Surgical Treatment for Lateral Epicondylitis and Long Term Follow-Up of Results

Author(s): Coleman B, Quinlan J, Matheson J

Source: J Shoulder Elbow Surg 19: 363-67, 2010.

Summary:

This is a retrospective analysis of prospectively acquired data on 158 consecutive patients who underwent surgery in a single surgeon practice for lateral epicondylitis.  Eighty-seven percent were available for follow -up at a mean 9.8 years.

The mean age of the group was 42 years.  The results were graded according to the HSS and Mayo Elbow Performance scores.
The results demonstrate excellent to good results in 95% of patients by both scores respectively.  Patients regained grip strength and none of the patients required revision surgery.
 
In conclusion these results indicate a high degree of success and restoration of grip strength and diminished symptoms at 10 years following surgery using the most common surgical technique for epicondylitis.  It must be noted that this report is not consistent with other large series that all seem to show some lack of predictability with this epicondylitis surgery.  Some patients clearly do not respond to surgical intervention.  It may be, however, that if one waits long enough, the symptoms will resolve.  This may be true irrespective of intervention.