Surgical treatment of resistant cases of tennis elbow by release of extensor carpi radialis brevis

Fifty three patients with fifty-three elbows suffering from recurrent attacks of tennis elbow due to lateral humeral epicondylitis or tendinitis of the common extensor tendon had been treated surgically by release of the extensor carpi radialis brevis [ECRB] tendon only and excision of the degenerated tissue underneath. Their mean age was thirty-three years [18-26]. The duration of symptoms preoperatively ranged from 13-32 months. The follow up period extended over three years. At operation, there was significant degeneration, fibrosis and sometimes calcification of the ECRB tendon. There was highly significant improvement both objectively and subjectively with no incidence of recurrence

Conservative versus surgical treatment for acute sprain of the lateral ligament of the ankle grade III

Thirty-four patients [34 ankles] with acute injuries of the lateral ligament of the ankle [grade III] within 48 hours were treated by two different lines of treatment. Group A [14 patients] was treated by a primary surgical repair of the torn ligament, followed by below knee cast for four weeks and Group B [20 patients] was treated by applying an immediate below knee walking cast for four weeks. Both groups were subjected to physiotherapy program. The evaluation of the cases included objective and subjective data and the period of the follow up ranged from 6 to 12 months. There was no significant difference between both groups

Open reduction and fixation of proximal humeral fracture and fracture dislocation of the shoulder

Open reduction and internal fixation was employed in the treatment of twenty five displaced fractures and fracture-dislocation of the proximal humerus. Our aims were accurate reduction and stable fixation to allow early mobilization and to achieve fuII functional recovery. In fifteen fractures an AO T-plate was used and in ten a bent semitubular plate was employed as a blade plate. ExceIIent or satisfactory results were obtained in all six patients with two-pan fractures involving the surgical neck, in four of the five patients with three part-fractures involving the surgical neck and tuberosities in nine of the eleven patients with fracture dislocation and in two of the three patients with split fractures of the humeral head. Overall results were good or satisfactory in twenty-one of the twenty five cases. Unsatisfactory results were associated with rotator cuff damage

Treatment of Frieberg's disease by metatarsal shortening

In this study, 23 patients suffering from symptomatizing Frieberg's disease were treated by metatarsal shortening. An excellent relief of pain was obtained in 21 patients. Persistent stiffness of metatarsophalangeal joint [MPJ] occurred in 18 patients. There was no incidence of plate failure, nonunion or deep infection. The procedure was simple and compared with other methods of treatment