Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases
ABSTRACT OBJECTIVE: To evaluate the results of patients undergoing arthroscopic surgical treatment of refractory lateral epicondylitis, identifying poor prognosis factors. METHODS: A retrospective study of 44 patients (47 elbows) who underwent arthroscopic debridement of the extensor carpi radial...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000100046&lng=en&tlng=en |
| _version_ | 1797331936821116928 |
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| author | Alexandre Tadeu do Nascimento Gustavo Kogake Claudio |
| author_facet | Alexandre Tadeu do Nascimento Gustavo Kogake Claudio |
| author_sort | Alexandre Tadeu do Nascimento |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: To evaluate the results of patients undergoing arthroscopic surgical treatment of refractory lateral epicondylitis, identifying poor prognosis factors. METHODS: A retrospective study of 44 patients (47 elbows) who underwent arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon to treat refractory lateral epicondylitis from February 2013 to February 2015, operated by a single surgeon at one center. Patients were assessed by DASH score, visual analog scale of pain (VAS), and ShortForm 36 (SF-36). The mean age at surgery was 44.4 years (32-60). The duration of symptoms prior to the surgery was approximately 2.02 years (range: 6 months to 10 years). Mean follow-up was 18.6 months (range of 6-31.9) . RESULTS: The mean postoperative DASH score was 25.9 points; mean VAS, 1.0 point at rest (all the patients with mild pain) and 3.0 points at activity, of which 31 (66%) cases presented mild pain, 10 (21%) moderate pain, and six (13%) severe pain; mean SF-36 score was 62.5. A moderate correlation was observed between duration of pain before surgery and the DASH score with the final functional outcome. No significant complications with the arthroscopic procedure were observed. CONCLUSIONS: Arthroscopic surgical treatment for recalcitrant lateral elbow epicondylitis presented good results, being effective and safe. The shorter the time of pain before surgery and the lower the preoperative DASH score, the better the prognosis. |
| first_indexed | 2024-03-08T07:42:30Z |
| format | Article |
| id | doaj.art-f0b8c450e97e4ae6b1ccf51161cc67aa |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:42:30Z |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-f0b8c450e97e4ae6b1ccf51161cc67aa2024-02-02T17:01:06ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-4378521465110.1016/j.rboe.2016.03.008S0102-36162017000100046Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 casesAlexandre Tadeu do NascimentoGustavo Kogake ClaudioABSTRACT OBJECTIVE: To evaluate the results of patients undergoing arthroscopic surgical treatment of refractory lateral epicondylitis, identifying poor prognosis factors. METHODS: A retrospective study of 44 patients (47 elbows) who underwent arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon to treat refractory lateral epicondylitis from February 2013 to February 2015, operated by a single surgeon at one center. Patients were assessed by DASH score, visual analog scale of pain (VAS), and ShortForm 36 (SF-36). The mean age at surgery was 44.4 years (32-60). The duration of symptoms prior to the surgery was approximately 2.02 years (range: 6 months to 10 years). Mean follow-up was 18.6 months (range of 6-31.9) . RESULTS: The mean postoperative DASH score was 25.9 points; mean VAS, 1.0 point at rest (all the patients with mild pain) and 3.0 points at activity, of which 31 (66%) cases presented mild pain, 10 (21%) moderate pain, and six (13%) severe pain; mean SF-36 score was 62.5. A moderate correlation was observed between duration of pain before surgery and the DASH score with the final functional outcome. No significant complications with the arthroscopic procedure were observed. CONCLUSIONS: Arthroscopic surgical treatment for recalcitrant lateral elbow epicondylitis presented good results, being effective and safe. The shorter the time of pain before surgery and the lower the preoperative DASH score, the better the prognosis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000100046&lng=en&tlng=enTennis elbow/pathologyTennis elbow/therapyTennis elbow/surgeryArthroscopyRetrospective studies |
| spellingShingle | Alexandre Tadeu do Nascimento Gustavo Kogake Claudio Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases Revista Brasileira de Ortopedia Tennis elbow/pathology Tennis elbow/therapy Tennis elbow/surgery Arthroscopy Retrospective studies |
| title | Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases |
| title_full | Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases |
| title_fullStr | Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases |
| title_full_unstemmed | Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases |
| title_short | Arthroscopic surgical treatment of recalcitrant lateral epicondylitis - A series of 47 cases |
| title_sort | arthroscopic surgical treatment of recalcitrant lateral epicondylitis a series of 47 cases |
| topic | Tennis elbow/pathology Tennis elbow/therapy Tennis elbow/surgery Arthroscopy Retrospective studies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000100046&lng=en&tlng=en |
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