BACKGROUND: This study presents the surgical technique of fractional lengthening of extensor carpi radialis brevis, extensor digitorum communis and the superficial head of supinator, for chronic @entity2633 . The anatomical basis for this surgical approach is reviewed. The results of surgical treatment in a consecutive series of @entity1 with severe chronic @entity2633 are reviewed. METHODS: Twenty-one elbows in 17 subjects underwent surgery. All elbows had severe resistant symptoms, unresponsive to a minimum 6 months (mean 14 months) of a non-operative treatment protocol. All elbows showed either tendonopathy or a partial tear in the common extensor tendon origin at preoperative imaging. RESULTS: All subjects were examined at a minimum of 1 year after surgery. The mean visual analogue @entity158 (VAS) score reduced from 7.6 (maximum 10) preoperatively to 1.3 postoperatively (P<0.01). The mean preoperative ability to carry out normal work duties reduced from 4.3 (maximum 5) preoperatively to 1.5 postoperatively (P<0.01). Grip strength improved or remained equivalent following surgery. The mean VAS for @entity1 satisfaction with surgery was 8.8 (maximum score 10). Using the Roles and Maudsley classification, 14 @entity1 (82%) were rated good or excellent. Three subjects were rated fair or poor, were undergoing treatment for other pathology in the ipsilateral extremity and had ongoing compensation claims. CONCLUSION: Fractional lengthening of forearm extensors is effective treatment for severe and chronic @entity2633 . Outcomes following fractional lengthening surgery are less predictable when other pathology in the @entity2045 requires concomitant treatment.

Fractional lengthening of forearm extensors for resistant XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2633 :: ('MESH:D013716', 'Disease') :: ['lateral epicondylitis'] @entity2045 :: ('MESH:D009207', 'Disease') :: ['upper extremity'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity2633 :: (MESH:D013716,Disease) :: ['lateral epicondylitis']
