Arthroscopic Versus Open Management of Lateral Epicondylitis Elbow (Randomized Control Trial)

Arthroscopic Versus Open Management of Lateral Epicondylitis Elbow (Randomized Control Trial)

Arthroscopic Versus Open management of lateral epicondylitis elbow (Randomized Control Trial)

Currently, any indication for elbow surgery can also serve as a potential indication for arthroscopic or arthroscopically assisted management, subject to anatomical compatibility. Often, the pro¬cedure can be more effectively carried out using arthroscopy than through an open approach. The arthroscopic management of lateral epicondylitis demands a thorough understanding of the anatomy of the common extensor origin and the lateral ulnar collateral ligament as the important adjacent structure [1,2]. At the elbow joint, the extensor carpi radialis longus (ECRL) lies on top of the tendinous portion of the ECRB. When performing an open procedure for lateral epicon¬dylitis, the muscular portion of the ECRL must be exposed to vi¬sualize the tendinous ECRB. The arthroscopic approach offers an advantage in debriding the ECRB without insulting the integrity of the ECRL. The diamond-shaped footprint of ECRB is located just distal to the lateral epicondyle[3]

Inclusion Criteria:

• tennis elbow not responding to conservative measures (more than 6 months) adult population (more than 18 years)

Exclusion Criteria:

• Degenerative changes of the elbow (as inflammatory diseases) Previously operated cases Disorganized anatomy of the joint (as in posttraumatic cases) neurovascular compromise of the upper limb