title: Combined common extensor and supinator aponeurotomy for the treatment of lateral epicondylitis.
abstract: Pain at the lateral epicondyle and the extensor origin that is attributable to lateral epicondylitis can be successfully treated with a combined aponeurotomy of the supinator and the extensor muscles. This technique has been used at our institution for over 3 decades with good results. Aponeurotomy of the supinator decompresses the posterior interosseous nerve, whereas the extensor aponeurotomy relieves the stresses on the extensor carpi radialis brevis origin. We retrospectively reviewed a series of 56 patients clinically diagnosed with resistant lateral epicondylitis who underwent surgery by a single surgeon with our technique between 2002 and 2010. Patients experienced a subjective improvement in symptoms, visual analog pain score, and grip strength (Jamar II). Only 3% of patients experienced recurrence requiring further treatment.
authors: Institute for Hand and Microsurgery, University of Louisville School of Medicine, Louisville, KY 40202, USA. ymatos@kleinertkutz.com
authors: Yorell
authors: Y
authors: Manon-Matos
authors: Amir
authors: A
authors: Oron
authors: Thomas W
authors: TW
authors: Wolff
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003131:Combined Modality Therapy; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D019637:Orthopedic Procedures / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D013710:Tendons / Q000601:surgery; D013716:Tennis Elbow / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome