외측 상과염 환자들에게서 Topaz 미세 절제술의 사전 임상 결과Preliminary Clinical Results of Topaz Microdebridement Procedure in Lateral Epicondylitis Patients
- Other Titles
- Preliminary Clinical Results of Topaz Microdebridement Procedure in Lateral Epicondylitis Patients
- Authors
- 홍성우; 박용복; 박지용; 유재철
- Issue Date
- 2017
- Publisher
- 대한스포츠의학회
- Keywords
- Microtenotomy; Tennis elbow; Visual analogue Pain Scale; 테니스 엘보우; 외측 상과염; 미세 절제술; 혈관섬유모세포성 건병증; 시각통증등급
- Citation
- 대한스포츠의학회지, v.35, no.3, pp.155 - 161
- Journal Title
- 대한스포츠의학회지
- Volume
- 35
- Number
- 3
- Start Page
- 155
- End Page
- 161
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7994
- DOI
- 10.5763/kjsm.2017.35.3.155
- ISSN
- 1226-3729
- Abstract
- The purpose of this study is to clinically evaluate and report the effectiveness of radiofrequency microdebrider (Topaz, ArthroCare) treatment in lateral epicondylitis patients. From March to July 2003, 15 patients of 17 elbows were prospectively followed. Candidate for the treatment were lateral epicondylitis patients who had symptom more than 6 month and failed to respond to conservative treatment, including medication (non-steroidal anti-inflammatory drugs), external gel or patch, and steroid injections. All patient who scored greater than grade 3 (fair) on the Self-administered Roles and Maudsley Pain (SRMP) score were selected for the procedure. All procedure was done using local anesthesia and ArthroCare microdebrider by single surgeon. Postoperative assessments were done on postoperative period 12 month of two previous subjective scores and a simple functional assessment asking better, same, or worst function after the procedure. Mean age of the patients was 45 years old. Mean symptom duration before the procedure was 22.6 months. After the procedure, the mean Pain Visual Analogue Scale improved from 7.3 (range, 5−9; standard deviation [SD], 1.2) preoperatively to 3.7 (range, 0−7; SD, 2.1) postoperatively (p< 0.001). After the procedure, five elbows showed no rating improvement, in seven elbows 1 level improvement, in four elbows 2 level improvement, and in one elbow 3 level improvement. Overall, 71% (12/17) showed improvement after the procedure according to the SRMP score rating. Although 29% (5/17) of the elbow showed no improvement on SRMP score, among them five elbows were still rated decrease in Pain Visual Analogue Scale.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.