Surgical Management of Tennis Elbow- A Comparative Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Tennis elbow denotes a symptom complex characterized by pain in the lateral epicondylar area of the elbow which is accentuated by active contraction or passive stretching of muscles originating from the involved epicondyle - also known as lateral epicondylitis. Materials and Methods: A prospective study of 80 cases of tennis elbow not responding to conservative treatment was done at the Department of Orthopaedics, Govt Medical College, Thiruvananthapuram. Results: At one year excellent results were found in 35% of closed tenotomy, 45% of open tenotomy, 50% of Nirschl's release and 55% of Boyd and McLeod release. Good results were obtained in 45% of closed tenotomy, 40% of open tenotomy, 35% of Nirschl's release and 40% of Boyd and McLeod release. Fair results were obtained in 10% each of closed tenotomy, open tenotomy and Nirschl's release, 5% of Boyd and McLeod release. Poor results were obtained in 10% of closed tenotomy, 5% each of open tenotomy and Nirschl's release. There was no poor result in Boyd and McLeod release. Conclusion: Surgery is indicated in tennis elbow resistant to conservative treatment. Percutaneous release and open extensor release produce nearly as good result as Nirschl's release and Boyd and McLeod release. Open release produced slightly better results than percutaneous release as the aponeurosis is seen and released. Most of the patients benefited from surgery
Authors and Affiliations
Dr Manoj Kumar R
Keywords
Related Articles
- EP ID EP285467
- DOI -
- Views 73
- Downloads 0
Raised Red Cell Distribution Width as a Risk Assessment Prognostic Tool For Post Myocardial Infarction Patients
Objectives & Aims: The evaluation and identify new prognostic markers suggested in recent studies for coronary heart disease ,raised red blood cell distribution width (RDW) has been found to be associated with poor progn...
Pilates and Physiotherapy in post Total Hysterectomy – An Evidence Based Study
Introduction: An increased prevalence of female undergoing hysterectomy in early ages of 35 were recorded widely. With an increased life expectancy and longevity healthcare related with post hysterectomy such as obesity,...
Asymptomatic bacteriuria and drug sensitivity patterns during pregnancy in an Indian Teaching Hospital
Background: In pregnant women UTI is a major cause for complications during carrying period. It can be solved by proper antibiotic therapy, but without culture sensitivity reveals multi drug resistance strength in empiri...
A Comparative Study of Immediate Induction and Twelve Hour Expectant Management of Labour in Term Premature Rupture of Membranes
Context: PROM –immediate induction and expectant management. Aims: 1. To compare the management of women with term premature rupture of membranes in the immediate induction group and twelve hour expectant management grou...
Our Experience on Vaginal Discharge in Reproductive Age Groups Causing By Microorganisms in a Tertiary Care Indian Teaching Hospital
Background: The abnormal vaginal discharge in reproductive age group is a common clinical problem for female. It is the second most common problem after abnormal uterine bleeding. It is a neglected health problem, most c...