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:	Njalalle Baraza, MBChB, FRCS (Tr &Orth), Mark P. Robinson, MBBS, FRACS, FAOrthA, Nanda Kumar Sakaleshpura Chandrashekar, MBBS, DNB(Ortho), MBA, MHSM, AFRACMA, AFCHSM, Jessica A. Perry, BSc, MBBS, MTrauma, William D. Regan, MD, FRCSc
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Orthopedics Arthroscopic Extra-articular Tennis elbow Lateral epicondylitis Surgery RD1-811
Acceso en línea:	https://doaj.org/article/f070e306e9f24594a30d0be6f10543bd
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spelling	oai:doaj.org-article:f070e306e9f24594a30d0be6f10543bd2021-11-22T04:32:16ZExtra-articular arthroscopic release of lateral epicondylitis: a prospective study2666-639110.1016/j.xrrt.2021.07.005https://doaj.org/article/f070e306e9f24594a30d0be6f10543bd2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000717https://doaj.org/toc/2666-6391Background: 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.Njalalle Baraza, MBChB, FRCS (Tr &Orth)Mark P. Robinson, MBBS, FRACS, FAOrthANanda Kumar Sakaleshpura Chandrashekar, MBBS, DNB(Ortho), MBA, MHSM, AFRACMA, AFCHSMJessica A. Perry, BSc, MBBS, MTraumaWilliam D. Regan, MD, FRCScElsevierarticleOrthopedicsArthroscopicExtra-articularTennis elbowLateral epicondylitisSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 398-401 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedics Arthroscopic Extra-articular Tennis elbow Lateral epicondylitis Surgery RD1-811
spellingShingle	Orthopedics Arthroscopic Extra-articular Tennis elbow Lateral epicondylitis Surgery RD1-811 Njalalle Baraza, MBChB, FRCS (Tr &Orth) Mark P. Robinson, MBBS, FRACS, FAOrthA Nanda Kumar Sakaleshpura Chandrashekar, MBBS, DNB(Ortho), MBA, MHSM, AFRACMA, AFCHSM Jessica A. Perry, BSc, MBBS, MTrauma William D. Regan, MD, FRCSc Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
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	article
author	Njalalle Baraza, MBChB, FRCS (Tr &Orth) Mark P. Robinson, MBBS, FRACS, FAOrthA Nanda Kumar Sakaleshpura Chandrashekar, MBBS, DNB(Ortho), MBA, MHSM, AFRACMA, AFCHSM Jessica A. Perry, BSc, MBBS, MTrauma William D. Regan, MD, FRCSc
author_facet	Njalalle Baraza, MBChB, FRCS (Tr &Orth) Mark P. Robinson, MBBS, FRACS, FAOrthA Nanda Kumar Sakaleshpura Chandrashekar, MBBS, DNB(Ortho), MBA, MHSM, AFRACMA, AFCHSM Jessica A. Perry, BSc, MBBS, MTrauma William D. Regan, MD, FRCSc
author_sort	Njalalle Baraza, MBChB, FRCS (Tr &Orth)
title	Extra-articular arthroscopic release of lateral epicondylitis: a prospective study
title_short	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_sort	extra-articular arthroscopic release of lateral epicondylitis: a prospective study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/f070e306e9f24594a30d0be6f10543bd
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Extra-articular arthroscopic release of lateral epicondylitis: a prospective study

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