Doran A, Gresham G A, Rushton N, Watson C
University of Cambridge, Orthopedic Research Unit, England.
Acta Orthop Scand. 1990 Dec;61(6):535-8. doi: 10.3109/17453679008993577.
Twenty-two elbows in 20 patients with persistent lateral pain due to epicondylitis had release of the common extensor origin and decortication of the lateral epicondyle. Specimens taken from the lateral epicondyle were examined histologically and compared with controls, and patients were reviewed clinically 2 (1/2-4) years after operation. Following surgery, symptoms were improved in 17 patients. Histologic examination of the bone-tendon junction revealed evidence of a repair response of variable degree, the most frequent features being mucopolysaccharide infiltration and bone formation. Fibrofatty degenerative changes were also present in some cases. There was no correlation between the intensity of the histologic reaction and the clinical outcome.
20例因肱骨外上髁炎导致持续性外侧疼痛患者的22个肘部进行了伸肌总腱起点松解及肱骨外上髁去皮质术。取自肱骨外上髁的标本进行组织学检查并与对照组比较，术后2（1/2 - 4）年对患者进行临床复查。术后，17例患者症状改善。骨 - 腱连接处的组织学检查显示有不同程度的修复反应，最常见的特征是黏多糖浸润和骨形成。部分病例也存在纤维脂肪变性改变。组织学反应强度与临床结果之间无相关性。
