Cargando…
Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures
Introduction: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDP Sciences
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461719/ https://www.ncbi.nlm.nih.gov/pubmed/28589876 http://dx.doi.org/10.1051/sicotj/2017021 |
_version_ | 1783242393201410048 |
---|---|
author | Brahe Pedersen, Jens Kristensen, Pia Kjær Mønsted, Peter Thillemann, Theis Muncholm |
author_facet | Brahe Pedersen, Jens Kristensen, Pia Kjær Mønsted, Peter Thillemann, Theis Muncholm |
author_sort | Brahe Pedersen, Jens |
collection | PubMed |
description | Introduction: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results after arthroscopic plica resection of the elbow. Methods: In this case series, we included a consecutive series of 64 arthroscopies (60 patients) with arthroscopic plica resection of the elbow. Inclusion criteria were six months of lateral elbow pain and unsuccessful conservative treatment. Patients had either ultrasonography verified plicae or pain on palpation of the plica. Patients were evaluated with an Oxford Elbow Score (OES) preoperatively, after three months and after mean 22 months (range: 12–31) of follow-up. Furthermore, baseline characteristics were recorded including, gender, age, body mass index (BMI), occupation, smoking and cartilage damage. Results: The mean age was 44 years (range: 18–66). In 13 elbows, International Cartilage Repair Society (ICRS) grade 1 lesions were present in association with the plica. Preoperatively the mean OES was 19 (95% CI: 17–20). At three and 22 month follow-up the OES increased to 33 (95% CI: 30–36) and 35 (95% CI: 32–38), respectively (p < 0.001). Cartilage injury and gender did not affect the outcome. We reported no complications. Discussion: Arthroscopic plica resection of the elbow indicates an improved OES after three and 22 months. A randomized prospective trial is needed to validate the effect of arthroscopic treatment of synovial elbow plicae. |
format | Online Article Text |
id | pubmed-5461719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | EDP Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-54617192017-06-14 Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures Brahe Pedersen, Jens Kristensen, Pia Kjær Mønsted, Peter Thillemann, Theis Muncholm SICOT J Original Article Introduction: Painful Synovial Plicae (SP) in the posterolateral corner of the radiohumeral joint may be confused with lateral epicondylitis. The SP may impinge between the radial head and the humeral capitellum causing pain and snapping. The aim of this study was to evaluate the short-term results after arthroscopic plica resection of the elbow. Methods: In this case series, we included a consecutive series of 64 arthroscopies (60 patients) with arthroscopic plica resection of the elbow. Inclusion criteria were six months of lateral elbow pain and unsuccessful conservative treatment. Patients had either ultrasonography verified plicae or pain on palpation of the plica. Patients were evaluated with an Oxford Elbow Score (OES) preoperatively, after three months and after mean 22 months (range: 12–31) of follow-up. Furthermore, baseline characteristics were recorded including, gender, age, body mass index (BMI), occupation, smoking and cartilage damage. Results: The mean age was 44 years (range: 18–66). In 13 elbows, International Cartilage Repair Society (ICRS) grade 1 lesions were present in association with the plica. Preoperatively the mean OES was 19 (95% CI: 17–20). At three and 22 month follow-up the OES increased to 33 (95% CI: 30–36) and 35 (95% CI: 32–38), respectively (p < 0.001). Cartilage injury and gender did not affect the outcome. We reported no complications. Discussion: Arthroscopic plica resection of the elbow indicates an improved OES after three and 22 months. A randomized prospective trial is needed to validate the effect of arthroscopic treatment of synovial elbow plicae. EDP Sciences 2017-06-07 /pmc/articles/PMC5461719/ /pubmed/28589876 http://dx.doi.org/10.1051/sicotj/2017021 Text en © The Authors, published by EDP Sciences, 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Brahe Pedersen, Jens Kristensen, Pia Kjær Mønsted, Peter Thillemann, Theis Muncholm Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title | Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title_full | Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title_fullStr | Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title_full_unstemmed | Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title_short | Short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
title_sort | short-term results after arthroscopic resection of synovial plicae in the radiohumeral joint: a case series of 64 procedures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461719/ https://www.ncbi.nlm.nih.gov/pubmed/28589876 http://dx.doi.org/10.1051/sicotj/2017021 |
work_keys_str_mv | AT brahepedersenjens shorttermresultsafterarthroscopicresectionofsynovialplicaeintheradiohumeraljointacaseseriesof64procedures AT kristensenpiakjær shorttermresultsafterarthroscopicresectionofsynovialplicaeintheradiohumeraljointacaseseriesof64procedures AT mønstedpeter shorttermresultsafterarthroscopicresectionofsynovialplicaeintheradiohumeraljointacaseseriesof64procedures AT thillemanntheismuncholm shorttermresultsafterarthroscopicresectionofsynovialplicaeintheradiohumeraljointacaseseriesof64procedures |