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Similar improvements seen with arthroscopic tenotomy vs debridement for lateral epicondylitis
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Investigators of this study that compared arthroscopic tenotomy with arthroscopic debridement for the treatment of lateral epicondylitis found both methods provided significant functional improvements and pain relief in patients.
Researchers evaluated patients who underwent arthroscopic treatment of lateral epicondylitis, with 204 patients who underwent tenotomy between April 2005 and October 2007 and 79 patients who underwent debridement between May 2009 and June 2010. Investigators used a patient-administered form to collect data on symptoms and elbow function at the time of surgery and follow-up. The minimum follow-up for both groups was 4 years, with patient evaluations performed at different time periods. The QuickDASH was the primary outcome and additional measures included the VAS for pain, function and satisfaction, time to return to work and smoking habits.
Results showed QuickDASH scores significantly improved at the follow-up for both the tenotomy group (59 to 13) and debridement group (60 to 12) compared with baseline measures. The groups were not significantly different with regard to QuickDASH, VAS for pain and function or failure rate. Patients who underwent debridement had a mean length of sick leave that was 2 weeks shorter than patients who underwent tenotomy. ‒ by Monica Jaramillo
Disclosure: The researchers report no relevant financial disclosures.
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