Arthroscopic Versus Open Management of Lateral Epicondylitis Elbow (Randomized Control Trial)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Arthroscopy & saline irrigation, open surgery.
- Who it may be relevant to
- Registry conditions: Tennis Elbow. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Arthroscopic Versus Open management of lateral epicondylitis elbow (Randomized Control Trial)
Detailed description
Currently, any indication for elbow surgery can also serve as a potential indication for arthroscopic or arthroscopically assisted management, subject to anatomical compatibility. Often, the pro¬cedure can be more effectively carried out using arthroscopy than through an open approach. The arthroscopic management of lateral epicondylitis demands a thorough understanding of the anatomy of the common extensor origin and the lateral ulnar collateral ligament as the important adjacent structure \[1,2\]. At the elbow joint, the extensor carpi radialis longus (ECRL) lies on top of the tendinous portion of the ECRB. When performing an open procedure for lateral epicon¬dylitis, the muscular portion of the ECRL must be exposed to vi¬sualize the tendinous ECRB. The arthroscopic approach offers an advantage in debriding the ECRB without insulting the integrity of the ECRL. The diamond-shaped footprint of ECRB is located just distal to the lateral epicondyle\[3\]
Interventions
- Procedure Arthroscopy & saline irrigation
release of lateral epicondylitis using arthroscope - Procedure open surgery
open surgical release
Primary outcome measures
- postoperative elbow pain [Time frame: 6 months postoperative]
Eligibility criteria
Inclusion criteria
- tennis elbow not responding to conservative measures (more than 6 months) adult population (more than 18 years)
Exclusion criteria
- Degenerative changes of the elbow (as inflammatory diseases) Previously operated cases Disorganized anatomy of the joint (as in posttraumatic cases) neurovascular compromise of the upper limb
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Publications
- Ahmed AF, Rayyan R, Zikria BA, Salameh M. Lateral epicondylitis of the elbow: an up-to-date review of management. Eur J Orthop Surg Traumatol. 2023 Feb;33(2):201-206. doi: 10.1007/s00590-021-03181-z. Epub 2022 Jan 15. PMID 35031850
- Dodson CC, Nho SJ, Williams RJ 3rd, Altchek DW. Elbow arthroscopy. J Am Acad Orthop Surg. 2008 Oct;16(10):574-85. doi: 10.5435/00124635-200810000-00003. PMID 18832601
Identifiers
NCT: NCT07648849 · tennis elbow arthroscopy