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Extra-articular arthroscopic release of lateral epicondylitis: a prospective study

BACKGROUND: Operative management of lateral epicondylitis can be managed with percutaneous, arthroscopic, or open surgical release. Extraarticular arthroscopic release is a new technique, and no study has compared its outcomes and risk profile. METHODS: A 26-patient cohort was reviewed before and af...

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Autores principales: Baraza, Njalalle, Robinson, Mark P., Sakaleshpura Chandrashekar, Nanda Kumar, Perry, Jessica A., Regan, William D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426635/
https://www.ncbi.nlm.nih.gov/pubmed/37588709
http://dx.doi.org/10.1016/j.xrrt.2021.07.005
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author Baraza, Njalalle
Robinson, Mark P.
Sakaleshpura Chandrashekar, Nanda Kumar
Perry, Jessica A.
Regan, William D.
author_facet Baraza, Njalalle
Robinson, Mark P.
Sakaleshpura Chandrashekar, Nanda Kumar
Perry, Jessica A.
Regan, William D.
author_sort Baraza, Njalalle
collection PubMed
description BACKGROUND: Operative management of lateral epicondylitis can be managed with percutaneous, arthroscopic, or open surgical release. Extraarticular arthroscopic release is a new technique, and no study has compared its outcomes and risk profile. METHODS: A 26-patient cohort was reviewed before and after extraarticular arthroscopic release, which was performed by the senior author. The Mayo Elbow Performance Scores were used as a functional outcome score and obtained via a phone interview. Results were analyzed using a paired t-test with a statistical significance set at P < .05. RESULTS: Of the 26 patients, 10 were being treated under workers compensation. Preoperative Mayo Elbow Performance Score was 47.5, and the postoperative score was 90.2 with a significant difference of 42.7 (P value = .05). The workers compensation group scored 13.3 points lower postoperatively than the remainder of patients, which was shown to also be significant with a P value of .002. DISCUSSION AND CONCLUSION: The advantage of extraarticular arthroscopic release was better visualization of affected structures, which improved accuracy of debridement, and a small capsulotomy, which decreased the risk of a transient radial nerve palsy. Overall, extraarticular arthroscopic results were found to be good and comparable to the results of other operative techniques with the added advantage of a lower risk profile.
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spelling pubmed-104266352023-08-16 Extra-articular arthroscopic release of lateral epicondylitis: a prospective study Baraza, Njalalle Robinson, Mark P. Sakaleshpura Chandrashekar, Nanda Kumar Perry, Jessica A. Regan, William D. JSES Rev Rep Tech Technique BACKGROUND: Operative management of lateral epicondylitis can be managed with percutaneous, arthroscopic, or open surgical release. Extraarticular arthroscopic release is a new technique, and no study has compared its outcomes and risk profile. METHODS: A 26-patient cohort was reviewed before and after extraarticular arthroscopic release, which was performed by the senior author. The Mayo Elbow Performance Scores were used as a functional outcome score and obtained via a phone interview. Results were analyzed using a paired t-test with a statistical significance set at P < .05. RESULTS: Of the 26 patients, 10 were being treated under workers compensation. Preoperative Mayo Elbow Performance Score was 47.5, and the postoperative score was 90.2 with a significant difference of 42.7 (P value = .05). The workers compensation group scored 13.3 points lower postoperatively than the remainder of patients, which was shown to also be significant with a P value of .002. DISCUSSION AND CONCLUSION: The advantage of extraarticular arthroscopic release was better visualization of affected structures, which improved accuracy of debridement, and a small capsulotomy, which decreased the risk of a transient radial nerve palsy. Overall, extraarticular arthroscopic results were found to be good and comparable to the results of other operative techniques with the added advantage of a lower risk profile. Elsevier 2021-08-19 /pmc/articles/PMC10426635/ /pubmed/37588709 http://dx.doi.org/10.1016/j.xrrt.2021.07.005 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technique
Baraza, Njalalle
Robinson, Mark P.
Sakaleshpura Chandrashekar, Nanda Kumar
Perry, Jessica A.
Regan, William D.
Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_full Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_fullStr Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_full_unstemmed Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_short Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_sort extra-articular arthroscopic release of lateral epicondylitis: a prospective study
topic Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426635/
https://www.ncbi.nlm.nih.gov/pubmed/37588709
http://dx.doi.org/10.1016/j.xrrt.2021.07.005
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