Strategy for the treatment of lateral epicondylitis of the elbow using denervation surgery

© 2019 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 4(2020), 1 vom: 16. März, Seite 21-24
1. Verfasser: Satake, Hiroshi (VerfasserIn)
Weitere Verfasser: Honma, Ryusuke, Naganuma, Yasushi, Shibuya, Junichiro, Takagi, Michiaki
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Tennis elbow arthroscopy cutaneous nerve denervation lateral epicondylitis radial nerve rehabilitation sensory disturbance
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245 1 0 |a Strategy for the treatment of lateral epicondylitis of the elbow using denervation surgery 
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520 |a © 2019 The Author(s). 
520 |a BACKGROUND: A number of treatments for lateral epicondylitis of the elbow have been described. We have developed a strategy for the treatment of this condition 
520 |a METHODS: We diagnosed lateral epicondylitis of the elbow in 86 patients. Conservative treatment resulted in resolution in 71 patients. Surgery was required in the remaining 15 patients. If the posterior branch of the posterior cutaneous nerve of the forearm showed a positive response to local anesthesia (block test), we performed denervation surgery on the posterior branch of the posterior cutaneous nerve of the forearm. Patients were asked to rate the degree of pain and sensory disturbance using a visual analog scale; the 11-item version of the Disabilities of the Arm, Shoulder and Hand measure; and the Patient-Rated Elbow Evaluation 
520 |a RESULTS: A positive response to the block test was seen in 10 elbows (67%). After denervation surgery, pain relief was seen in 9 of 10 elbows (90%). The mean follow-up period was 30.4 months. At final follow-up, the average scores on the visual analog scale, 11-item version of the Disabilities of the Arm, Shoulder and Hand, and Patient-Rated Elbow Evaluation were 4.3 mm, 10.45 points, and 5.9 points, respectively. In the early period after denervation surgery, sensory disturbance was observed in 9 cases (90%) 
520 |a CONCLUSION: Our strategy of denervation surgery for lateral epicondylitis of the elbow was effective for pain relief among patients showing a positive response to the block test 
650 4 |a Journal Article 
650 4 |a Tennis elbow 
650 4 |a arthroscopy 
650 4 |a cutaneous nerve 
650 4 |a denervation 
650 4 |a lateral epicondylitis 
650 4 |a radial nerve 
650 4 |a rehabilitation 
650 4 |a sensory disturbance 
700 1 |a Honma, Ryusuke  |e verfasserin  |4 aut 
700 1 |a Naganuma, Yasushi  |e verfasserin  |4 aut 
700 1 |a Shibuya, Junichiro  |e verfasserin  |4 aut 
700 1 |a Takagi, Michiaki  |e verfasserin  |4 aut 
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773 1 8 |g volume:4  |g year:2020  |g number:1  |g day:16  |g month:03  |g pages:21-24 
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