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Journal of the Korean Society for Surgery of the Hand 2006;11(4):233-237.
Published online December 1, 2006.
Operative Treatment of Medial Epicondylitis
Woo Sung Jung, Kwang Hyun Lee, Hyoung Jin Kim
Department of Orthopaedic Surgery, College of Medicine, Hanyang University, Seoul, Korea
주관절 내상과염의 수술 결과
정우성, 이광현, 김형진
한양대학교 의과대학 정형외과학교실
Correspondence:  Kwang Hyun Lee, Tel: 02-2290-8482, Fax: 02-2299-3774, 
Email: leegh@hanyang.ac.kr
Abstract
Purpose
The results of operative treatment for medial epicondylitis that poorly respond nonsurgical treatment were evaluated.
Materials and Methods: We reviewed 18 patients (20 elbows) who were taken surgical treatment for medial epicondylitis from Jan. 2002 to Dec. 2005 and the minimum duration of follow up period was 6 months. Mean age was 46.9 years old (34-55 years old) and the ratio between male and female was 5:15. The mean duration of symptom was 23.1 months (6-72 months). The mean follow up period was 33.6 months (6-53 months). The result was noted using the grading system of Nirschl and Pettrone and visual analog scale.

Results
Three cases showed an excellent result and thirteen cases did a good result. 4 cases showed fair or failure. Average preoperative visual analog scale was 6.8 point and it was improved to average 2.7 postoperatively. Two cases with coexistent ulnar neuritis showed fair (1 case) and failure (1 case).

Conclusion
Operative treatment for refractory medial epicondylitis could give satisfactory results. But delicate preoperative evaluation and patient selection should be considered.
Key Words: Elbow, Medial epicondylitis, Operative treatment
 


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