ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Arthroscopic R-LCL plication for symptomatic minor instability of the lateral elbow (SMILE).
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy evaluation of acupuncture combined with manipulation for lateral epicondylitis: a meta-analysis.Frontiers in medicine · 2026Pooled it
- Effectiveness of extracorporeal shock wave therapy in patients with tennis elbow: A meta-analysis of randomized controlled trials.Medicine · 2020Pooled it
- It's time to change perspective! New diagnostic tools for lateral elbow pain.Musculoskeletal surgery · 2017Trial
- Medial coronoid prominence and lateral elbow pain: the medial hinge.JSES reviews, reports, and techniques · 2026Article
- Reliability of magnetic resonance imaging findings in symptomatic minor instability of the lateral elbow: A cross-specialty evaluation.Journal of experimental orthopaedics · 2026Article
- Elbow Microinstability: From the State of the Art to an Integrated Clinical Approach.Journal of clinical medicine · 2025Article
- Anatomical considerations, diagnosis, and treatment of medial and posterolateral elbow rotatory instability in athletes: an arthroscopic perspective and literature review.International orthopaedics · 2025Review
- Arthroscopic Plication of the Anterior Portion of the Annular Ligament for Lateral Elbow Instability.Arthroscopy techniques · 2025Article
- Arthroscopic Imbrication of the Anterior Bundle of the Elbow Medial Collateral Ligament With a 70° Arthroscope (MI70 Procedure).Arthroscopy techniques · 2025Article
- Can a single question replace patient-reported outcomes in the follow-up of elbow arthroplasty? A validation study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Semiquantitative index of symptomatic minor instability of the lateral elbow at CT arthrography (SMILE index): clinical applicability and reproducibility study.European radiology · 2024Article
- Arthroscopic Techniques to Recognize and Quantify Subtle Medial and Lateral Elbow Instability.Arthroscopy techniques · 2023Article
- Arthroscopic Modified Elbow Lateral Collateral Ligament Imbrication: An Operative Technique.Arthroscopy techniques · 2023Article
- Clinical Outcomes of Arthroscopic Debridement for Lateral Epicondylitis with Partial Injury of the Lateral Collateral Ligament Complex.Clinics in orthopedic surgery · 2022Article
- Tenodesis with bone marrow venting under local anesthesia for recalcitrant lateral epicondylitis: results of 2 years of follow-up.JSES international · 2022Article
- Ultrasound evaluation shows increase in laxity after partial common extensor origin detachment but not after additional lesion of the radial band of the lateral collateral ligament.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Ultrasonographic Measurement of Elbow Varus Laxity With a Sequential Injury Model of the Lateral Collateral Ligament-Capsular Complex.Orthopaedic journal of sports medicine · 2021Article
- Persistent joint pain and arm function in former baseball players.JSES international · 2021Article
- Arthroscopic Modified Bosworth Procedure for Refractory Lateral Elbow Pain With Radiocapitellar Joint Snapping.Orthopaedic journal of sports medicine · 2020Article
- Dual reconstruction of lateral collateral ligament is safe and effective in treating posterolateral rotatory instability of the elbow.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMinor instability has been proposed as a possible aetiology of lateral elbow pain. This study presents the results of the arthroscopic plication of the radial component of the lateral collateral ligament (R-LCL) to reduce minor instability of the lateral elbow.
methodsTwenty-seven patients with recalcitrant lateral epicondylitis who had failed conservative therapy and who had no previous trauma or overt instability, were included. R-LCL plication was performed in the presence of at least one sign of lateral ligamentous patholaxity and one intra-articular abnormal finding. Single-assessment numeric evaluation (SANE), Oxford Elbow Score (OES), quickDASH (Disabilities of the Arm, Shoulder, Hand), patient satisfaction and post-operative range of motion were evaluated.
resultsSANE improved from a median of 30 [2-40] points pre-operatively to 90 [80-100] at final follow-up (p < 0.0001), and 96.3% patients obtained good or excellent subjective results. Post-operative median quickDASH was 9.1 [0-25] points and OES 42 [34-48]. Median post-operative flexion was 145°, and extension was 0°. Post-operative flexion was restrained in seven patients and extension in eight patients; 59% of patients reached full ROM at final follow-up.
conclusionsR-LCL plication produces subjective satisfaction and positive clinical results in patients presenting with a symptomatic minor instability of the lateral elbow (SMILE) at 2-year median follow-up. A slight limitation in range of motion is a possible undesired consequence of this intervention. LEVEL OF EVIDENCE: Retrospective case series, Level IV.
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