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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-10426635 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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