AANA25 Wrist & Elbow Access Pass-CONCURRENT SESSION 3A: Sports Elbow

Video Transcription

Video Summary

The session covered various elbow sports medicine topics, highlighting recent research and surgical techniques. <br /><br />Patrick Waco presented a randomized controlled trial comparing Tenex (ultrasound-guided percutaneous needle tenotomy) versus open debridement for lateral epicondylitis. Results from 36 patients showed that Tenex led to quicker, more consistent pain relief and functional recovery, with less morbidity than open surgery. The Tenex group experienced faster resolution of symptoms and better outcomes on standardized measures.<br /><br />Dr. Rai shared a series of nine triceps tendon reconstructions using hamstring autografts or allografts for chronic or failed repairs. Both docking and transverse ulnar tunnel techniques were effective, with significant improvements in pain and strength, no graft failures, and manageable infections only in allograft cases.<br /><br />Jeremy Anseltum presented a systematic review of biomechanical studies comparing onlay versus inlay distal biceps repair fixation security. Pre-2014 data favored inlay fixation, but modern onlay techniques have improved, showing comparable failure loads and less tendon-bone gapping post-cycling, potentially promoting better tendon healing.<br /><br />Dr. Szabo emphasized the clinical evaluation and surgical repair of distal biceps ruptures, favoring a one-incision inlay technique and highlighting the importance of anatomy and intraoperative assessment.<br /><br />Dr. Caldwell discussed anatomic double-row suture anchor repair for triceps tendon injuries, noting its biomechanical strength and low profile compared to traditional tunneling.<br /><br />Josh detailed lateral elbow instability—common yet underdiagnosed—and the importance of recognizing ligament injuries. Early repair yields good outcomes; reconstruction is reserved for chronic cases.<br /><br />Buddy summarized medial ulnar collateral ligament (UCL) injury management, stressing that repair—with or without internal brace—is effective in many athletes, especially youth and minor leaguers, while reconstruction remains standard for professionals. He discussed surgical indications, techniques, and rehabilitation protocols.<br /><br />A case discussion of a 50-year-old female with lateral ligament injury and capitellar osteochondral defect illustrated surgical decision-making, balancing arthroscopic repair vs. reconstruction and cartilage management.<br /><br />Audience questions covered ultrasound use for healing assessment, revision strategies after failed internal bracing, assessment of UCL via arthroscopy, and distal biceps repair techniques.<br /><br />Overall, the session underscored advances in minimally invasive procedures, biomechanical understanding, patient-specific treatment selection, and the growing role of ultrasound and arthroscopy in elbow sports medicine.

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Keywords

elbow sports medicine

Tenex

lateral epicondylitis

triceps tendon reconstruction

hamstring autografts

distal biceps repair

onlay vs inlay fixation

medial ulnar collateral ligament (UCL) injury

lateral elbow instability

anatomic double-row suture anchor

ultrasound in elbow healing