Tennis elbow surgery: Difference between revisions

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==Overview==
==Overview==
==Surgery==
==Surgery==
If conservative measures fail, release of the common extensor origin may be helpful.
If conservative measures fail, release of the common extensor origin may be helpful.


Indications for operation:<br />
===Indications for operation===
Tennis elbow (lateral epicondylitis) which has not responded to conservative treatment .
Tennis elbow (lateral epicondylitis) which has not responded to conservative treatment .


Anaesthetic:<br />
====Anaesthesia===
General Anaesthetic (Fully asleep) or regional (the arm will be numb)
*General Anaesthesia (Fully asleep) or regional (the arm will be numb)
Local anaesthetic will be injected into the wound for post-operative pain relief
*Local anaesthesia will be injected into the wound for post-operative pain relief


Operation type:<br />
===Operation type===
Open
Open


Incisions:<br />
===Incisions===
A 3cm (1.18") incision over the lateral epicondyle (the tender area).
A 3cm (1.18") incision over the [[lateral epicondyle]] (the tender area).


Procedure:<br />
===Procedure===
The common extensor origin is released from the lateral epicondyle and scar tissue removed.
The common extensor origin is released from the lateral epicondyle and scar tissue removed.


Wound Closure:<br />
===Wound Closure===
A single non-absorbable suture running under the skin will be used to close the wound, paper stitches will be placed over this.
A single non-absorbable [[suture]] running under the skin will be used to close the wound, paper stitches will be placed over this.


Dressings:<br />
===Dressings===
An Elastoplast dressing will be placed over the top of the paper stitches and an elastic support bandage over the top of this.
An Elastoplast dressing will be placed over the top of the paper stitches and an elastic support bandage over the top of this.


Immediate aftercare:<br />
===Immediate aftercare===
One can go home when one feels comfortable.
One can go home when one feels comfortable.
==References==
==References==

Revision as of 20:23, 6 November 2012

Tennis elbow Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery

If conservative measures fail, release of the common extensor origin may be helpful.

Indications for operation

Tennis elbow (lateral epicondylitis) which has not responded to conservative treatment .

=Anaesthesia

  • General Anaesthesia (Fully asleep) or regional (the arm will be numb)
  • Local anaesthesia will be injected into the wound for post-operative pain relief

Operation type

Open

Incisions

A 3cm (1.18") incision over the lateral epicondyle (the tender area).

Procedure

The common extensor origin is released from the lateral epicondyle and scar tissue removed.

Wound Closure

A single non-absorbable suture running under the skin will be used to close the wound, paper stitches will be placed over this.

Dressings

An Elastoplast dressing will be placed over the top of the paper stitches and an elastic support bandage over the top of this.

Immediate aftercare

One can go home when one feels comfortable.

References

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