ISSN 2146-8370
 

Original Research 


Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy.

Abstract
Purpose: To determine whether Z-lengthening approach for common flexor tendon debridement is a viable option for medial epicondylitis refractory to non-surgical treatment. Methods: Twelve patients (14 elbows) who underwent surgical debridement via Z-Lengthening approach for management of medial epicondylitis between 1997 -2009 met inclusion criteria. All patients failed conservative treatment. There were 4 men (4 elbows) and 8 women (10 elbows). Mean age: 55 +/- 9. Two patients required ulnar nerve transposition for preoperative symptoms. Results: At an average of 14.8 +/-4.7 month follow-up, postoperative satisfaction averaged 9.2 +/-0.77 out of 10. The Nirschl clinical assessment was rated as excellent in 30%, good in 50%, fair in 20%, and failure in 0%. McGowan grading system demonstrated: 11 of 14 elbows had no neuropathy (numbness/tingling/weakness/atrophy distal to the elbow), two had Grade I, and one had Grade II. Average VAS pain score out of a possible 10 was 0.78 +/-1.5 at rest, 1.71 +/-1.72 with daily activities, and 2.85 +/-2.74 with sports. Average DASH: 37.73 +/-13.11. Conclusion: Patients with medial epicondylitis refractory to conservative management should be considered for surgical debridement via a Z-Lengthening approach for debridement of the common flexor mass.

Key words: Medial Epicondylitis; Golfer’s elbow; Pitcher’s elbow; surgical treatment; Z-lengthening; Nirschl, McGowan; common flexor tendon


 
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How to Cite this Article
Pubmed Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Prog Orthop Sci. 2015; 1(1): 19-23. doi:10.5455/pos.20150427105458


Web Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. http://www.porthosci.com/?mno=182916 [Access: January 22, 2019]. doi:10.5455/pos.20150427105458


AMA (American Medical Association) Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Prog Orthop Sci. 2015; 1(1): 19-23. doi:10.5455/pos.20150427105458



Vancouver/ICMJE Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Prog Orthop Sci. (2015), [cited January 22, 2019]; 1(1): 19-23. doi:10.5455/pos.20150427105458



Harvard Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy (2015) Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Prog Orthop Sci, 1 (1), 19-23. doi:10.5455/pos.20150427105458



Turabian Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. 2015. Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Progress in Orthopedic Science, 1 (1), 19-23. doi:10.5455/pos.20150427105458



Chicago Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. "Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows." Progress in Orthopedic Science 1 (2015), 19-23. doi:10.5455/pos.20150427105458



MLA (The Modern Language Association) Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy. "Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows." Progress in Orthopedic Science 1.1 (2015), 19-23. Print. doi:10.5455/pos.20150427105458



APA (American Psychological Association) Style

Brandon J. Erickson, Jennifer L. Hoffman, Charles Cassidy (2015) Outcomes of Open Debridement via Z-Lengthening Technique for Medial Epicondylitis in 14 elbows. Progress in Orthopedic Science, 1 (1), 19-23. doi:10.5455/pos.20150427105458





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