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Combined Common Extensor and Supinator Aponeurotomy for the Treatment of Lateral Epicondylitis

Manon-Matos, Yorell MD; Oron, Amir MD; Wolff, Thomas W. MD

Techniques in Hand & Upper Extremity Surgery: September 2013 - Volume 17 - Issue 3 - p 179–181
doi: 10.1097/BTH.0b013e31829e0eeb
Techniques

Pain at the lateral epicondyle and the extensor origin that is attributable to lateral epicondylitis can be successfully treated with a combined aponeurotomy of the supinator and the extensor muscles. This technique has been used at our institution for over 3 decades with good results. Aponeurotomy of the supinator decompresses the posterior interosseous nerve, whereas the extensor aponeurotomy relieves the stresses on the extensor carpi radialis brevis origin. We retrospectively reviewed a series of 56 patients clinically diagnosed with resistant lateral epicondylitis who underwent surgery by a single surgeon with our technique between 2002 and 2010. Patients experienced a subjective improvement in symptoms, visual analog pain score, and grip strength (Jamar II). Only 3% of patients experienced recurrence requiring further treatment.

Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville School of Medicine, Louisville, KY

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Yorell Manon-Matos, MD, Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville School of Medicine, 225 Abraham Flexner Way, Suite 800, Louisville, KY 40202. E-mails: ymatos@kleinertkutz.com; yorellm@gmail.com.

© 2013 by Lippincott Williams & Wilkins