The Surgery of Medial Epicondylitis (Golfer's Elbow), an Overview

Abstract

Golfer's elbow, also known as medial epicondylitis, is a common disease. When doing activities that include wrist flexion and forearm pronation, repetitive forced wrist extension and forearm supination can lead to flexor-pronator tendon degeneration. An ongoing pathologic process in the tendon can lead to structural failure, irreversible fibrosis, or calcification. The most common complaint from patients is chronic, medial-sided elbow pain that gets worse with everyday activity. During the late cocking or early acceleration stages of the throwing action, athletes may have symptoms that are particularly severe. Injections of corticosteroids, activity modification, and NSAIDs are all examples of nonsurgical supportive therapy. After the acute symptoms have subsided, attention is directed toward injury prevention and flexor-pronator mass rehabilitation. Patients with severe symptoms are often the only ones who receive open surgical procedures. Hence the study aimed to summarize and explain the evidences regarding surgical management of medial epicondylitis (golfer’s elbow).