Heterotopic Ossification After the Arthroscopic Treatment of Lateral Epicondylitis

Background: Heterotopic ossification (HO) is a well-known complication following the surgical treatment of fractures and dislocations about the elbow but it is not commonly discussed as a complication following arthroscopy. We present a case of a young athlete who developed HO after the arthroscopic treatment of lateral epicondylitis. Methods: This is a case report chart review of a 24 year old male with lateral epicondylitis. After failing conservative measures, arthroscopic debridement of the extensor carpi radialis brevis (ECRB) origin ensued. The treatment and patient’s final disposition were reported. Results: The patient developed heterotopic ossification of the elbow follow arthroscopic debridement of the ECRB origin. Further surgery was required to excise the heterotopic ossification. Good recovery of motion was achieved. Conclusion: To our knowledge, we present the first case of HO development after elbow arthroscopy for lateral epicondylitis. As the use of elbow arthroscopy continues to grow, there is a need for identification of the risk factors and primary prophylaxis for HO.

Download Full-text

Arthroscopic debridement of the extensor carpi radialis brevis for recalcitrant lateral epicondylitis

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2010.02.008 ◽

2010 ◽

Vol 19 (5) ◽

pp. 651-656 ◽

Cited By ~ 79

Author(s):

Christian Lattermann ◽

Anthony A. Romeo ◽

Ammar Anbari ◽

Alexander K. Meininger ◽

L. Pearce McCarty ◽

...

Keyword(s):

Lateral Epicondylitis ◽

Arthroscopic Debridement ◽

Extensor Carpi Radialis

Download Full-text

Arthroscopic treatment for chronic lateral epicondylitis

Revista Brasileira de Ortopedia (English Edition) ◽

10.1016/j.rboe.2015.06.015 ◽

2015 ◽

Vol 50 (4) ◽

pp. 395-402

Author(s):

Bernardo Barcellos Terra ◽

Leandro Marano Rodrigues ◽

Anis Nahssen Filho ◽

Gustavo Dalla Bernardina de Almeida ◽

José Maria Cavatte ◽

...

Keyword(s):

Lateral Epicondylitis ◽

Arthroscopic Treatment

Download Full-text

Autologous Blood Injection and Wrist Immobilisation for Chronic Lateral Epicondylitis

Advances in Orthopedics ◽

10.1155/2012/387829 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Nicola Massy-Westropp ◽

Stuart Simmonds ◽

Suzanne Caragianis ◽

Andrew Potter

Keyword(s):

Tennis Elbow ◽

Autologous Blood ◽

Lateral Epicondylitis ◽

Contralateral Limb ◽

Cortisone Injection ◽

Autologous Blood Injection ◽

Blood Injection ◽

And Function ◽

Prospective Longitudinal ◽

Extensor Carpi Radialis

Purpose. This study explored the effect of autologous blood injection (with ultrasound guidance) to the elbows of patients who had radiologically assessed degeneration of the origin of extensor carpi radialis brevis and failed cortisone injection/s to the lateral epicondylitis.Methods. This prospective longitudinal series involved preinjection assessment of pain, grip strength, and function, using the patient-rated tennis elbow evaluation. Patients were injected with blood from the contralateral limb and then wore a customised wrist support for five days, after which they commenced a stretching, strengthening, and massage programme with an occupational therapist. These patients were assessed after six months and then finally between 18 months and five years after injection, using the patient-rated tennis elbow evaluation.Results. Thirty-eight of 40 patients completed the study, showing significant improvement in pain; the worst pain decreased by two to five points out of a 10-point visual analogue for pain. Self-perceived function improved by 11–25 points out of 100. Women showed significant increase in grip, but men did not.Conclusions. Autologous blood injection improved pain and function in a worker’s compensation cohort of patients with chronic lateral epicondylitis, who had not had relief with cortisone injection.

Download Full-text

Functional outcomes of arthroscopic treatment method of lateral epicondylitis

Acta Orthopaedica et Traumatologica Turcica ◽

10.3944/aott.2015.15.0048 ◽

2015 ◽

Author(s):

Kadir Ertem

Keyword(s):

Functional Outcomes ◽

Lateral Epicondylitis ◽

Treatment Method ◽

Arthroscopic Treatment

Download Full-text

Arthroscopic Treatment of Lateral Epicondylitis

Elbow Arthroscopy ◽

10.1007/978-3-642-38103-4_4 ◽

2013 ◽

pp. 35-42

Author(s):

Champ L. Baker ◽

Champ L. Baker

Keyword(s):

Lateral Epicondylitis ◽

Arthroscopic Treatment

Download Full-text

Arthroscopic Treatment of Lateral Epicondylitis

Operative Techniques: Sports Medicine Surgery ◽

10.1016/b978-1-4160-3277-9.50031-0 ◽

2010 ◽

pp. 347-357

Author(s):

Champ L. Baker ◽

Champ L. Baker

Keyword(s):

Lateral Epicondylitis ◽

Arthroscopic Treatment

Download Full-text

Effects of Rehearsal Time and Repertoire Speed on Extensor Carpi Radialis EMG in Conservatory Piano Students

Medical Problems of Performing Artists ◽

10.21091/mppa.2020.2013 ◽

2020 ◽

Vol 35 (2) ◽

pp. 81-88

Author(s):

Jean-Pierre Baeyens ◽

Ben Serrien ◽

Maggie Goossens ◽

Katia Veekmans ◽

Regs Baeyens ◽

...

Keyword(s):

Repeated Measures ◽

Lateral Epicondylitis ◽

Mean Amplitude ◽

Frequency Component ◽

Voluntary Contraction ◽

Semg Signal ◽

Piano Etudes ◽

Piano Students ◽

Forearm Muscles ◽

Extensor Carpi Radialis

BACKGROUND: Repetitive actions while playing piano may overload forearm muscles and tendons, leading to playing-related musculoskeletal disorders (PRMDs), including lateral epicondylitis. METHODS: In this pilot study, surface electromyography (sEMG) activity of the extensor carpi radialis (ECR) was captured in 10 conservatory piano students while playing a fast and a slow music score selected from the individual’s repertoire, each 3 minutes long. Measurements were made at baseline and again after 2 hrs and 4 hrs of rehearsal time of the piano études. The amplitude of the sEMG signal was processed by a smoothing algorithm, and the frequency component with a non-orthogonal wavelets procedure. Amplitude of the sEMG was expressed in percent of maximal voluntary contraction (%MVC) at baseline. Statistical analysis encompassed 2-way repeated measures ANOVAs for the amplitude and frequency components of the sEMG signal (a set at 5%). The students also rated the intensity of rehearsals using a VAS. RESULTS: The ECR presented with a mean amplitude of 23%MVC for the slow scores, which increased significantly to 36%MVC for the fast scores. The sEMG signal presented a significant though small decrease of 1.9%MVC in amplitude between baseline and 4 hrs of rehearsal time and no shift in frequency, which may indicate that the rehearsals were held at a physiological steady-state and suggesting optimization or complementary muscle loading. CONCLUSIONS: These data accentuated that the loading of the ECR (as reflected in the amplitude component) was higher than that seen for computer keyboard workers. The augmented loading of the ECR and reduced blood flow to forearm muscles may be a factor in the development of PRMDs in pianists.

Download Full-text