The solution for the treatment-resistant tennis elbow is arthroscopic release and epicondyle debridement.
Tennis elbow (lateral epicondylitis) is the result of the strain that occurs at the attachment of the combined tendon to the bone of the muscles that provide grip strength to the hand and fingers. The scar tissue formed in the healing of bone, tendon and bone tendon junction damage caused by this strain may be the cause of chronic pain.
In non-surgical solutions, measures are taken to transform the scar tissue into normal tissue as much as possible. When these measures were insufficient, the chronic painful process that we call “enthesopathy” started. In the second stage, more invasive methods, steroids, sound waves, mesotherapy, prolotherapy begin to break down the scar tissue. When these treatments are insufficient, the surgical methods used may require the anatomy to be changed without return.
Anatomical structures are preserved in arthroscopic surgery. The knuckle-tendon junction formed directly by the scar tissue is monitored, the excess is removed and the tissues are stimulated so that re-healing and repair will occur.