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Minimally invasive needle tenotomy vs. platelet rich plasma injection in the treatment of chronic elbow epicondylitis.
JSES Int
January 2025
Division of Physical Medicine & Rehabilitation, Department of Orthopedic Surgery, Stanford University, Stanford, CA, USA.
Background: Medial and lateral epicondylitis, characterized by repetitive microtraumas to common flexor and extensor tendons, respectively, are common causes of elbow pain in adults. Though symptoms are generally self-limiting, 10% of cases are refractory to conservative management, persisting for greater than 18 months, and leading to surgery, which can have increased risk of complications. There is minimal data on sustained pain relief and functional benefit for newer nonsurgical management options, such as minimally invasive needle tenotomy (MINT), and platelet-rich plasma (PRP) for chronic elbow epicondylitis.
View Article and Find Full Text PDFArthroscopic Extensor Carpi Radialis Brevis Tenotomy Under Local Anesthesia for Refractory Lateral Epicondylitis.
Arthrosc Tech
December 2024
Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.
Refractory lateral epicondylitis poses significant challenges for patients and doctors. Whereas traditional surgical treatments involve open resection and extensor carpi radialis brevis (ECRB) muscle debridement, arthroscopic surgery advancements offer a more refined approach. Numerous surgical methods are used to treat lateral epicondylitis.
View Article and Find Full Text PDFTransverse ultrasound-guided fasciotomy in lateral epicondylitis.
Hand Surg Rehabil
December 2024
Department of Orthopedic Surgery, CHU Nimes, Avenue du Professeur Debré, 30000 Nimes, France.
Lateral epicondylitis is a very common form of tendinosis that may heal spontaneously. Diagnosis is mainly clinical. Treatment is usually non-operative.
View Article and Find Full Text PDFFractional Dolphin Tenotomy for Boutonniere Deformity: A Cadaveric Study.
J Hand Surg Glob Online
November 2024
Department of Orthopaedics, The University of North Carolina School of Medicine, Chapel Hill, NC.
Purpose: Terminal extensor tenotomy or Dolphin tenotomy, is a described treatment for the management of distal interphalangeal (DIP) joint hyperextension in chronic boutonniere deformity. The purpose of this study was to investigate the effects of incremental partial Dolphin tenotomy in correcting boutonniere deformity, with a focus on evaluating the improvement in DIP joint hyperextension deformity and documenting the development of iatrogenic mallet finger.
Methods: Thirty-eight fingers from 10 cadaveric hands were used.
Atraumatic Painful Pseudotendon of Flexor Carpi Radialis: A Literature Review and Case Report.
J Orthop Case Rep
December 2024
Department of Orthopaedic Surgery, Allegheny General Hospital, United States.
Introduction: Rupture of the flexor carpi radialis (FCR) tendon is a rare phenomenon that is often described in the setting of rheumatoid arthritis or following trauma. Pseudotendon formation is seen commonly among extensor tendons of the antebrachium, typically as a sequelae of traumatic injury, spontaneous rupture in rheumatism, or postoperatively. Less frequent is the presence of pseudotendon in flexor tendons of the forearm.
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