For a rapid return to work and to maintain original grip strength, I conceived a simple technique using the index finger or the little finger to perfrom a careful and blunt adhesiolysis that was successfully used in a series of 7 patients. A curved incision is made on the epicondylar skin and fascia. Since adhesions form when inflammation occurs, the surgeon's finger is introduced and maneuvered all along the epicondyle to remove all the painful adhesions (Figure). Postoperatively, a few days of nonsteroidal anti-inflammatory drug therapy is strongly recommended. Simple fascia and skin sutures permit the patient to move the operated arm immediately, with good recovery.
展开▼
