Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (3): 8-13.doi: 10.6040/j.issn.1671-7554.0.2024.1145

• Clinical Diagnosis and Treatment in Orthopedics • Previous Articles    

Clinical effect of arthroscopic extensor carpi radialis brevis release combined with platelet-rich plasma in treatment of Lateral epicondylitis of the humerus

HUANG Zishuai1,2, ZHANG Shuang1,2, WANG Jianxu1,2, YANG Guang2, WANG Jian2, FENG Haotian2   

  1. 1. Shandong First Medical University, Jinan 250117, Shandong, China;
    2. Department of Orthopaedics, Shandong Provincial Hospital affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2025-04-08

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Abstract: Objective To investigate the clinical efficacy and safety of combining arthroscopic extensor carpi radialis brevis(ECRB)tendon release with platelet-rich plasma(PRP)injection for the treatment of chronic lateral epicondylitis. Methods This study retrospectively analysed the clinical data of 20 patients diagnosed with chronic humeral epicondylitis, who were admitted to the Department of Orthopaedics, Provincial Hospital Affiliated to Shandong First Medical University between September 2023 and March 2024. Based on the results of doctor-patient communication, 10 cases were treated with arthroscopic ECRB release combined with PRP injection, while the other 10 cases received arthroscopic ECRB release alone.The study compared the visual analogue scale(VAS)scores, MAYO elbow-performance score(MEPS), and american shoulder and elbow surgeons score(ASES-S)both preoperatively and six months postoperatively between the two groups. In addition, the time to return to work and any complications were evaluated. Results The resting VAS score, active VAS score MEPS and ASES-S scores of both groups were significantly improved six months postoperatively(P<0.01). Six months postoperatively, there was no significant difference in static VAS score ［(0.40±0.70)vs.(0.60±0.52), P>0.05］ and dynamic VAS score ［(0.40±0.52)vs.(0.80±0.63), P>0.05］, but MEPS score ［(94.40±0.52)vs.(92.90±0.88), P<0.05］ and ASES-S score ［(90.60±0.70)vs.(89.60±0.84), P<0.05］ in the PRP group were significantly better than those in the release group. No complications, such as infection or vascular and nerve injury, occurred in any patient at the last follow-up. The time to return to work in PRP group was significantly earlier than that in the release group ［(2.52±0.23)weeks vs.(3.08±0.40)weeks, P<0.05］. Conclusion Arthroscopic release of the extensor carpi radialis brevis(ECRB), when combined with platelet-rich plasma(PRP)injection, has been shown to provide satisfactory results in the treatment of chronic lateral epicondylitis. This approach facilitates effective patient recovery, alleviates elbow pain symptoms, improves functional ability, and accelerates the time to return to work.

Key words: Epicondylitis lateralis humeri, Extensor carpi radialis brevis, Arthroscopy, Platelet-rich plasma, Release technique

CLC Number: 

  • R681.7
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