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肱骨外上髁炎的手术治疗:已发表文献的范围综述

Surgical management of lateral epicondylitis: a scoping review of published literature.

作者信息

Muir Duncan, Blakeway Helena, Morris Richard, Narvani Ali A, Elgebaly Ahmed, Imam Mohamed A

机构信息

Rowley Bristow Orthopaedic Unit, Chertsey, UK.

Smart Health Unit, University of East London, London, UK.

出版信息

JSES Rev Rep Tech. 2024 Aug 31;5(1):79-85. doi: 10.1016/j.xrrt.2024.08.008. eCollection 2025 Feb.

DOI:10.1016/j.xrrt.2024.08.008
PMID:39872339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11764687/
Abstract

BACKGROUND

Surgical intervention for lateral epicondylitis remains a controversial topic, with its purpose being debated. Recent guidelines have concluded no benefit from surgery when compared to conservative management.

METHODS

An electronic database search of Ovid Medline via PubMed, EMBASE, and the Web of Science was performed to understand the published literature further.

RESULTS

35 studies incorporating 1564 patients were included. This included 12 trials and 23 observational studies. Most studies reported the benefits of surgery in pain and function despite the majority of studies using a variety of outcome measures.

CONCLUSION

Surgery is reported to treat lateral epicondylitis successfully. However, multicenter studies have yet to be published, and the low number of included patients means that further evidence is required to conclude management.

摘要

背景

外侧上髁炎的手术干预仍是一个有争议的话题,其目的存在争议。最近的指南得出结论,与保守治疗相比,手术并无益处。

方法

通过PubMed、EMBASE和科学网对Ovid Medline进行电子数据库检索,以进一步了解已发表的文献。

结果

纳入了35项研究,共1564例患者。其中包括12项试验和23项观察性研究。尽管大多数研究使用了多种结局指标,但大多数研究报告了手术在疼痛和功能方面的益处。

结论

据报道,手术可成功治疗外侧上髁炎。然而,多中心研究尚未发表,纳入患者数量较少意味着需要更多证据来确定治疗方案。

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本文引用的文献

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Shoulder Elbow. 2023 Aug;15(4):348-359. doi: 10.1177/17585732231170793. Epub 2023 Aug 1.
2
Arthroscopic release and decortication provide earlier return to work with similar patient satisfaction compared to continued intensive conservative therapy for recalcitrant tennis elbow: a retrospective observational study.关节镜下松解和骨皮质剥脱术与持续强化保守治疗顽固性网球肘相比,能更早地恢复工作,且患者满意度相似:一项回顾性观察研究。
Eur J Orthop Surg Traumatol. 2024 Jan;34(1):175-180. doi: 10.1007/s00590-023-03628-5. Epub 2023 Jun 30.
3
Outcomes of Continued Intensive Conservative Treatment Versus Arthroscopic Extensor Carpi Radialis Brevis Release for Recalcitrant Lateral Epicondylitis: A Non-randomized Controlled Trial.
持续强化保守治疗与关节镜下桡侧腕短伸肌松解术治疗顽固性外侧上髁炎的疗效比较:一项非随机对照试验
Indian J Orthop. 2022 May 26;56(9):1578-1586. doi: 10.1007/s43465-022-00649-w. eCollection 2022 Sep.
4
Treatment, Diagnostic Criteria and Variability of Terminology for Lateral Elbow Pain: Findings from an Overview of Systematic Reviews.外侧肘痛的治疗、诊断标准及术语变异性:系统评价概述的结果
Healthcare (Basel). 2022 Jun 14;10(6):1095. doi: 10.3390/healthcare10061095.
5
The Beneficial Effects of Eccentric Exercise in the Management of Lateral Elbow Tendinopathy: A Systematic Review and Meta-Analysis.离心运动在外侧肘肌腱病管理中的有益作用:一项系统评价和荟萃分析
J Clin Med. 2021 Sep 1;10(17):3968. doi: 10.3390/jcm10173968.
6
Retrospective studies - utility and caveats.回顾性研究——实用性及注意事项。
J R Coll Physicians Edinb. 2020 Dec;50(4):398-402. doi: 10.4997/JRCPE.2020.409.
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Tendinopathy.腱病。
Nat Rev Dis Primers. 2021 Jan 7;7(1):1. doi: 10.1038/s41572-020-00234-1.
8
Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies.样本量、功效和效应量再探:临床前、临床和实验室研究中简化而实用的方法。
Biochem Med (Zagreb). 2021 Feb 15;31(1):010502. doi: 10.11613/BM.2021.010502. Epub 2020 Dec 15.
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