[Epicondylalgia, diagnosis and treatment A review of a series of 31 surgically treated cases].
Thirty-one of lateral elbow pain have been reviewed, with an average follow-up of 32.4 months after surgery. The necessity of an adequate surgical procedure for each cause is confirmed. The etiology are: epicondylitis, posterior interosseous nerve entrapment and humero-radial articular pathology. We tried to define a correspondence between etiology and clinical examination. For type I (pain by palpation on lateral epicondyle = tendinitis) and for type II (isolated pain on the head of the radius = nerve entrapment) the correlation is good with operative findings. In contrary there is a correspondence in type III (regional pain with irradiation) only for 50% of the cases. Specific surgical technique is employed for each supposed cause. The results at follow-up are good for 87% of the patients (27 cases) and failed in two. These two cases can be explained: by multiple surgery, psychologic context and inadaptation of the work for full activity. The value electrophysiological examination before operation is examined.
Alnot
J Y
JY
Centre de Chirurgie Orthopédique et Traumatologique, Hôpital Bichat, Paris.
Boulate
M
M
D000328:Adult; D004551:Elbow Joint; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000150:complications; D008297:Male; D009408:Nerve Compression Syndromes / Q000150:complications; D011826:Radial Nerve; D052256:Tendinopathy / Q000150:complications; D013716:Tennis Elbow / Q000145:classification / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome