Chronic lateral epicondylitis : The Nirschl procedure

Reduction of burden insufficiency. Chronic lateral epicondylitis. Acute infection in the surgical area. C6/7 nerve root and plexus irritation. Frohse Arcade syndrome. Posterolateral rotatory instability. Incision slightly cranial to the radial epicondyle. Identification of the extensor carpi radial...

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Bibliographic Details
Published in:Operative Orthopädie und Traumatologie 2015-12, Vol.27 (6), p.525-535
Main Authors: Müller, A, Spies, C K, Unglaub, F, Bruckner, T, Pötzl, W
Format: Article
Language:ger
Subjects:
Adult
Chronic Disease
Combined Modality Therapy - methods
Denervation - methods
Elbow Joint - surgery
Evidence-Based Medicine
Female
Humans
Male
Middle Aged
Tendon Transfer - methods
Tennis Elbow - diagnosis
Tennis Elbow - surgery
Tenotomy - methods
Treatment Outcome
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Summary:Reduction of burden insufficiency. Chronic lateral epicondylitis. Acute infection in the surgical area. C6/7 nerve root and plexus irritation. Frohse Arcade syndrome. Posterolateral rotatory instability. Incision slightly cranial to the radial epicondyle. Identification of the extensor carpi radial brevis tendon (ERCB) and longus (ECRL). Mobilisation of the ECRL tendon, identification of degenerative tendons of the ECRB. Excision of degenerative tissue. Drill holes in the area of the smoothed radial epicondyle, thermal denervation. Arm plaster splint for 14 days. Unrestricted activity after 4-6 weeks. Maximum loading after 6 months. Of the 24 consecutively operated patients, 83.3 % were included. High patient satisfaction. Nirschl tennis and elbow score improved from 35 to 75 points postoperatively. Pain levels decreased from 6.8 to 1.4 points postoperatively.
ISSN:1439-0981
DOI:10.1007/s00064-015-0426-4