Arthroscopic Versus Open Management of Lateral Epicondylitis Elbow (Randomized Control Trial)

NCT07648849 — Not applicable, Not yet recruiting, 50 participants, Assiut University

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RegistryNCT07648849
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment50 (Estimated)
SponsorAssiut University (Other)
ConditionsTennis Elbow
InterventionsArthroscopy & saline irrigation, open surgery (Procedure)
Datesstart 2026-06-11 (estimated), primary completion 2027-12-10 (estimated), completion 2028-06-11 (estimated), first posted 2026-06-15, last updated 2026-06-15

Related Papers Related Patents Related Grants Related Experts
All trials for Tennis Elbow All trials of Arthroscopy & saline irrigation All trials of open surgery

-Summary

Arthroscopic Versus Open management of lateral epicondylitis elbow (Randomized Control Trial)

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+Detailed description

Currently, any indication for elbow surgery can also serve as a potential indication for arthroscopic or arthroscopically assisted management, subject to anatomical compatibility. Often, the pro¬cedure can be more effectively carried out using arthroscopy than through an open approach. The arthroscopic management of lateral epicondylitis demands a thorough understanding of the anatomy of the common extensor origin and the lateral ulnar collateral ligament as the important adjacent structure \[1,2\]. At the elbow joint, the extensor carpi radialis longus (ECRL) lies on top of the tendinous portion of the ECRB. When performing an open procedure for lateral epicon¬dylitis, the muscular portion of the ECRL must be exposed to vi¬sualize the tendinous ECRB. The arthroscopic approach offers an advantage in debriding the ECRB without insulting the integrity of the ECRL. The diamond-shaped footprint of ECRB is located just distal to the lateral epicondyle\[3\]

+Arms and interventions

ArmTypeInterventionsDescription
Arthroscopic ReleaseActive comparatorProcedure: Arthroscopy & saline irrigationCases with arthroscopic release
open surgical releaseActive comparatorProcedure: open surgerycases with open surgical release
  • Arthroscopy & saline irrigation (Procedure): release of lateral epicondylitis using arthroscope
  • open surgery (Procedure): open surgical release

+Outcome measures

Primary outcomes

  • postoperative elbow pain [6 months postoperative]: pain measured according to numeric rating scale (NRS)

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* tennis elbow not responding to conservative measures (more than 6 months) adult population (more than 18 years)

Exclusion Criteria:

* Degenerative changes of the elbow (as inflammatory diseases) Previously operated cases Disorganized anatomy of the joint (as in posttraumatic cases) neurovascular compromise of the upper limb

+Publications

  • Ahmed AF, Rayyan R, Zikria BA, Salameh M. Lateral epicondylitis of the elbow: an up-to-date review of management. Eur J Orthop Surg Traumatol. 2023 Feb;33(2):201-206. doi: 10.1007/s00590-021-03181-z. Epub 2022 Jan 15. PMID 35031850
  • Dodson CC, Nho SJ, Williams RJ 3rd, Altchek DW. Elbow arthroscopy. J Am Acad Orthop Surg. 2008 Oct;16(10):574-85. doi: 10.5435/00124635-200810000-00003. PMID 18832601