Sahu R L, Guptha P. (January 2013) Percutaneous tennis elbow release under local anesthesia: A prospective study. Jour of Med Sc & Tech; 2(1); Page No. 4 – 7. J Med. Sci. Tech. Volume 2. Issue 1 ISSN: 1694-1217 JMST. An open access journal © RA Publications Page4 Journal of Medical Science & Technology Original Article Open Access Percutaneous tennis elbow release under local anesthesia: A prospective study Dr Ramji Lal Sahu 1 , Dr Pratiksha Gupta 2 1. Associate Professor, SMS&RI Sharda University, U.P. India. 2. Associate Professor, Post Graduate Institute of Medical Sciences and research ESIC, New Delhi, India. Abstract: Tennis elbow is a common disorder of upper extremity. Majority of the patients can be treated conservatively but some resistant cases eventually need surgery. The aim of this study is to evaluate the results of percutaneous tennis elbow release under local anesthesia. From July 2005 to July 2010, 52 elbows in 46 patients (12 males and 34 females) were recruited from outpatient department having tennis elbow for more than one year. All patients were operated under local anesthesia. All patients were followed for twelve months. The clinical results were evaluated in terms of pain, activity level and patient satisfaction. Pain relief was achieved on average eight weeks after surgery. The results were excellent in forty patients (86.95%) and good in six patients (26.08%). No wound related complications were encountered. On subjective evaluations, 40 patients reported full satisfaction and 6 patients reported partial satisfaction with the results of treatment. Percutaneous tennis elbow release under local anesthesia is a minimal invasive procedure can be performed in an outpatient setting. This procedure is easy, quicker, less complication with good results and is economical. Key words: Tennis elbow, Percutaneous, Local anesthesia, Minimal invasive procedure. *Corresponding Author: Dr Ramji Lal Sahu, S.M.S and RI, Sharda University, Greater Noida, U.P. India. E.mail: drrlsahu@gmail.com Received: December 20, 2012 Accepted: January 7th 2013. Published on: January 20, 2013. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction: Tennis elbow (lateral epicondylitis) is a common condition in orthopedic practice. The incidence of tennis elbow is from 1 to 3% [1]. The pathology is poorly understood and most structures on the lateral side of the elbow have been implicated. It is usually diagnosed in patients with pain over the radial aspect of the elbow, worsened by repetitive or excessive movements of wrist with the elbow in extension, and aggravated by resistive contraction of wrist extensors [2]. Mechanical overload and repetitive stress on a tendon with a degenerative lesion are known to be the primary causes. Conservative measures using anti-inflammatory drugs, physical therapy, and local steroid injections can be the preferred options in the early stages. However, they produce unsatisfactory outcomes that can lead to chronicity and a pervasiveness of the symptoms in many cases. The diagnosis of tennis elbow is made clinically by means of physical examination and patient history. Other possible causes of lateral elbow pain should be excluded. More than 90% of patients with tennis elbow respond to medical treatment [3]. Surgery is reserved for resistant cases that have failed a minimum six months course of conservative treatment. Numerous surgical procedures have been described for lateral epicondylitis [3, 4, and 5]. In recent years, several studies were reported about the outcomes of percutaneous release of the common extensor origin [6, 7, 8, and 9]. The purpose of this