Functional Outcomes of Arthroscopic Treatment of Refractory Lateral Epicondylitis
Abstract
Introduction: Lateral epicondylitis is a common cause of elbow pain and disability. Although most patients respond to conservative treatment, refractory cases may require surgery. In recent years, arthroscopy has gained popularity because it provides a minimally invasive approach and allows associated intra-articular lesions to be treated. Objective: To evaluate functional outcomes, pain improvement, and the presence of associated intra-articular lesions in patients with refractory lateral epicondylitis treated with arthroscopic elbow debridement and release. Materials and Methods: Statistically significant improvements were observed in the MEPS score (from 45.83 to 85.00; p < 0.0001) and VAS score (from 7.50 to 1.25; p < 0.0001). Baker grade 2 was the most common. Associated lesions were found in 66.7% of patients; synovial plica was the most common, and all lesions were treated during the same procedure. Transient radial nerve neuropraxia was the only complication. Results: Statistically significant improvements were observed in MEPS (45.83 → 85.00; p < 0.0001) and VAS (7.50 → 1.25; p < 0.0001). Baker grade 2 was the most frequent. 66.7% of patients presented with associated injuries, which were treated during the same procedure, with synovial plica being the most common. A single complication was recorded: transient radial neuropraxia. Conclusions: Arthroscopic treatment of lateral epicondylitis through intra-articular debridement resulted in a significant reduction in pain and substantial functional improvement, supporting its use as an effective alternative in patients refractory to conservative management.Downloads
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