Lateral Epicondyle Release (Tennis Elbow)

Problem

  • Pain on the lateral aspect of the elbow

Cause

  • Microtears in part of the extensor origin (ECRB) fail to heal

Diagnosis

  • Pain is felt on the lateral aspect of the elbow
  • Exacerbated by wrist extension
  • Pinpoint tenderness just distal to lateral epicondyle
  • Ultrasound can show microtears

Treatment

Non-Surgical – Physiotherapy

  • Counterforce Bracing
  • Injection – Steroid/Blood

Surgical – GA

  • 4cm incision over the lateral epicondyle
  • Debridement of abnormal tissue (ECRB)
  • Freshen bone
  • Closure

Potential Complications

  • Wound infections, stiffness , residual pain

Post Op Care

  • Bulky bandage 2/52
  • Removal of sutures at two weeks
  • Physiotherapy, stretching and strengthening programme
University Of Auckland Auckland Born Joint Surgery Fracs NZOA  University Of Auckland Auckland Born Joint Surgery Fracs