Khan Muhammad Shoaib, Kamran Haider, Khan Shamsher Ali, Ahmed Mukhtar, Khan Alamzeb, Younas Mohammad, Khan Sadulah
Department of Orthopaedics, Ayub Teaching Hospital, Abbottabad.
J Ayub Med Coll Abbottabad. 2007 Jan-Mar;19(1):50-2.
Tennis elbow is a common disorder of upper extremity. It can be treated conservatively in majority of the patients but some resistant cases eventually need surgery.
MATERIAL & METHODS: This descriptive study was conducted at Department of Orthopaedics, Ayub Teaching Hospital, Abbottabad, from January 2002 to June 2006. Sixteen patients had surgical release of the extensor tendon origin along with excision of the lateral epicondyle ridge. These patients did not respond to conservative treatment i.e. rest, non- steroidal anti inflammatory drugs (NSAIDS), local steroid injections and physiotherapy. Patients were followed upto six months. Outcome was graded as excellent, good and poor according to pain relief and function of the hand.
Sixteen patients (17 elbows) were studied. Thirteen were female (81.25%) and three were male (18.75%). Fifteen patients (93.75%) had unilateral Tennis Elbow, while one had bilateral involvement (6.25%). In unilateral disease, right side was affected in eleven patients (68.75%) and left side in four (25%). Excellent outcome was noticed in eleven patients (68.75%) and good result in five patient (31.25%).
Open surgical technique of releasing extensor tendon origin along with excision of lateral condylar ridge of the humerus is new and simple procedure and yields excellent and good result in patients with resistant Tennis Elbow.
网球肘是上肢的一种常见病症。大多数患者可采用保守治疗，但一些难治性病例最终需要手术治疗。
本描述性研究于2002年1月至2006年6月在阿伯塔巴德阿尤布教学医院骨科进行。16例患者接受了伸肌腱起点松解术并切除肱骨外侧髁嵴。这些患者对保守治疗（即休息、非甾体类抗炎药、局部类固醇注射和物理治疗）无反应。对患者进行了长达6个月的随访。根据疼痛缓解情况和手部功能将结果分为优、良和差。
研究了16例患者（17个肘部）。13例为女性（81.25%），3例为男性（18.75%）。15例患者（93.75%）为单侧网球肘，1例为双侧受累（6.25%）。在单侧疾病中，11例患者（68.75%）右侧受累，4例患者（25%）左侧受累。11例患者（68.75%）结果为优，5例患者（31.25%）结果为良。
肱骨外侧髁嵴切除联合伸肌腱起点松解的开放手术技术是一种新颖且简单的手术方法，对于难治性网球肘患者可取得优良效果。
