ArticleClinics in shoulder and elbow2026
Surgical management of recalcitrant lateral epicondylitis: indications, techniques, and outcomes.
Article in Clinics in shoulder and elbow, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Lateral epicondylitis is a common cause of lateral elbow pain. Although most patients improve with nonoperative treatment, a subset develops persistent symptoms requiring surgical intervention. Various surgical techniques-including open and arthroscopic debridement, percutaneous tenotomy, and tendon repair-have been described; however, the optimal surgical strategy remains controversial. This review summarizes current evidence regarding surgical techniques and clinical outcomes, with particular emphasis on the role of tendon repair in patients with high-grade common extensor tendon tears. Overall, surgical treatment yields satisfactory outcomes, with success rates exceeding 80%-90%. Increasing evidence suggests that the severity of tendon tearing plays an important role in surgical decision-making. In particular, tears involving ≥50% of tendon thickness appear to represent a clinically meaningful threshold for considering tendon repair rather than debridement alone.
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