title: Proximal disinsertion of the common extensor tendon for lateral elbow tendinopathy.
abstract: OBJECTIVE
  To evaluate surgical outcomes of disinsertion of the common extensor tendon for lateral elbow tendinopathy.
  
  
  METHODS
  Records of 277 men and 128 women who underwent surgery for lateral elbow tendinopathy were reviewed. The indication for surgery was insufficient improvement of pain and inability to return to work after 3 weeks of physiotherapy (stretching, ultrasound) and local corticosteroid injections. According to the Tavernier technique, the origin of the tendons of the extensor carpi radialis brevis and extensor digitorum communis was located, and proximal disinsertion of the common extensor tendon was performed.
  
  
  RESULTS
  Outcome was excellent in 344 (85%) of the patients, good in 46 (11.5%), regular in 9 (2%), and poor in 2 (0.5%). The mean time to return to work was 29 (range, 5-93) days. Immediate complications included infection (n=1), seroma (n=1), cicatricial fibrosis (n=10), radial neuritis (sensory) [n=4], and reactive dermatitis (n=2). Late complications included Frohse's arcade syndrome (n=1) and carpal tunnel syndrome (n=2).
  
  
  CONCLUSIONS
  Disinsertion of the proximal common tendon is a good option for treating lateral elbow tendinopathy.
authors: Fundación García Cugat Hospital Quiron Barcelona, Barcelona, Spain.
authors: Xavier
authors: X
authors: Cusco
authors: Montserrat
authors: M
authors: Alsina
authors: Roberto
authors: R
authors: Seijas
authors: Oscar
authors: O
authors: Ares
authors: Pedro
authors: P
authors: Alvarez-Diaz
authors: Ramon
authors: R
authors: Cugat
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D052256:Tendinopathy / Q000601:surgery*; D013710:Tendons / Q000601:surgery; D013716:Tennis Elbow / Q000601:surgery*; D055815:Young Adult
keywords: tendinopathy; tennis elbow