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Volume 13
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10.3390/jcm13226764
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Background:
Systematic Review

The Efficacy of Different Tenotomies in the Treatment of Lateral Epicondylitis: A Systematic Review

by
Ayub Ansari
1,
Dania Shoaib
1,
Yazan Tanbour
1,
Charles R. Marchese
1,
Benjamin J. Pautler
1,
Abdullah Baghdadi
2,
Sara Sloan
1 and
Jennifer F. Dennis
3,*
1
College of Osteopathic Medicine, Kansas City University, Kansas City, MO 64106, USA
2
College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA
3
Kansas College of Osteopathic Medicine, Kansas Health Science University, Wichita, KS 67202, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(22), 6764; https://doi.org/10.3390/jcm13226764
Submission received: 7 October 2024 / Revised: 30 October 2024 / Accepted: 8 November 2024 / Published: 10 November 2024
(This article belongs to the Section Orthopedics)
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Abstract

Background: Lateral epicondylitis impacts 1–3% of the population. It affects nearly half of all tennis players, primarily due to repetitive forearm muscle use leading to pain at the lateral elbow, particularly at the extensor carpi radialis brevis tendon. While conservative treatments resolve most cases, 4–11% of patients with persistent pain require surgery. Tenotomy is the gold standard for repair, but the research comparing the benefits of specific types of tenotomies (open, arthroscopic, percutaneous, ultrasonically assisted, and Tenex forms) is lacking. Methods: PubMed and Embase searches were conducted for articles focused on four tenotomy techniques. The inclusion criteria allowed for the use of randomized controlled trials (RCTs), prospective cohort studies, and comparative observational studies, while the exclusion criteria excluded meta-analyses. Following the PRISMA guidelines, the initial search resulted in 2327 articles. Once the inclusion and exclusion criteria were applied, 1702 articles underwent abstract screening. Finally, 232 articles proceeded to full-text screening, resulting in 37 articles undergoing data extraction. Results: The primary outcomes included functional improvement, pain relief, overall performance, and postoperative disability. The secondary outcomes included patient-reported satisfaction, return-to-work timeframes, and procedural complications. Conclusions: The tenotomy outcomes were similar, regardless of the method, indicating that discussions with patients about their specific outcome preferences may help guide tenotomy method selection.
Keywords: lateral epicondylitis; tennis elbow; tenotomy; pain relief; VAS pain scale; MEPS questionnaire; DASH questionnaire; return to work lateral epicondylitis; tennis elbow; tenotomy; pain relief; VAS pain scale; MEPS questionnaire; DASH questionnaire; return to work

Share and Cite

MDPI and ACS Style

Ansari, A.; Shoaib, D.; Tanbour, Y.; Marchese, C.R.; Pautler, B.J.; Baghdadi, A.; Sloan, S.; Dennis, J.F. The Efficacy of Different Tenotomies in the Treatment of Lateral Epicondylitis: A Systematic Review. J. Clin. Med. 2024, 13, 6764. https://doi.org/10.3390/jcm13226764

AMA Style

Ansari A, Shoaib D, Tanbour Y, Marchese CR, Pautler BJ, Baghdadi A, Sloan S, Dennis JF. The Efficacy of Different Tenotomies in the Treatment of Lateral Epicondylitis: A Systematic Review. Journal of Clinical Medicine. 2024; 13(22):6764. https://doi.org/10.3390/jcm13226764

Chicago/Turabian Style

Ansari, Ayub, Dania Shoaib, Yazan Tanbour, Charles R. Marchese, Benjamin J. Pautler, Abdullah Baghdadi, Sara Sloan, and Jennifer F. Dennis. 2024. "The Efficacy of Different Tenotomies in the Treatment of Lateral Epicondylitis: A Systematic Review" Journal of Clinical Medicine 13, no. 22: 6764. https://doi.org/10.3390/jcm13226764

APA Style

Ansari, A., Shoaib, D., Tanbour, Y., Marchese, C. R., Pautler, B. J., Baghdadi, A., Sloan, S., & Dennis, J. F. (2024). The Efficacy of Different Tenotomies in the Treatment of Lateral Epicondylitis: A Systematic Review. Journal of Clinical Medicine, 13(22), 6764. https://doi.org/10.3390/jcm13226764

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