Lateral Epicondylitis: Current Concept

Jeon,  In Ho; Kekatpure,  Aashay Laxmikant; Sun,  Ji Ho; Shim,  Kyeong Bo; Choi,  Sung Hoon; Lim,  Sung Joon; Chun,  Jae Myeung

doi:2014.17.3.138

Clin Shoulder Elb > Volume 17(3); 2014 > Article

Review

Clinics in Shoulder and Elbow 2014;17(3):138-144.
DOI: https://doi.org/10.5397/CiSE.2014.17.3.138 Published online September 30, 2014.

Lateral Epicondylitis: Current Concept

In Ho Jeon, Aashay Laxmikant Kekatpure, Ji Ho Sun, Kyeong Bo Shim, Sung Hoon Choi, Sung Joon Lim, Jae Myeung Chun

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jeonchoi@gmail.com

Received: 11 May 2014 • Revised: 13 July 2014 • Accepted: 14 July 2014

Abstract

Lateral epicondylitis is one of the most common causes of elbow pain and has been known to be caused by degeneration of the extensor carpi radialis brevis (ECRB). Nonoperative treatment should be tried first in all patients, because it has been deemed highly successful; however only few prospective studies suggest that symptoms frequently was completely resolved. Operative treatment is indicated for recalcitrant pain after failed conservative treatment, which involves excision of the pathologic portion of the ECRB and results in a high degree of subjective relief and functional restoration. We will review the pathology of the lateral epicondylitis and operative and nonoperative treatment of lateral epicondylitis.

Key Words: Tennis elbow; Extensor carpi radialis brevis; Arthroscopic debridement