Lateral epicondylitis treatment by extensor carpi radialis fasciotomy and radial nerve decompression: Is outcome influenced by the occupational disease compensation aspect? - 26/02/11
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Summary |
Introduction |
The etiology, treatment, and patient management in cases of chronic epicondylitis, within the legislation on occupational disease, remain highly controversial.
Hypothesis |
Recognition as an occupational disease has a negative influence on the functional result of epicondylitis treated with aponeurotomy and neurolysis of the motor branch of the radial nerve.
Patients and methods |
Twenty-eight patients (30 cases of epicondylitis) were operated between January 2007 and January 2008. There were nine men and 19 women whose mean age was 46.1years. A preoperative EMG found anomalies in the deep posterior interosseous nerve in all cases. Patients were divided into two groups: one group of patients recognized as having an occupational disease and a group of patients whose disease was not considered occupation-related.
Results |
The patients were seen at follow-up at a mean 21.8months. In the group of patients with occupational disease, there were six excellent, nine good, and five acceptable results; in the second group, there were six excellent, two good, and two acceptable results.
Conclusion |
Recognition of epicondylitis as an occupational disease has a significant influence only on the time to pain relief and the result on strength.
Level of evidence |
Level IV. Retrospective study.
Le texte complet de cet article est disponible en PDF.Keywords : Lateral epicondylitis, Tennis elbow, Radial tunnel syndrome, Fasciotomy, Occupational medicine
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