Clinical outcome of percutaneous common extensor tenotomy for recalcitrant lateral humeral epicondylitis

Sandeep Dathik 1 * , Rajesh Kumar Chopra 2, Ashish Jaiman 2
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1 Orthopaedics Department, Jai Hind Healthcare, Charkhi Dadri, Haryana, India
2 Orthopaedics Department, Central Institute of Orthopaedics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 2, pp. 57-61.
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Introduction: Tennis elbow is a commonly encountered problem in orthopaedic clinical practice. The patients are usually in their financially productive years and many a times, this is a work related disorder that becomes severe enough leading for lost work days. Conservative treatment is almost always the first choice; but once it fails, there is no clear consensus for the management of recalcitrant cases. We undertook this study to evaluate the clinical outcomes of percutaneous tenotomy in cases of resistant lateral epicondylitis.
Materials and methods: This was a prospective study done over a period of 5 years. A total of 108 patients with recalcitrant tennis elbow were recruited and underwent percutaneous tenotomy. They were followed up for an average period of 14 months. The outcomes measured were: tenderness, DASH score, Roles & Maudsley scale, Visual analogue scale (VAS), and Grip strength. Statistical analysis was done using Paired t-test.
Results: 95% patients were pain free after an average of 12 weeks. The 6 months postoperative improvement in VAS score was 6.84 and change in mean DASH score was 23.04. The average increase in mean grip strength was 13.30 kg. These results were statistically significant.
Conclusion: Percutaneous tenotomy can be considered as a useful treatment option for resistant cases of tennis elbow.


Dathik S, Chopra RK, Jaiman A. Clinical outcome of percutaneous common extensor tenotomy for recalcitrant lateral humeral epicondylitis. J CLIN MED KAZ. 2022;19(2):57-61.