of recal­ci­trant ten­nis ­elbow.
Methods. One hun­dred and ­eleven ­patients (125 ­elbows; 40 ­males, ­median age: 47 ­years; 71 ­females, ­median age: 45 ­years) ­entered the ­study. The min­i­mum fol­low-up peri­od was 2 ­years (aver­age fol­low-up: 52.8 ­months). Patients ­were ­reviewed at 2 and 6 or 8 ­weeks, and 3 and 6 ­months ­after sur­gery. If a com­pli­ca­tion ­ensued, or if a ­patient did not ­report improve­ments, ­they ­were fol­lowed up for at ­least 1 ­year post­op­er­a­tive­ly. Two ­years ­after the recruit­ment peri­od had end­ed, tele­phone inter­views ­were per­formed. We ­used a 1 to 10 ­scale ­when enquir­ing ­about ­pain, ­both pre­op­er­a­tive and post­op­er­a­tive, ­with 1 as the ­best ­score and 10 the ­worst. We ­also deter­mined ­patient sat­is­fac­tion, ­grip ­strength, and ­elbow func­tion.
Results. Seventy-­five per­cent of ­patients had excel­lent or ­good ­results, ­with 73% of ­them ­being sat­is­fied ­with the ­results of sur­gery. There was no sta­tis­ti­cal sig­nif­i­cance in the out­come of the 2 pro­ce­dures (χ2, p=0.488). There ­were no sta­tis­ti­cal­ly sig­nif­i­cant dif­fer­enc­es ­between the 2 pro­ce­dures regard­ing ­pain, sat­is­fac­tion, ­elbow func­tion, and ­grip ­strength.
Conclusions. Release of the com­mon exten­sor ori­gin at the ­elbow is a rel­a­tive­ly sim­ple oper­a­tion, and pro­duc­es reli­able ­long ­term ­relief of ten­nis ­elbow ­pain in at ­least 70% of ­patients.

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