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Journal of the Korean Society for Surgery of the Hand 2003;8(3):95-98.
Published online September 1, 2003.
Surgical Treatment of Lateral Epicondylitis
Kwang Hyun Lee, Hoon Yeo, Seong Pil Lee, Won Il Roh, Hyung-Jong Kim
주관절 외상과염의 수술적 치료
이광현, 여훈, 이성필, 노원일, 김형종
Abstract
Purpose
To evaluate the result of surgical treatment of lateral epicondylitis refractory to conservative treatment. Material and Methods: We reviewed 18 patients (19 elbows) who were taken surgical treatment for lateral epicondylitis from Jan. 1996 to Apr. 2002 and the mean duration of follow-up period was 31 months. Mean age was 48.4 years old and the ratio between male and female was 5:13. The mean duration of symptoms was 23.2 months. Average episode of local steroid injection over the lateral elbow was 5 times preoperatively. The operation was focused on resection of the pathologic scar tissue in proximal part of extensor carpi radialis brevis and lateral epicondyle decortication was performed concomittantly to encourage hematoma formation, followed by ingrowth of vascular and fibrotendinous healthy replacement tissue for extensor carpi radialis brevis origin. Combined epicondylectomy was performed in 5 patients. The results were assessed using visual analog pain scale. Result: Average preoperative visual pain score was 8.6 point and it was improved to average 2.0 postoperatively. In three patients, postoperative pain score was zero and in six patients, postoperative pain score was one. So, the overall outcome after surgical treatment was successful in 89% of the cases. Conclusion: The authors anticipated that in refractory lateral epicondylitis, surgical resection of all pathologic tendinosis tissue in the origin of the extensor carpi radialis brevis would give results with high success rate.
 


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