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Denervation of the Humeral Epicondyles

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Tennis Elbow

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Abstract

Persistent humeral epicondylar pain is most often related to the lateral humeral epicondyle and is termed “tennis elbow.” When nonoperative or traditional orthopedic techniques to relieve this pain have proven ineffective, then it is appropriate to consider relief of pain by resection of the nerves that transmit this pain message. This approach, termed denervation, must resect branches of the posterior cutaneous nerve of the forearm, implanting these branches into the lateral head of the triceps muscle. A similar approach is available for persistent medial epicondylitis, “thrower’s or golfer’s elbow,” resecting the nerve to the medial humeral epicondyle and implanting this nerve into the medial head of the triceps muscle. This chapter presents the anatomic and clinical evidence to support this approach.

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Authors and Affiliations

  1. Johns Hopkins University, The Exchange Bldg, suite 18, 1122 Kenilworth Dr., 21204, Towson, MD, USA

    Prof. A. Lee Dellon MD, PhD

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  1. Prof. A. Lee Dellon MD, PhD
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Correspondence to A. Lee Dellon MD, PhD .

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Editors and Affiliations

  1. Orthopedic Surgery, University of Connecticut, Farmington, Connecticut, USA

    Jennifer Moriatis Wolf

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Dellon, A. (2015). Denervation of the Humeral Epicondyles. In: Wolf, J. (eds) Tennis Elbow. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7534-8_13

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  • DOI: https://doi.org/10.1007/978-1-4899-7534-8_13

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7533-1

  • Online ISBN: 978-1-4899-7534-8

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