Tennis Elbow—Outcome following the Garden Procedure: A Retrospective Study

Purpose. From 1993 to 1999, 17 patients (18 elbows) underwent the Garden procedure for clinically diagnosed tennis elbow. Non-operative treatment was ineffective for these patients. Methods. The study group consisted of 10 men and 7 women, with a mean age of 49.6 years. Follow-up duration ranged fro...

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Published in:Journal of orthopaedic surgery (Hong Kong) 2004-12, Vol.12 (2), p.226-229
Main Authors: Kumar, VS, Shetty, AA, Ravikumar, KJ, Fordyce, MJF
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Hand Strength
Humans
Male
Middle Aged
Pain Measurement
Postoperative Complications
Reoperation
Retrospective Studies
Tennis Elbow - surgery
Treatment Outcome
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creator Kumar, VS
Shetty, AA
Ravikumar, KJ
Fordyce, MJF
description Purpose. From 1993 to 1999, 17 patients (18 elbows) underwent the Garden procedure for clinically diagnosed tennis elbow. Non-operative treatment was ineffective for these patients. Methods. The study group consisted of 10 men and 7 women, with a mean age of 49.6 years. Follow-up duration ranged from 18 months to 6 years, with a mean of 37 months. Patients' pain, activity level, and hand grip strength were evaluated postoperatively. Results. 14 (77.8%) elbows had an excellent or good result, 2 elbows had a fair result, and another 2 elbows had a poor result and required revision surgery. Most patients had immediate relief of elbow pain, returned to work early, and did not notice any weakness of hand grip strength or radial wrist extension. There were no significant complications. Conclusion. The Garden procedure produced good results for tennis elbow with minimal morbidity in an unselected group of patients. This retrospective study supports the view that the underlying lesion in tennis elbow is in the origin of extensor carpi radialis brevis.
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From 1993 to 1999, 17 patients (18 elbows) underwent the Garden procedure for clinically diagnosed tennis elbow. Non-operative treatment was ineffective for these patients. Methods. The study group consisted of 10 men and 7 women, with a mean age of 49.6 years. Follow-up duration ranged from 18 months to 6 years, with a mean of 37 months. Patients' pain, activity level, and hand grip strength were evaluated postoperatively. Results. 14 (77.8%) elbows had an excellent or good result, 2 elbows had a fair result, and another 2 elbows had a poor result and required revision surgery. Most patients had immediate relief of elbow pain, returned to work early, and did not notice any weakness of hand grip strength or radial wrist extension. There were no significant complications. Conclusion. The Garden procedure produced good results for tennis elbow with minimal morbidity in an unselected group of patients. This retrospective study supports the view that the underlying lesion in tennis elbow is in the origin of extensor carpi radialis brevis.</description><identifier>ISSN: 1022-5536</identifier><identifier>EISSN: 2309-4990</identifier><identifier>DOI: 10.1177/230949900401200217</identifier><identifier>PMID: 15621912</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Female ; Hand Strength ; Humans ; Male ; Middle Aged ; Pain Measurement ; Postoperative Complications ; Reoperation ; Retrospective Studies ; Tennis Elbow - surgery ; Treatment Outcome</subject><ispartof>Journal of orthopaedic surgery (Hong Kong), 2004-12, Vol.12 (2), p.226-229</ispartof><rights>2004 Asia Pacific Orthopaedic Association unless otherwise noted. 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From 1993 to 1999, 17 patients (18 elbows) underwent the Garden procedure for clinically diagnosed tennis elbow. Non-operative treatment was ineffective for these patients. Methods. The study group consisted of 10 men and 7 women, with a mean age of 49.6 years. Follow-up duration ranged from 18 months to 6 years, with a mean of 37 months. Patients' pain, activity level, and hand grip strength were evaluated postoperatively. Results. 14 (77.8%) elbows had an excellent or good result, 2 elbows had a fair result, and another 2 elbows had a poor result and required revision surgery. Most patients had immediate relief of elbow pain, returned to work early, and did not notice any weakness of hand grip strength or radial wrist extension. There were no significant complications. Conclusion. The Garden procedure produced good results for tennis elbow with minimal morbidity in an unselected group of patients. 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source Sage Journals GOLD Open Access 2024
subjects Adult
Aged
Female
Hand Strength
Humans
Male
Middle Aged
Pain Measurement
Postoperative Complications
Reoperation
Retrospective Studies
Tennis Elbow - surgery
Treatment Outcome
title Tennis Elbow—Outcome following the Garden Procedure: A Retrospective Study
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