1 Orthopedic Surgery Department, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran

2 Hamadan University of Medical Sciences, Hamedan, Iran

3 Hamedan University of Medical Sciences, Hamedan, Iran


Background: An effective treatment for the elbow’s recalcitrant lateral epicondylitis is arthroscopic surgery. This study evaluated the midterm results of treating recalcitrant lateral epicondylitis with arthroscopic surgery.

Materials and Methods: Forty people with recalcitrant lateral epicondylitis who had been prepared for arthroscopic surgery on their elbows participated in this study. The elbow function was evaluated using the quick disabilities of arm, shoulder and hand (Quick DASH) score. Pain intensity was evaluated before and after the surgery by visual analog scale. Grip and pinch strengths were evaluated by a dynamometer.

Results: The participants’ mean of age was 42.9 years old. Average of follow-up time was 42 months. Mean of visual analog scales (pain intensities) were 7.05 and 3.20 before and after the surgery (p = 0.001). Quick DASH score decreased from 63.18 to 25.68 from before to after the surgery (p = 0.001). Means of the operated and non-operated sides’ grip and pinch strengths were not significantly different after the surgery.

Conclusion: Arthroscopic surgery seems to be an effective method with few complications in patients suffering from an elbow’s recalcitrant lateral epicondylitis in midterm follow-up.