International Orthopaedics

, Volume 32, Issue 5, pp 671–677 | Cite as

Resistant tennis elbow: shock-wave therapy versus percutaneous tenotomy

  • Yasser A. Radwan
  • Gamal ElSobhi
  • Walid S. BadawyEmail author
  • Ali Reda
  • Sherif Khalid
Original Paper


Fifty-six patients who suffered from chronic persistent tennis elbow of more than six months duration were randomly assigned to two active treatment groups. Group 1 (n = 29) received high-energy extracorporeal shock wave treatment (ESWT; 1,500 shocks) at 18 kV (0.22 mJ/mm2) without local anaesthesia; group 2 (n = 27) underwent percutaneous tenotomy of the common extensor origin. Both groups achieved improvement from the base line at three weeks, six weeks, 12 weeks and 12 months post-intervention. The success rate (Roles and Maudsley score: excellent and good) at three months in the ESWT group was 65.5% and in the tenotomy group was 74.1%. ESWT appeared to be a useful noninvasive treatment method that reduced the necessity for surgical procedures.


Extracorporeal Shock Wave Therapy Epicondylitis Plantar Fasciitis Lateral Epicondylitis Tennis Elbow 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Cinquante-six patients qui souffraient de douleurs chroniques de type tennis elbow depuis plus de six mois ont été randomisés dans une étude avec deux groupes de traitements. Le groupe 1 (n = 29) a été traité par un traitement physique comprenant 1.500 chocs à 18 kV (0.22 mJ/mm2) après anesthésie locale, le groupe 2 (n = 27) a été traité par ténotomie percutanée de l’insertion de l’extenseur commun. Les deux groupes ont été évalués à 3 semaines, 6 semaines, 12 semaines et 12 mois après l’intervention au traitement. Le taux de bons résultats (selon le score de Roles et Maudsley) pour le groupe ayant bénéficié de traitements physiques a été de 65.5%, alors que le groupe traité par ténotomie présentait 74.1% de bons résultats. Le traitement physique apparaît utile. Il s’agit d’un traitement non invasif qui peut réduire la nécessité d’un traitement chirurgical.


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Yasser A. Radwan
    • 1
  • Gamal ElSobhi
    • 2
  • Walid S. Badawy
    • 1
    • 3
    Email author
  • Ali Reda
    • 1
  • Sherif Khalid
    • 1
  1. 1.OrthopaedicsCairo UniversityGizaEgypt
  2. 2.OrthopaedicsAl Azhar UniversityCairoEgypt
  3. 3.CambsUK

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