Ertem Kadir, Ergen Emre, Yoloğlu Saim
İnönü University Turgut Özal Medical Center, Department of Orthopaedics and Traumatology, Malatya, Turkey.
İnönü University Turgut Özal Medical Center, Department of Biostatistics, Malatya, Turkey.
Acta Orthop Traumatol Turc. 2015;49(5):471-7. doi: 10.3944/AOTT.2015.15.0048.
The aim of this study is to evaluate the functional results of arthroscopic lateral epicondylitis (LE) treatment in patients in whom conservative treatment proved insufficient.
Between 2011-2014, 29 patients with LE (15 women, 14 men; mean age: 46 years; range: 33-79) who received at least 6 months of conservative treatment methods and did not achieve full recovery and thus underwent arthroscopic surgery were included in this study.
One patient was excluded from the functional assessment. Mean follow-up was 20.5 months (range: 7-42). Mean preoperative and postoperative Disabilities of the Arm, Shoulder and Hand (DASH) scores were 81.1±17.5 and 34.7±26.8 (p<0.0001), respectively, and Mayo Elbow Performance Scores (MEPS) were 48.5±11.5 and 101.2±22.9 (p<0.0001), respectively. Twenty-one patients (75%) were satisfied with the functional outcome.
As a result, LE treated with the arthroscopic method, with its low complication rate, successful degenerated tendon debridement, and decortication of the lateral epicondyle, is a useful method for intervention in pathologies such as annular plica, loose body, synovial hypertrophy, and radiocapitellar chondropathy.
本研究旨在评估关节镜治疗外侧上髁炎（LE）对保守治疗效果不佳患者的功能恢复情况。
2011年至2014年间，本研究纳入了29例LE患者（15例女性，14例男性；平均年龄：46岁；范围：33 - 79岁），这些患者接受了至少6个月的保守治疗但未完全康复，因此接受了关节镜手术。
1例患者被排除在功能评估之外。平均随访时间为20.5个月（范围：7 - 42个月）。术前和术后手臂、肩部和手部功能障碍（DASH）评分的平均值分别为81.1±17.5和34.7±26.8（p<0.0001），梅奥肘关节功能评分（MEPS）分别为48.5±11.5和101.2±22.9（p<0.0001）。21例患者（75%）对功能结果满意。
因此，关节镜治疗LE并发症发生率低，能成功清理退变肌腱并对外侧上髁进行去皮，是治疗诸如环状皱襞、游离体、滑膜增生和桡骨头软骨病等病变的有效干预方法。
