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Clin Shoulder Elbow > Volume 14(2); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(2):187-192.
DOI: https://doi.org/10.5397/CiSE.2011.14.2.187    Published online December 31, 2011.
Clinical Results of Arthroscopic Treatment for Lateral Epicondylitis of Elbow
Jin Young Park, Jeong Woo Kim, Churl Hong Chun, Hong Je Kang, Jong Yun Kim, Seung Yeop Song, Yoon Hong Choi
1Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. serina@wonkwang.ac.kr
2Department of Orthopaedic Surgery, Saint Carollo Hospital, Suncheon, Korea.
3Department of Orthopaedic Surgery, Suncheon Plus, Suncheon, Korea.
관절경을 이용한 주관절 외 상과염의 치료 결과
박진영*·김정우·전철홍·강홍제·김종윤·송승엽·최윤홍
원광대학교 의과대학 정형외과학교실, 원광의과학 연구소, 성가롤로병원 정형외과*
순천플러스 정형외과
Abstract
PURPOSE
The purpose of this study was to evaluate the clinical result of arthroscopic debridement with treatment of associated intra-articular lesions in lateral epicondylitis patients who did not response to conservative treatment. METHOD: Between March 2005 and January 2010, 43 patients who were diagnosed with lateral epicondylitis and did not response to conservative treatment over 6 months were selected. The mean age of the patients was 51 years (39~68 years) and the mean follow up period was 36.7 months (18~72 months). Among the 43 patients, 15 were male and 28 were female. They were evaluated by visual analog scale (VAS) and Mayo Elbow Performance Score (MEPS).
RESULTS
Intra-articular synovitis was found in 11 cases (26%) and intra-articular loose body was observed in 2 cases. The average VAS score was 7(+/-0.7) preoperatively and decreased to 1(+/-1.0) at last follow up. MEPS was 45(+/-10.2) preoperatively and increased to 93(+/-10.0). At last follow up, 41 of the 43 patients showed satisfaction (MEPS <75) and 2 showed dissatisfaction (MEPS > or =75).
CONCLUSION
There was a better outcome at 18 months follow up after arthroscopic debridement with treatment of associated intra-articular lesion in lateral epicondylitis patients who had not responsed to conservative treatment.
Key Words: Elbow; Lateral epicondylitis; Arthroscopy


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