medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2013, Number 1

<< Back Next >>

Acta Med 2013; 11 (1)

Laparoscopist surgeon epicondylitis

Domínguez-Gasca LG, Gálvez-Valdovinos R, Domínguez-Carrillo LG

Language: Spanish
References: 54
Page: 10-16
PDF size: 129.47 Kb.


ABSTRACT

Objectives: To determine the incidence and risk factors associated with epicondylitis in laparoscopic surgeons over a period of nine years at Hospital Ángeles León. Material and methods: Survey applied to surgeons of the institution. Results: Eleven male surgeons, average age 46.4 years and range of 31 to 62 years, 8 of them perform laparoscopic surgery, surgeries with average of 3 per week, with average operating times of 65 minutes, 81.8% (n = 9) have presented epicondylitis of elbow with left location in 8 cases (72.7%), only one case in his right elbow (9%), recurrence in one case (9%) being older, average duration of symptoms of 3.5 months and variation of 1.5 to 7 months, presenting partial work disability for at least 60 days in 5 cases (45.4%), currently all are asymptomatic (except the surgeon who goes to rehabilitation). Conclusions: The incidence of left elbow epicondylitis in laparoscopic surgeons of the institution is high (72%), increasing risk with age, number of surgeries and prolonged surgical times.


REFERENCES

  1. Berguer R, Remler M, Beckley D. Laparoscopic instruments cause increased forearm fatigue: a subjective comparison of open and laparoscopic techniques. Minim Invasive Ther Allied Technol 1977; 6: 36-40.

  2. Lasky MD, Melgoza OC, Benbassat PM, Rescala BE, Dorenbaum FA, Greenspun MM. Autoiatrogenia en el cirujano. Rev Mex Cir End 2003; 4: 199-203.

  3. Kaux JF, Le Goff C, Forthmme B, Crielard JM, Croiser JL. Current opinions on tendinopathy. JSSM 2011; 2: 238-253.

  4. Hegmann KT et al., eds. Occupational medicine practice guidelines. Evaluation and management of common health problems and functional recovery in workers. 3rd ed. Elk Grove Village (IL): American College of Occupational and Environmental Medicine (ACOEM); 2011.

  5. Pacheco GA, Noriega MS, Maldonado MA. Diagnóstico ergonómico de la tecnología de laparoscopia en los principales hospitales de las ciudades de Chihuahua y Cd. Juárez. Sociedad de Ergonomistas de México, A.C. Universidad Autónoma de Nuevo León. Memorias del VII Congreso Internacional 3 al 5 de noviembre del 2005 de Ergonomía: 83-92.

  6. Sharma P, Maffulli N. Tendon injury and tendinopathy: healing and repair. J Bone Joint Surg Am 2005; 87: 187-202.

  7. Faro F, Wolf JM. Lateral epicondylitis: review and current concepts. J Hand Surg [Am] 2007; 32: 1271-1279.

  8. Bunata RE, Brown DS, Capelo R. Anatomic factors related to the cause of tennis elbow. J Bone Joint Surg Am 2007; 89: 1955-1963.

  9. Wilson JJ, Best TM. Common overuse tendon problems: a review and recommendations for treatment. Am Fam Physician 2005; 72: 811-818.

  10. Velasco PG, Castañeda LG, Lasky D, Castañeda P. Lesiones del cirujano en laparoscopia. Ann Med 1999; 44: 31-35.

  11. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg 2008; 16: 19-29.

  12. De Smedt T, de Jong A, Van Leemput W, Lieven D, Van Glabbeek F. Lateral epicondylitis in tennis: update on etiology, biomechanics and treatment. Br J Sports Med 2007; 41: 816-819.

  13. Cyriax JH. The pathology and treatment of tennis elbow. J Bone Joint Surg 1936; 18: 921-940.

  14. Fu SC, Rolf C, Cheuk YC, Lui PP, Chan KM. Deciphering the pathogenesis of tendinopathy: a three-stages process. SMARTT 2010; 2: 30.

  15. Nirschl RP. Tennis injuries. In: The upper extremity in sport medicine. 1995: 789-803.

  16. Stephens MB, Beutler AI, O’Connor FG. Musculoskeletal injections: a review of the evidence. Am Fam Physician 2008; 78: 971-976.

  17. Corps AN et al. Ciprofloxacin enhances the stimulation of matrix metalloproteinase 3 expression by interleukin-1beta in human tendon-derived cells. A potential mechanism of fluoroquinolone-induced tendinopathy. Arthritis Rheum 2002; 46: 3034-3040.

  18. Pasternak B et al. Doxycycline impairs tendon repair in rats. Acta Orthop Belg 2006; 72: 756-760.

  19. Riley GP et al. Matrix metalloproteinase activities and their relationship with collagen remodelling in tendon pathology. Matrix Biol 2002; 21: 185-195.

  20. Green S, Buchbinder R, Barnsley L et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev 2002; CD003686.

  21. Khan MH et al. Repeated exposure of tendon to prostaglandin-E2 leads to localized tendon degeneration. Clin J Sport Med 2005; 15: 27-33.

  22. Lavagnino M et al. Isolated fibrillar damage in tendons stimulates local collagenase mRNA expression and protein synthesis. J Biomech 2005; 39: 2355-2362.

