顽固性外侧上髁炎的手术治疗。19例患者近端伸肌总腱起点切除、松解及修复后的随访研究。
Surgical treatment of resistant lateral epicondylitis. Follow-up study of 19 patients after excision, release and repair of proximal common extensor tendon origin.
作者信息
Rosenberg Nahum, Henderson Ian
机构信息
Mercy Private Hospital, East Melbourne, Australia.
出版信息
Arch Orthop Trauma Surg. 2002 Dec;122(9-10):514-7. doi: 10.1007/s00402-002-0421-8. Epub 2002 Jul 10.
BACKGROUND
Lateral epicondylitis resistant to conservative treatment is a rare yet disabling condition. When diagnosed, it should be treated surgically. The appropriate surgical treatment relies on a precise diagnosis, usually based on physical examination. Exclusion of other pathologies in the lateral elbow area is essential.
METHODS
We report on an outcome in a group of 19 consecutive patients treated by excision, release, reattachment and repair of the common extensor origin. These patients were followed clinically for at least 2 years.
RESULTS
Eighteen patients reported recovery from pain and a satisfactory subjective gaining of strength in their forearm on average 3 and 4 months after the surgery, respectively.
CONCLUSIONS
The presented treatment method is highly effective in the treatment of resistant lateral epicondylitis.
背景
对保守治疗耐药的外侧上髁炎是一种罕见但致残的病症。确诊后，应进行手术治疗。合适的手术治疗依赖于精确的诊断，通常基于体格检查。排除肘部外侧区域的其他病变至关重要。
方法
我们报告了一组连续19例接受伸肌总起点切除、松解、重新附着和修复治疗的患者的治疗结果。对这些患者进行了至少2年的临床随访。
结果
18例患者报告疼痛消失，平均在术后3个月和4个月时前臂力量主观恢复情况令人满意。
结论
所提出的治疗方法在治疗耐药性外侧上髁炎方面非常有效。
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