ARTHROSCOPIC TREATMENT FOR LATERAL EPICONDYLITIS: OUTCOMES IN 104 CASES OF A SINGLE INSTITUTION
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Citações na Scopus
3
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
ATHA COMUNICACAO & EDITORA
Autores
NASCIMENTO, Alexandre Tadeu do
CLAUDIO, Gustavo Kogake
ROCHA, Pedro Bellei
Citação
ACTA ORTOPEDICA BRASILEIRA, v.27, n.3, p.156-159, 2019
Resumo
Objective: To evaluate the outcomes of patients that underwent arthroscopic surgery for lateral epicondylitis (LE), after failed conservative treatment. Methods: One hundred four patients with LE treated with arthroscopic debridement of the extensor carpi radialis brevis (ECRB) tendon were enrolled in this retrospective study. They were evaluated using Disabilities of the Arm, Shoulder and Hand (DASH) score, Visual Analogue Scale (VAS) and Short Form Health Survey (SF-36) scale. Mean age at surgery was 46.9 years. Duration of symptoms was 2.1 years (range: 6 m to 10 yrs.). Mean follow-up was 34.4 months (range: 6 to 68 m). Results: Mean postoperative scores were: 20.67 points on the DASH; 1.8 points on the VAS at rest, with 48 cases (46%) without pain, 40 (38%) with mild pain, 13 (13%) with moderate pain and 4 (4%) with severe pain; 4.7 points on the VAS in activity, with 21 (20%) without pain, 21 (20%) with mild pain, 35 (34%) with moderate pain and 27 (26%) with severe pain; and SF-36 was 66.8 points. Of the 23 patients who practiced sports regularly or with higher physical demand from the upper limbs, 17 (74%) were able to return to the same activity at the same level. No significant complications were observed postoperatively, except for 3 (2.8%) cases of postoperative superficial infection. Conclusion: Surgical treatment with arthroscopy for recalcitrant LE is effective and safe, presenting positive outcomes in the studied patients.
Palavras-chave
Lateral Epicondylitis, Tennis Elbow, Elbow Joint, Arthroscopic Surgery, Tendon Injuries, Rehabilitation
Referências
- Aben A, 2018, J SHOULDER ELB SURG, V27, P387, DOI 10.1016/j.jse.2017.11.033
- Altan L, 2008, CLIN RHEUMATOL, V27, P1015, DOI 10.1007/s10067-008-0862-8
- Baker CL, 2008, AM J SPORT MED, V36, P254, DOI 10.1177/0363546507311599
- Baker CL, 2000, J SHOULDER ELB SURG, V9, P475, DOI 10.1067/mse.2000.108533
- Baker Jr CL, 2000, TECH SHOULDER ELBOW, V1, P184
- BAUMGARD SH, 1982, AM J SPORT MED, V10, P233, DOI 10.1177/036354658201000408
- Boyer MI, 1999, J SHOULDER ELB SURG, V8, P481, DOI 10.1016/S1058-2746(99)90081-2
- Knutsen EJ, 2015, AM J SPORT MED, V43, P2133, DOI 10.1177/0363546515590220
- Kroslak M, 2017, J SHOULDER ELB SURG, V26, pe328
- Lattermann C, 2010, J SHOULDER ELB SURG, V19, P651, DOI 10.1016/j.jse.2010.02.008
- Nascimento Alexandre Tadeu do, 2017, Rev. bras. ortop., V52, P46, DOI 10.1016/j.rboe.2016.03.008
- Oki G, 2014, J SHOULDER ELB SURG, V23, P1527, DOI 10.1016/j.jse.2014.05.010
- Othman AMA, 2011, ARCH ORTHOP TRAUM SU, V131, P383, DOI 10.1007/s00402-011-1260-2
- Owens BD, 2001, ARTHROSCOPY, V17, P582, DOI 10.1053/jars.2001.20098
- Sanders TL, 2015, AM J SPORT MED, V43, P1066, DOI 10.1177/0363546514568087
- Szabo SJ, 2006, J SHOULDER ELB SURG, V15, P721, DOI 10.1016/j.jse.2006.01.017
- VERHAAR J, 1993, J BONE JOINT SURG AM, V75A, P1034, DOI 10.2106/00004623-199307000-00010
- Yoon JP, 2015, ARTHROSCOPY, V31, P1232, DOI 10.1016/j.arthro.2015.02.006