  23. Abate M, Gravare SK, Siljeholm C, Di Iorio A, De Amicis D, Salini V, el al. Pathogenesis of tendinopathies: inflammation or degeneration? Arthritis Research & Therapy 2009; 11: 235-237.

  24. Rees SG et al. Catabolism of aggrecan, decorin and biglycan in tendon. Biochem J 2000; 350: 181-188.

  25. Lavagnino M, Arnoczky SP. In vitro alterations in cytoskeletal tensional homeostasis control gene expression in tendon cells. J Orthop Res 2005; 23: 1211-1218.

  26. Mills GP. The treatment of “tennis elbow”. Br Med J 1928; 1(3496):12-3.

  27. American College of Radiology. Appropriateness Criteria® chronic elbow pain. National Guideline Clearinghouse. [Accessed: May 15, 2009] Available in: http://guideline.gov/summary/summary.aspx?doc_id=8273.

  28. Levin D, Nazarian LN, Miller TT, O’Kane PL, Feld RI, Parker L et al. Lateral epicondylitis of the elbow: US findings. Radiology 2005; 237: 230-234.

  29. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am 1999; 81: 259-278.

  30. Rajeev A, Pooley J. Lateral compartment cartilage changes and lateral elbow pain. Acta Orthop Belg 2009; 75: 37-40.

  31. Alfredson H et al. In vivo microdialysis and immunohistochemical analyses of tendon tissue demonstrated high amounts of free glutamate and glutamate NMDAR1 receptors, but no signs of inflammation, in Jumper’s knee. J Orthop Res 2001; 19: 881-886.

  32. Struijs PA, Smidt N, Arola H et al. Orthotic devices for the treatment of tennis elbow. Cochrane Database Syst Rev 2002; CD001821.

  33. Jafarian FS, Demneh ES, Tyson SF. The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis. J Orthop Sports Phys Ther 2009; 39: 484-489.

  34. Borkholder CD, Hill VA, Fess EE. The efficacy of splinting for lateral epicondylitis: a systematic review. J Hand Ther 2004; 17: 181-199.

  35. Altan L, Kanat E. Conservative treatment of lateral epicondylitis: comparison of two different orthotic devices. Clin Rheumatol 2008; 27(8): 1015-1019.

  36. Smidt N, van der Windt DA, Assendelft WJ et al. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomized controlled trial. Lancet 2002; 359: 657-662.

  37. Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis. J Hand Surg [Am] 2003; 28: 272-278.

  38. Torp-Pedersen TE, Torp-Pedersen ST, Qvistgaard E, Bliddal H. Effect of glucocorticosteroid injections in tennis elbow verified on colour Doppler ultrasonography: evidence of inflammation. Br J Sports Med 2008; 42: 978-982.

  39. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 2006; 34: 1774-1778.

  40. Bjordal JM, Lopes-Martins RA, Joensen J, Couppe C, Ljunggren AE, Stergioulas A et al. A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow). BMC Musculoskelet Disord 2008; 9: 75-83.

  41. D’Vaz AP et al. Pulsed low-intensity ultrasound therapy for chronic lateral epicondylitis: a randomized controlled trial. Rheumatology (Oxford) 2006; 45: 566-570.

  42. Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med 2005; 39: 411-422.

  43. Rompe JD et al. Eccentric loading, shockwave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial. Am J Sports Med 2007; 35: 374-383.

  44. Murrell GA et al. Modulation of tendon healing by nitric oxide. Inflamm Res 1997; 46: 19-27.

  45. Burssens P et al. Exogenously administered substance P and neutral endopeptidase inhibitors stimulate fibroblast proliferation, angiogenesis and collagen organization during Achilles tendon healing. Foot Ankle Int 2005; 26: 832-839.

  46. Awad HA et al. In vitro characterization of mesenchymal stem cell-seeded collagen scaffolds for tendon repair: effects of initial seeding density on contraction kinetics. J Biomed Mater Res 2000; 51: 233-240.

  47. Placzek R, Drescher W, Deuretzbacher G, Hempfing A, Meiss AL. Treatment of chronic radial epicondylitis with botulinum toxin A. A double-blind, placebo-controlled, randomized multicenter study. J Bone Joint Surg Am 2007; 89: 255-260.

  48. Calfee RP, Patel A, DaSilva MF, Akelman E. Management of lateral epicondylitis: current concepts. J Am Acad Orthop Surg 2008; 16: 19-29.

  49. Smidt N, Assendelft WJ, Arola H et al. Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 2003; 35: 51-62.

  50. Assendelft W, Green S, Buchbinder R, Struijs P, Smidt N. Tennis elbow. Clin Evid 2004; (11): 1633-1644.

  51. Baker CL Jr, Baker CL 3rd. Long-term follow-up of arthroscopic treatment of lateral epicondylitis. Am J Sports Med 2008; 36: 254-260.

  52. Baker CL Jr, Murphy KP, Gottlob CA. Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Shoulder Elbow Surg 2000; 9: 475-482.

  53. Grewal R, MacDermid JC, Shah P, King GJ. Functional outcome of arthroscopic extensor carpi radialis brevis tendon release in chronic lateral epicondylitis. J Hand Surg [Am] 2009; 34: 849-857.

  54. Dunn JH, Kim JJ, Davis L, Nirschl RP. Ten- to 14-year follow-up of the Nirschl surgical technique for lateral epicondylitis. Am J Sports Med 2008; 36: 261-266.




2020     |     www.medigraphic.com