title: [Chronic lateral epicondylitis : The Nirschl procedure].
abstract: OBJECTIVE
  Reduction of burden insufficiency.
  
  
  METHODS
  Chronic lateral epicondylitis.
  
  
  METHODS
  Acute infection in the surgical area. C6/7 nerve root and plexus irritation. Frohse Arcade syndrome. Posterolateral rotatory instability.
  
  
  METHODS
  Incision slightly cranial to the radial epicondyle. Identification of the extensor carpi radial brevis tendon (ERCB) and longus (ECRL). Mobilisation of the ECRL tendon, identification of degenerative tendons of the ECRB. Excision of degenerative tissue. Drill holes in the area of the smoothed radial epicondyle, thermal denervation.
  
  
  METHODS
  Arm plaster splint for 14 days. Unrestricted activity after 4-6 weeks. Maximum loading after 6 months.
  
  
  RESULTS
  Of the 24 consecutively operated patients, 83.3 % were included. High patient satisfaction. Nirschl tennis and elbow score improved from 35 to 75 points postoperatively. Pain levels decreased from 6.8 to 1.4 points postoperatively.
authors.affiliation: Abteilung für Schulter- und Ellenbogenchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland. axel.mueller@vulpiusklinik.de.
authors.forename: A
authors.initials: A
authors.lastname: Müller
authors.affiliation: Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. christianspies27@gmail.com.
authors.forename: C K
authors.initials: CK
authors.lastname: Spies
authors.affiliation: Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.|Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Unglaub
authors.affiliation: The Department of Medical Biometry and Informatics, Ruprecht-Karls University Heidelberg, Heidelberg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Bruckner
authors.affiliation: Abteilung für Schulter- und Ellenbogenchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Pötzl
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003131:Combined Modality Therapy / Q000379:methods; D003714:Denervation / Q000379:methods*; D004551:Elbow Joint / Q000601:surgery*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013709:Tendon Transfer / Q000379:methods*; D013716:Tennis Elbow / Q000175:diagnosis / Q000601:surgery*; D058971:Tenotomy / Q000379:methods*; D016896:Treatment Outcome
keywords: Elbow joint; Epicondylitis; Tendon tissue; Tennis elbow; Wrist joint