Percutaneous Surgical Technique for Persistent Tennis Elbow: A Comparative Study
Journal of Surgery
Volume 1, Issue 1, April 2013, Pages: 6-11
Received: Apr. 11, 2013; Published: Apr. 2, 2013
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Authors
Balalis Konstantine, University of Crete – Faculty of Medicine, Department of Orthopaedics and raumatology, University Hospital of Heraklion, Greece
Topalidou Anastasia, University of Crete – Faculty of Medicine, Department of Orthopaedics and raumatology, University Hospital of Heraklion, Greece
Silignakis Panagiotis, University of Crete – Faculty of Medicine, Department of Orthopaedics and raumatology, University Hospital of Heraklion, Greece
Ziogas Kleanthis, University of Crete – Faculty of Medicine, Department of Orthopaedics and raumatology, University Hospital of Heraklion, Greece
Balali Catherine, University of the Aegean, Unit of Mytilene, Greece
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Abstract
“Tennis Elbow” or Lateral Epicondylitis is a painful syndrome of the elbow which affects a large portion of the adult population, such as heavy labour workers and athletes. The aim of this comparative study is the investigation of the results of the percutaneous technique as a surgical treatment method compared to the conservative treatment for people suffering from this syndrome. Fourty-six patients with 52 suffering elbows constituted the group that was treated surgically and 51 patients with 59 suffering elbows constituted the group that was treated conservatively. The Verhaar et al. scoring system was used for the evaluation of the treatment results both preoperatively or before the beginning of the conservative treatment and 15 days and one, two, four and six months postoperatively. The Verhaar et al. scoring system was also used for the evaluation of the pain, the local sensitivity, the hand grip with the use of a dynamometer and the elbow’s and forearm’s range of motion (ROM) with the use of a goniometer. It has been demonstrated that the percutaneous technique is superior to the conservative treatment because it provides better results. In addition, the patients who were treated with the percutaneous technique developed a greater range of motion (ROM) in the elbow extension, the supination and mainly in the pronation of the forearm in the reevaluations compared to the conservatively treated group. In conclusion, the percutaneous release of the extensor tendons in the elbow, in cases of the “Tennis Elbow” syndrome, provides very good results. At the same time it is an easier and safer procedure compared to other surgical techniques.
Keywords
Tennis Elbow, Epicondylitis, Percutaneous Technique, Conservative Treatment
To cite this article
Balalis Konstantine, Topalidou Anastasia, Silignakis Panagiotis, Ziogas Kleanthis, Balali Catherine, Percutaneous Surgical Technique for Persistent Tennis Elbow: A Comparative Study, Journal of Surgery. Vol. 1, No. 1, 2013, pp. 6-11. doi: 10.11648/j.js.20130101.12
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