{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:38:39Z","timestamp":1777880319552,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lateral epicondylitis of the elbow is a common degenerative disorder in middle-aged patients. Surgery is reserved for patients who do not respond to nonoperative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate hand-grip strength and return to heavy manual activities in patients engaged in work requiring heavy lifting after arthroscopic release of refractory lateral epicondylitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study included consecutive patients who underwent arthroscopic release of the extensor carpi radialis brevis tendon to treat recalcitrant lateral epicondylitis of the elbow, with a minimum 48-month follow-up. Functional outcome measures included assessment of hand-grip strength, visual analog scale for pain, and Mayo elbow performance score. The recorded measurements were compared at postoperative 1 and 6 months and the final assessment. Pre- and postoperative data were compared using the paired t test, and the various postoperative assessments were compared using 1-way analysis of variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 22 patients (mean \u00b1 SD; age, 34.6 \u00b1 5.9 years) with a mean follow-up of 60.5 \u00b1 4.7 months were included in our study. There were highly significant improvements between preoperative and 1-month postoperative results regarding hand-grip strength (17.5 \u00b1 4.1 kg to 34.4 \u00b1 6.8 kg), visual analog scale score for pain (7.86 \u00b1 1.2 to 1.8 \u00b1 1.09), and Mayo score (57.1 \u00b1 7.9 to 89.3 \u00b1 4.9; P &lt; .00001 for all). Significant improvements were found on all 3 functional measures between 1 and 6 months postoperatively ( P \u2264 .05 was statistically significant), and there were nonsignificant improvements on all measures from 6-month to final follow-up. The patients regained 96.4% of their hand strength as compared with the unaffected side and returned to their previous activities without reporting serious complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Minimally invasive arthroscopic release of recalcitrant lateral epicondylitis of the elbow provided a satisfactory functional result, as shown by regaining of hand-grip strength in patients engaged in heavy manual occupations without significant morbidities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671221078586","type":"journal-article","created":{"date-parts":[[2022,2,24]],"date-time":"2022-02-24T12:20:38Z","timestamp":1645705238000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Hand-Grip Strength and Return to Heavy Manual Work at a Mean 5-Year Follow-up After Arthroscopic Release of Recalcitrant Lateral Epicondylitis"],"prefix":"10.1177","volume":"10","author":[{"given":"Fahmy Samir","family":"Fahmy","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"ElAttar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossam Fathi","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Sharkia, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,24]]},"reference":[{"key":"bibr1-23259671221078586","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2014.04.003"},{"key":"bibr2-23259671221078586","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507311599"},{"key":"bibr3-23259671221078586","doi-asserted-by":"publisher","DOI":"10.1097\/00001433-200308000-00013"},{"key":"bibr4-23259671221078586","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2012.10.108"},{"issue":"8","key":"bibr5-23259671221078586","first-page":"642","volume":"30","author":"Bowen R","year":"2001","journal-title":"Am J 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