Management of Resistant Tennis Elbow: Arthroscopic Release versus Extracorporeal Shock Wave Therapy.
Egyptian Orthopedic Journal • 2018
Publication Information
Authors
Islam Hassan Ali Hegazy, Amr S. Elgazzar
Keywords
Tennis Elbow, ESWT, Arthroscopy
Journal
Egyptian Orthopedic Journal
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Background: Lateral epicondylitis or tennis elbow is a common cause of elbow pain. Resistant cases may lead to disability.
Patients and methods: Fifty five cases with unilateral resistant lateral epicondylitis were subjected to treatment by either extracorporeal shock wave therapy (ESWT) (n=32) or arthroscopic release of common extensor origin (n=23).
Results: In the first group (ESWT group), the average follow-up period was 36.7 months. The average VAS was 3.1 and the average DASH score was 50. The outcome was successful in 23 cases (18 excellent and 5 good) and non-successful in 9 cases (6 fair and 3 poor).
In the second group (treated by arthroscopy), the average follow-up period was 39.2 months. The average VAS was 1.8, the average DASH score was 44. The outcome was successful in 21 cases (19 excellent and 2 good) and non-successful in 2 cases (1 fair and 1 poor).
Conclusions: When compared to ESWT, arthroscopic release gave better outcome for resistant lateral epicondylitis.
Patients and methods: Fifty five cases with unilateral resistant lateral epicondylitis were subjected to treatment by either extracorporeal shock wave therapy (ESWT) (n=32) or arthroscopic release of common extensor origin (n=23).
Results: In the first group (ESWT group), the average follow-up period was 36.7 months. The average VAS was 3.1 and the average DASH score was 50. The outcome was successful in 23 cases (18 excellent and 5 good) and non-successful in 9 cases (6 fair and 3 poor).
In the second group (treated by arthroscopy), the average follow-up period was 39.2 months. The average VAS was 1.8, the average DASH score was 44. The outcome was successful in 21 cases (19 excellent and 2 good) and non-successful in 2 cases (1 fair and 1 poor).
Conclusions: When compared to ESWT, arthroscopic release gave better outcome for resistant lateral epicondylitis.
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