Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature
Background: This case series aimed to introduce surgical management for refractory medial epicondylitis based on the anatomical characteristics of the flexor pronator origin and present the surgical results. Methods: Ten elbows from 8 patients (2 males and 6 females; mean age 50.2 years) were includ...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-02-01
|
| Series: | JSES Reviews, Reports, and Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639123000846 |
| _version_ | 1827369124391550976 |
|---|---|
| author | Kenichi Otoshi, MD, PhD Kinshi Kato, MD, PhD Takahiro Kaga, MD |
| author_facet | Kenichi Otoshi, MD, PhD Kinshi Kato, MD, PhD Takahiro Kaga, MD |
| author_sort | Kenichi Otoshi, MD, PhD |
| collection | DOAJ |
| description | Background: This case series aimed to introduce surgical management for refractory medial epicondylitis based on the anatomical characteristics of the flexor pronator origin and present the surgical results. Methods: Ten elbows from 8 patients (2 males and 6 females; mean age 50.2 years) were included in this case series. All patients underwent resection of the degenerated anterior common tendon and repair using suture anchors. Ulnar neuritis was observed in 9 elbows of 7 patients who underwent the relevant additional surgery. Results: Medial elbow pain was resolved in all patients, and pain provocation tests (wrist flexion test and forearm pronation test) were negative postoperatively. The mean Patient-Rated Elbow Evaluation (Japanese version) score was significantly improved from 79.6 ± 7.7 (range, 64.3-92) preoperatively to 8.4 ± 15.2 (range, 0-50) at the final follow-up. Conclusion: Angiofibroblastic tendinosis of the anterior common tendon might be an essential pathology of medial epicondylitis, and anterior common tendon resection and repair could be the most appropriate treatment for medial epicondylitis. |
| first_indexed | 2024-03-08T09:41:42Z |
| format | Article |
| id | doaj.art-602a2575318c4b6b9b9ffc7d57643c59 |
| institution | Directory Open Access Journal |
| issn | 2666-6391 |
| language | English |
| last_indexed | 2024-03-08T09:41:42Z |
| publishDate | 2024-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj.art-602a2575318c4b6b9b9ffc7d57643c592024-01-30T04:17:56ZengElsevierJSES Reviews, Reports, and Techniques2666-63912024-02-01417074Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literatureKenichi Otoshi, MD, PhD0Kinshi Kato, MD, PhD1Takahiro Kaga, MD2Department of Sports Medicine, Fukushima Medical University, Fukushima City, Fukushima, Japan; Otoshi Orthopedic Clinic, Oshu City, Iwate, Japan; Corresponding author: Kenichi Otoshi, MD, PhD, Otoshi Orthopedic Clinic, 31-3 Aza-Tsuka, Mizusawa-Shinjo, Oshu City, Iwate 023-0841, Japan.Department of Sports Medicine, Fukushima Medical University, Fukushima City, Fukushima, Japan; Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, JapanDepartment of Sports Medicine, Fukushima Medical University, Fukushima City, Fukushima, JapanBackground: This case series aimed to introduce surgical management for refractory medial epicondylitis based on the anatomical characteristics of the flexor pronator origin and present the surgical results. Methods: Ten elbows from 8 patients (2 males and 6 females; mean age 50.2 years) were included in this case series. All patients underwent resection of the degenerated anterior common tendon and repair using suture anchors. Ulnar neuritis was observed in 9 elbows of 7 patients who underwent the relevant additional surgery. Results: Medial elbow pain was resolved in all patients, and pain provocation tests (wrist flexion test and forearm pronation test) were negative postoperatively. The mean Patient-Rated Elbow Evaluation (Japanese version) score was significantly improved from 79.6 ± 7.7 (range, 64.3-92) preoperatively to 8.4 ± 15.2 (range, 0-50) at the final follow-up. Conclusion: Angiofibroblastic tendinosis of the anterior common tendon might be an essential pathology of medial epicondylitis, and anterior common tendon resection and repair could be the most appropriate treatment for medial epicondylitis.http://www.sciencedirect.com/science/article/pii/S2666639123000846Medial epicondylitisFlexor-pronator musclesAnterior common tendonAngio-fibroblastic tendinosisUlnar neuritisCase series |
| spellingShingle | Kenichi Otoshi, MD, PhD Kinshi Kato, MD, PhD Takahiro Kaga, MD Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature JSES Reviews, Reports, and Techniques Medial epicondylitis Flexor-pronator muscles Anterior common tendon Angio-fibroblastic tendinosis Ulnar neuritis Case series |
| title | Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature |
| title_full | Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature |
| title_fullStr | Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature |
| title_full_unstemmed | Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature |
| title_short | Surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin: surgical results of 8 cases and review of the literature |
| title_sort | surgical management for refractory medial epicondylitis based on the anatomical characteristics of flexor pronator origin surgical results of 8 cases and review of the literature |
| topic | Medial epicondylitis Flexor-pronator muscles Anterior common tendon Angio-fibroblastic tendinosis Ulnar neuritis Case series |
| url | http://www.sciencedirect.com/science/article/pii/S2666639123000846 |
| work_keys_str_mv | AT kenichiotoshimdphd surgicalmanagementforrefractorymedialepicondylitisbasedontheanatomicalcharacteristicsofflexorpronatororiginsurgicalresultsof8casesandreviewoftheliterature AT kinshikatomdphd surgicalmanagementforrefractorymedialepicondylitisbasedontheanatomicalcharacteristicsofflexorpronatororiginsurgicalresultsof8casesandreviewoftheliterature AT takahirokagamd surgicalmanagementforrefractorymedialepicondylitisbasedontheanatomicalcharacteristicsofflexorpronatororiginsurgicalresultsof8casesandreviewoftheliterature |