TENNIS ELBOW - TREATMENT OF RESISTANT CASES BY DENERVATION

Anatomical and clinical research has shown that the entire lateral epi condylar region is innervated only by radial nerve branches. Based on these investigations we have developed a surgical procedure for comple te denervation which is indicated only in resistant cases of tennis el bow. Only one nerve pathway calls for careful exposure, otherwise dene rvation is accomplished blindly by disinsertion of certain muscles. Th e result of this procedure also depends on simultaneous indirect decom pression of the posterior interosseous nerve. Excellent or good result s were obtained in 90% on average. Results of denervation did not impr ove by additional direct radial nerve release.