Lateral Epicondylitis, Tennis Elbow
Conditions
Keywords
tennis elbow, lateral epicondylitis
Brief summary
The investigator hopes to determine if one of three current standard of care surgeries for lateral epicondylitis (tennis elbow) is more effective than others. The three surgeries are: arthroscopic tenotomy, open tenotomy, and debridement and repair.
Interventions
This is a surgical procedure where small incisions are made and a scope is used to see the tendon and release it.
This involves opening the skin on the arm up to expose the muscle and tendon. There is a total of 1 incision made.
This involves using an arthroscopic technique (using a scope and a small incision) to go in and remove any tissue that is diseased/does not belong and repairing the tear(s) in the tendon. There is a total of 1-2 incisions made.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18-65 yrs old * pain over the lateral epicondyle (via palpitation over the lateral epicondyle, resisted wrist extension, resisted finger extension of the middle finger) for a duration of greater than 6 months prior to enrollment * conservative treatment has failed and surgical intervention is recommend as standard of care * ability to give informed consent
Exclusion criteria
* had surgery by a physician or specialist within the last 2 years as treatment for lateral epicondylitis * congenital deformities, tendon ruptures or elbow fractures within the past year * co-existing elbow diagnosis (i.e. osteoarthritis or instability) * pregnant women, women trying to get pregnant, or breastfeeding mothers * under the age of 18 or over 65 * incapable of giving informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| symptom severity and functional outcome score (Patient Rated Tennis Elbow Evaluation) | 24 months | The primary outcome measure will be the difference btetwee the pre and post operative assessments of questionnaire and symptom severity. |
Countries
United States