Article
The treament of the chronic lateral epicondilytis by denervation of the lateral humeral epicondyle: technique and results
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Authors
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Luiz Vilela
- Hospital Marcio Cunha, Ipatinga, Brazil
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Henrique Chamon
- Hospital Marcio Cunha, Ipatinga, Brazil
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Fabricio Abu Kamel
- Hospital Marcio Cunha, Ipatinga, Brazil
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Tiago Heringer
- Hospital Marcio Cunha, Ipatinga, Brazil
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Leandro Faria
- Hospital Marcio Cunha, Ipatinga, Brazil
| Published: | February 6, 2020 |
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Outline
Text
Objectives/Interrogation: To evaluate the surgical treatment of the lateral epicondyle humerus denervation technique for chronic lateral epicondilytis, which is a frequent pathology and is well treated by conservative ways in most cases, and that for refractory ones, there is no consensus in the literature of which technique would be the most appropriate. We present a unusual surgical technique for this pathology with good clinical results
Methods: Retrospective study in one institution with prospective data collect. All the surgeries were performed by the same surgeon in a outpatient procedure, with local anesthesia and sadation. Magnifying glasses 4.5 x was used.
12 patients, 12 elbows were evaluated.
The inclusion criteria was the response to the nerve block - posterior branch (es) of the cutaneous posterior of the forearm by anesthesia with lidocaine 1.0% without epinefrine, 5 cm above of the epicondyle in a straight line taking with reference of the humerus, in pre operative with complete reduction of the pain; at least 1 year of simptoms and non response to another treatments.
The evaluation of the patients was by QuiCk Dash score with comparisson pre and pos operative.
Results and Conclusions: The Quick Dash score was used to measure the result. In all the patients we observed a reduction of the score.
Pre operative the average was 78.7 and pos operative average of 28.9.
Pre operative the higher score has 91.7 and the lower 60.0.
Post operative the reduction were significant with the higher still 86,7, but the lower 5.0 (2 patients).
The worse result was in a patient that as receiving benefits by social security.
Half of them were below the 20 points in post operative.
75% showed a good clinical result.
We conclude that the denervation of the lateral epicondyle of the humerus in a chronic situation, produces good results, as showed by another authors, being a simple outpatient surgery, low cost (compared to arthroscopy ou open surgery), with fast recovery and no need of formal reabilitation.
