2023 Annual Meeting Wrist & Elbow Access Pass-Open and Arthroscopic Lateral Epicondylitis

Open and Arthroscopic Lateral Epicondylitis

Video Transcription

Video Summary

Samer Hassan discusses open versus arthroscopic lateral epicondylitis (tennis elbow) surgery. Tennis elbow usually arises from degenerative changes in the extensor carpi radialis brevis tendon, often managed non-surgically with activity modification, PT, NSAIDs, bracing, corticosteroids, and PRP injections, which have strong evidence. Surgery is reserved for refractory cases after 3-6 months. Open release involves a small incision, excising degenerative tissue and drilling to promote healing. Arthroscopy allows treatment of additional joint pathology and typically leads to quicker return to work but requires specialized skills. Both techniques are safe with low complications; choice depends on patient factors and surgeon expertise.

Asset Caption

Samer S. Hassan, M.D., Ph.D.

Keywords

lateral epicondylitis

tennis elbow surgery

open release

arthroscopic surgery

extensor carpi radialis brevis tendon