{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T11:04:41Z","timestamp":1792148681327,"version":"4.4.0"},"reference-count":69,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"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":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lateral epicondylitis (LE) is one of the most common causes of lateral elbow pain. When nonoperative treatment fails, 1 of the 3 surgical approaches\u2014open, percutaneous, or arthroscopic\u2014is used. However, determining which approach has the superior clinical outcome remains controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To review the outcomes of different operative modalities for LE qualitatively and quantitatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This review was performed and reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies published in PubMed, Medline (via EBSCO), and ScienceDirect databases that treated LE with open, percutaneous, or arthroscopic approaches with at least 12 months of follow-up were included. Study quality was assessed using the Cochrane Risk of Bias 2 tool and the Methodological Index for Non-Randomized Studies score. The primary outcome was the success rate of each operative treatment approach\u2014open, percutaneous, and arthroscopic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From an initial search result of 603 studies, 43 studies (n = 1941 elbows) were ultimately included. The arthroscopic approach had the highest success rate (91.9% [95% CI, 89.2%-94.7%]) compared with the percutaneous (91% [95% CI, 87.3%-94.6%]) and open (82.7% [95% CI, 75.6%-89.8%]) approaches for LE surgery with changes in the mean visual analog scale pain score of 5.54, 4.90, and 3.63, respectively. According to the Disabilities of the Arm, Shoulder and Hand score, the functional outcome improved in the arthroscopic group (from 54.11 to 15.47), the percutaneous group (from 44.90 to 10.47), and the open group (from 53.55 to 16.13). The overall improvement was also found in the Mayo Elbow Performance Score, the arthroscopic group (from 55.12 to 90.97), the percutaneous group (from 56.31 to 87.65), and the open group (from 64 to 93.37).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Arthroscopic surgery had the highest rate of success and the best improvement in functional outcomes among the 3 approaches of LE surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241230291","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T09:54:30Z","timestamp":1714643670000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Comparison of Clinical Outcomes After Different Surgical Approaches for Lateral Epicondylitis: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"12","author":[{"given":"Erica","family":"Kholinne","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Saint Carolus Hospital, Jakarta, Indonesia"},{"name":"Faculty Of Medicine, Universitas Trisakti, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard Christianto","family":"Singjie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Saint Carolus Hospital, Jakarta, Indonesia"},{"name":"Department of Orthopaedic & Traumatology, Hasanuddin University, Makassar, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Anastasia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Saint Carolus Hospital, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felly","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic & Traumatology, Padjajaran University, Bandung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ira Juliet","family":"Anestessia","sequence":"additional","affiliation":[{"name":"Faculty Of Medicine, Universitas Trisakti, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Man","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, College of Medicine, Eulji University, Uijeongbu, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Ho","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,2]]},"reference":[{"key":"bibr1-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211010158"},{"key":"bibr2-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"bibr3-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2014.04.003"},{"key":"bibr4-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507311599"},{"key":"bibr5-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2000.108533"},{"key":"bibr6-23259671241230291","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.07.017"},{"issue":"2","key":"bibr7-23259671241230291","first-page":"174","volume":"9","author":"Behazin M","year":"2021","journal-title":"Arch Bone Jt Surg"},{"key":"bibr8-23259671241230291","unstructured":"Buchanan BK, Varacallo M. 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