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Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e31829e0eeb
Techniques

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

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

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Abstract

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.

© 2013 by Lippincott Williams & Wilkins

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