Purpose: Minor instability has been proposed as a possible aetiology of lateral elbow pain. This study presents the results of the arthroscopic plication of the radial component of the lateral collateral ligament (R-LCL) to reduce minor instability of the lateral elbow. Methods: Twenty-seven patients with recalcitrant lateral epicondylitis who had failed conservative therapy and who had no previous trauma or overt instability, were included. R-LCL plication was performed in the presence of at least one sign of lateral ligamentous patholaxity and one intra-articular abnormal finding. Single-assessment numeric evaluation (SANE), Oxford Elbow Score (OES), quickDASH (Disabilities of the Arm, Shoulder, Hand), patient satisfaction and post-operative range of motion were evaluated. Results: SANE improved from a median of 30 [2–40] points pre-operatively to 90 [80–100] at final follow-up (p < 0.0001), and 96.3% patients obtained good or excellent subjective results. Post-operative median quickDASH was 9.1 [0–25] points and OES 42 [34–48]. Median post-operative flexion was 145°, and extension was 0°. Post-operative flexion was restrained in seven patients and extension in eight patients; 59% of patients reached full ROM at final follow-up. Conclusions: R-LCL plication produces subjective satisfaction and positive clinical results in patients presenting with a symptomatic minor instability of the lateral elbow (SMILE) at 2-year median follow-up. A slight limitation in range of motion is a possible undesired consequence of this intervention. Level of evidence: Retrospective case series, Level IV.

Arthroscopic R-LCL plication for symptomatic minor instability of the lateral elbow (SMILE) / P. Arrigoni, D. Cucchi, R. D’Ambrosi, A. Menon, A. Aliprandi, P. Randelli. - In: KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY. - ISSN 0942-2056. - 7(2017), pp. 2264-2270.

Arthroscopic R-LCL plication for symptomatic minor instability of the lateral elbow (SMILE)

P. Arrigoni;D. Cucchi;R. D’Ambrosi;P. Randelli
2017

Abstract

Purpose: Minor instability has been proposed as a possible aetiology of lateral elbow pain. This study presents the results of the arthroscopic plication of the radial component of the lateral collateral ligament (R-LCL) to reduce minor instability of the lateral elbow. Methods: Twenty-seven patients with recalcitrant lateral epicondylitis who had failed conservative therapy and who had no previous trauma or overt instability, were included. R-LCL plication was performed in the presence of at least one sign of lateral ligamentous patholaxity and one intra-articular abnormal finding. Single-assessment numeric evaluation (SANE), Oxford Elbow Score (OES), quickDASH (Disabilities of the Arm, Shoulder, Hand), patient satisfaction and post-operative range of motion were evaluated. Results: SANE improved from a median of 30 [2–40] points pre-operatively to 90 [80–100] at final follow-up (p < 0.0001), and 96.3% patients obtained good or excellent subjective results. Post-operative median quickDASH was 9.1 [0–25] points and OES 42 [34–48]. Median post-operative flexion was 145°, and extension was 0°. Post-operative flexion was restrained in seven patients and extension in eight patients; 59% of patients reached full ROM at final follow-up. Conclusions: R-LCL plication produces subjective satisfaction and positive clinical results in patients presenting with a symptomatic minor instability of the lateral elbow (SMILE) at 2-year median follow-up. A slight limitation in range of motion is a possible undesired consequence of this intervention. Level of evidence: Retrospective case series, Level IV.
Capsular plication; Elbow arthroscopy; Elbow instability; Lateral elbow pain; Lateral epicondylitis; Laxity; Surgery; Orthopedics and Sports Medicine
Settore MED/33 - Malattie Apparato Locomotore
http://link.springer.de/link/service/journals/00167/index.htm
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/496995
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