Ultrasound-guided percutaneous bone drilling for the treatment of lateral epicondylitis
To determine the clinical efficacy of sonographically-guided percutaneous bone drilling of the lateral epicondyle (LE) for the treatment of patients with LE.
We included 24 patients with LE who reported pain in this study. All patients underwent sonographically-guided percutaneous bone drilling of the lateral epicondyle. Follow-up sonography and physical examinations were performed 1, 3 and 6 months after the procedure. The outcome measures included sonographic findings, visual analogue scale (VAS) score, maximum voluntary grip strength (MVGS) and patient-related tennis elbow evaluation (PRTEE) score.
None of the patients had immediate complications during the procedure. The area of the extensor carpi radialis brevis (ECRB) tears decreased significantly at 1 month and declined gradually over the remaining 5 months of the study (p < 0.001). The mean pain VAS score was significantly lower at 6 months than preoperatively (respectively; p < 0.001). The mean MVGS increased significantly between pretreatment and 6 months post-treatment (p < 0.001), whereas the PRTEE score decreased significantly during the same period (p < 0.001).
Sonographically-guided percutaneous drilling is a quick and safe treatment option for LE that can be performed in an outpatient setting.
• Percutaneous drilling of the lateral condyle is effective for the treatment of LE.
• The area of ECRB tears can be measured by US-guided saline injection.
• US-guided percutaneous drilling is a quick and safe treatment option for LE.
KeywordsUltrasonography Tennis elbow Sports medicine Elbow joint Treatment outcome
Compliance with ethical standards
The scientific guarantor of this publication is Jang Gyu Cha.
Conflict of interest
The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.
This study has received funding by Soonchunghayng University Research Fund.
Statistics and biometry
Bo Ra Lee kindly provided statistical advice for this manuscript.
Institutional Review Board approval was obtained.
Written informed consent was obtained from all subjects (patients) in this study.
• case-series study
- 13.Keizer SB, Rutten HP, Pilot P, Morre HH, v Os JJ, Verburg AD (2002) Botulinum toxin injection versus surgical treatment for tennis elbow: a randomized pilot study. Clin Orthop Relat Res: 125–131Google Scholar
- 16.Garden RS (1961) Tennis elbow. J Bone Joint Surg Br Vol 43-B:100–106Google Scholar