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Lateral Epicondylitis Debridement

Keenan R. Sobol, BS1; Asif M. Ilyas, MD, MBA, FACS1,2
1 Sidney Kimmel Medical College at Thomas Jefferson University
2 Rothman Institute at Thomas Jefferson University

1. Patient Preparation

  1. Mark Incision
  2. Injection of Local Anesthesia

2. Incision

3. Exposure of Extensor Origin

4. Develop Interval Between ECRL and EDC to Expose ECRB Origin

5. Debridement of ECRB Origin off the Lateral Epicondyle Origin

  1. Confirmation of Complete Debridement and Lateral Elbow Arthrotomy
  2. Decortication of Lateral Epicondyle Extensor Mass Origin

6. Examination of LCL Complex Origin

7. LCL Origin Repair with Suture Anchor and Locking Krackow-Style Stitch Configuration

8. Closure

  1. Close Deep Tendinous Interval
  2. Pants-Over-Vest Closure of Suture Anchor Limbs to Reinforce LCL Complex Repair
  3. Post-op Remarks