HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ollivierre, C. O. Articles by Pettrone, F. A. Search for Related Content PubMed Articles by Ollivierre, C. O. Articles by Pettrone, F. A.

Resection and Repair for Medial Tennis Elbow

A Prospective Analysis

Virginia Sports Medicine and Rehabilitation Institute, Arlington, Virginia

Robert P. Nirschl, MS, MD

Virginia Sports Medicine and Rehabilitation Institute, Arlington, Virginia

Frank A. Pettrone, MD

Virginia Sports Medicine and Rehabilitation Institute, Arlington, Virginia

Fifty cases in 48 patients of intractable medial tennis elbow tendinosis (medial humeral epicondylitis) were treated surgically from 1985 to 1990 with identification and excision of the injured tendon, while retaining and closing the resection defect. All patients had symptoms that were aggravated by repetitive upper extremity ac tivities and had failed to improve with nonoperative therapy. At surgery, the flexor carpi radialis-pronator teres interval was involved in 28 cases. Histologic ex amination revealed angiofibroblastic tendinosis and fibrillary degeneration of collagen. Postoperative fol lowup averaged 37 months. An analog scale was used to analyze pain intensity, and pain occurrence was evaluated by a pain phase scale. All patients reported partial or complete pain relief postoperatively (improve ment in their pain phase and pain intensity scales). Pre operatively, 14 patients had pain at rest; all 14 had relief of this pain postoperatively. Ten patients did not return to their sporting or occupational activities. Objective dy namometer strength testing revealed a significant im provement postoperatively in all patients; no major com plications were seen in this series. A large percentage of patients who fail conservative treatment for medial humeral epicondylitis (tendinosis) can obtain pain relief and return to activities with the described operative technique.

This article has been cited by other articles:

				J. E. BUDOFF, J. M. HICKS, G. AYALA, and B. S. KRAUSHAAR The Reliability of the "Scratch Test" J Hand Surg Eur Vol., April 1, 2008; 33(2): 166 - 169. [Abstract] [Full Text] [PDF]

				W. P. Silver, R. A. Creighton, I. K. Triantafillopoulos, A. C. Devkota, P. S. Weinhold, and S. G. Karas Thermal Microdebridement Does Not Affect the Time Zero Biomechanical Properties of Human Patellar Tendons Am. J. Sports Med., December 1, 2004; 32(8): 1946 - 1952. [Abstract] [Full Text] [PDF]

				M. L. Yodlowski, A. D. Scheller Jr., and L. Minos Surgical Treatment of Achilles Tendinitis by Decompression of the Retrocalcaneal Bursa and the Superior Calcaneal Tuberosity Am. J. Sports Med., May 1, 2002; 30(3): 318 - 321. [Abstract] [Full Text] [PDF]

				B. S. KRAUSHAAR and R. P. NIRSCHL Current Concepts Review - Tendinosis of the Elbow (Tennis Elbow). Clinical Features and Findings of Histological, Immunohistochemical, and Electron Microscopy Studies J. Bone Joint Surg. Am., February 1, 1999; 81(2): 259 - 78. [Full Text]

				S. STAHL and T. KAUFMAN The Efficacy of an Injection of Steroids for Medial Epicondylitis. A Prospective Study of Sixty Elbows J. Bone Joint Surg. Am., November 1, 1997; 79(11): 1648 - 52. [Abstract] [Full Text]