Abstract

Abstract Eighteen patients (20 elbows) who underwent percutaneous tenotomy of the common extensor origin for lateral epicondylitis were evaluated. There were 11 female and 7 male patients. Two patients were operated on both the elbows. The symptoms were present for an average of 10 months before surgery. All these patients failed to respond to treatment by conservative methods i.e. activity modification, analgesics, splints, physiotherapy, and steroid injections. The mean follow-up period was 17 months. The forearm common extensor origin was released per-cutaneously under local anesthesia. The clinical results were evaluated in terms of pain relief, return to pre-pain activity level, grip strength, and patient satisfaction. Pain relief was obtained on average of 4 weeks after the surgical procedure. The results were excellent in 16 elbows and good in 4 elbows. The percutaneous tenotomy is a simple and quick procedure for lateral epicondylitis resistant to conservative mode of treatment.

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