You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

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:
doi: 10.1097/BTH.0b013e31829e0eeb
Techniques
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.

Author Information

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