{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T18:37:29Z","timestamp":1773599849396,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"\n Hypothesis and\/or Background:<\/jats:title>\n The failure rate of extensor carpi radialis brevis debridement for refractory lateral epicondylitis is reported around 15%. Our novel arthroscopic treatment is predicated on the hypothesis that lateral epicondylitis is an intra-articular problem related to a variation of the capsule-meniscal anatomy that impinges on the radiocapitellar joint. We report long-term outcomes of 35 patients treated with a novel arthroscopic resection of their capsulosynovial fringe.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n All patients failed nonoperative treatment but had temporary improvement with an intra-articular injection. Arthroscopic treatment involved resecting the meniscus and the proximal edge of the orbicular ligament, followed by a tendon-sparing anterolateral capsulectomy. 35 patients underwent evaluation on average 9.2 years after surgery. Outcome measures included VAS, DASH, and questions on return to sports, satisfaction, and perceived benefit of surgery.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Median pain scores improved from 8 of 10 preoperatively to 0 of 10 postoperatively. This change was clinically and statistically significant, with 1 patient still requiring pain medication. Median DASH score at final follow-up was 1. Overall, 30 patients rated their postoperative outcome as much better, 5 rated it as better, and 0 reported their symptoms to be unchanged or worsened. All 35 patients stated they were happy they underwent the procedure and perceived a benefit. Totally, 4 of 35 patients had postoperative complications (2 with ulnar nerve symptoms, 2 with persistent pain), with one requiring revision surgery for persistent pain.<\/jats:p>\n <\/jats:sec>\n \n Discussion and\/or Conclusions:<\/jats:title>\n We report promising long-term clinical and functional results of a novel arthroscopic resection of the capsulosynovial complex in lateral epicondylitis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bth.0000000000000217","type":"journal-article","created":{"date-parts":[[2018,11,21]],"date-time":"2018-11-21T06:55:51Z","timestamp":1542783351000},"page":"27-30","source":"Crossref","is-referenced-by-count":6,"title":["Arthroscopic Treatment of Lateral Elbow Pain Mimicking Lateral Epicondylitis: Long-term Follow-up of a Unique Surgical Protocol"],"prefix":"10.1097","volume":"23","author":[{"given":"Kristen M.","family":"Sochol","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel A.","family":"London","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward S.","family":"Rothenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Hausman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"19","DOI":"10.5435\/00124635-200801000-00004","article-title":"Management of lateral epicondylitis: current concepts","volume":"16","author":"Calfee","year":"2008","journal-title":"J Am Acad Orthop Surg"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1177\/0363546514568087","article-title":"The epidemiology and health care burden of tennis elbow: a population-based study","volume":"43","author":"Sanders","year":"2015","journal-title":"Am J Sports 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Anat"},{"key":"R12-20230901","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2106\/00004623-195537030-00007","article-title":"The role of the orbicular ligament in tennis elbow","volume":"37","author":"Bosworth","year":"1955","journal-title":"J Bone Joint Surg-Am Vol"}],"container-title":["Techniques in Hand & Upper Extremity 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