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Epikondylitissyndrom

Epicondylitis humeriradialis — Denervation and desinsertion according to Wilhelm

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Zusammenfassung

Nach Darstellung der Problematik des Krankheitsbildes und der verschiedenen Therapiemöglichkeiten wird auf das operative vorgehen nach Wilhelm und Gieseler näher eingegangen und die Nachuntersuchungsergebnisse von 40 eigenen Fällen mitgeteilt.

Abstract

The opinions concerning the etiology and pathogenesis of the epicondylitis humeri radialis are not unanimous. According to Hoffmann the damage arises in the area, where the extensor muscles are originating, causing there an irritation to the periost. Reischauer emphasizes the vertebral origin of the condition. According to his theory the epicondylitis is the result of an irritation of the cervical spine. Other authors conclude, that there are only local changes in the soft tissues around the joint, which produce an epicondylitis. Besides conservative measures such as plaster for immobilisation, local injections of corticosteroids, physiotherapy etc., the treatment of choice is a surgical intervention. The operation according to Hohmann yields good results in 65% of all cases. We prefer the surgical denervation and desinsertion according to Wilhelm and Gieseler in those cases, which are resistant to other therapy. A follow-up of our 40 patients, who were treated according to this method, revealed good results in 90% of all cases and confirmed previous reports in the literature.

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Authors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik, Großenbaumer Allee 250, D-4100, Duisburg-Buchholz

    R. Kleining & E. Ludolph

Authors
  1. R. Kleining
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  2. E. Ludolph
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Kleining, R., Ludolph, E. Epikondylitissyndrom. Unfallchirurgie 5, 5–9 (1979). https://doi.org/10.1007/BF02589312

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  • DOI: https://doi.org/10.1007/BF02589312

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