Grawe Brian M, Fabricant Peter D, Chin Christopher S, Allen Answorth A, DePalma Brian J, Dines David M, Altchek David W, Dines Joshua S
Orthopedics. 2016 Jan-Feb;39(1):e104-7. doi: 10.3928/01477447-20151222-09. Epub 2015 Dec 30.
This study evaluated clinical and patient-reported outcomes and return to sport after surgical treatment of medial epicondylitis with suture anchor fixation. Consecutive patients were evaluated after undergoing debridement and suture anchor repair of the flexor-pronator mass for the treatment of medial epicondylitis. Demographic variables, a short version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) score, Oxford Elbow Score (OES), and 10-point pain and satisfaction scales were collected. Ability and time to return to sport after surgery were evaluated, and the relationship between predictor variables and both elbow function and return to sport was investigated. Median age at the time of surgery was 55 years (range, 29-65 years), with median follow-up of 40 months (range, 12-67 months). Median QuickDASH score and OES at final follow-up were 2.3 (range, 0-38.6) and 45 (range, 22-48), respectively. Most patients returned to premorbid sporting activities at a median of 4.5 months (range, 2.5-12 months), whereas 4 patients (14%) reported significant limitations at final follow-up. Older age at the time of surgery was predictive of better QuickDASH score and OES (P=.05 and P=.02, respectively). Patients who underwent surgery after a shorter duration of symptoms had better outcomes, but the difference did not reach statistical significance (QuickDASH, P=.09; OES, P=.10). Surgical treatment of recalcitrant medial epicondylitis with suture anchor fixation offers good pain relief and patient satisfaction, with little residual disability. Older age at the time of surgery predicts a better outcome.
本研究评估了采用缝线锚钉固定术治疗肱骨内上髁炎后的临床和患者报告结局以及恢复运动情况。对因治疗肱骨内上髁炎而接受屈肌-旋前肌肿块清创和缝线锚钉修复术的连续患者进行了评估。收集了人口统计学变量、手臂、肩部和手部功能障碍简表（QuickDASH）评分、牛津肘关节评分（OES）以及10分制疼痛和满意度量表。评估了术后恢复运动的能力和时间，并研究了预测变量与肘关节功能及恢复运动之间的关系。手术时的中位年龄为55岁（范围29 - 65岁），中位随访时间为40个月（范围12 - 67个月）。末次随访时QuickDASH评分和OES的中位数分别为2.3（范围0 - 38.6）和45（范围22 - 48）。大多数患者在中位时间4.5个月（范围2.5 - 12个月）恢复到病前的体育活动，而4例患者（14%）在末次随访时报告有明显受限。手术时年龄较大预示着QuickDASH评分和OES更好（分别为P = 0.05和P = 0.02）。症状持续时间较短后接受手术的患者结局较好，但差异未达到统计学意义（QuickDASH，P = 0.09；OES，P = 0.10）。采用缝线锚钉固定术治疗顽固性肱骨内上髁炎可提供良好的疼痛缓解和患者满意度，几乎没有残留残疾。手术时年龄较大预示着更好的结局。
