Modified Baumgard procedure
Modified Baumgard surgery for the treatment of tennis elbow. Tennis elbow is a common chronic injury to the elbow, which is more common in middle-aged people. There are many explanations for the etiology. Common sacral epicondylitis, ectopic synovitis, calcification of the extensor tendon, sacral nerve branch or forearm lateral cutaneous nerve branch, and the synovial edge of the ankle joint Hypertrophy, radial collateral ligament or annular ligament is stimulated. Because the beginning of the radial flexor tendon is in close contact with the external humerus, ankle joint, and annular ligament, any of these tissues will stimulate the muscle to produce symptoms. Tennis elbow can be cured by non-surgical treatment, including reduction of activity, physical therapy and partial closure. For those who are ineffective in conservative treatment, surgical treatment can be performed for the cause. The purpose of surgical treatment is to eliminate all possible pathological changes, including the removal of the proximal part of the annular ligament, the beginning of the release of the extensor muscle, the removal of the existing synovial sac and the edge of the synovium. Treatment of diseases: traumatic elbow arthritis Indication For the surgical treatment of tennis elbow. Preoperative preparation Prepare routinely before surgery. Surgical procedure Incision Make a 2~2.5cm incision in front of the upper iliac crest. 2. Expose and release the extensor muscle The deep fascia was cut through the incision longitudinally, and the two sides were slightly separated. The starting point of the extensor muscle was cut off with a scalpel on the iliac crest, and the distal part of the iliac crest was released, and the defect of the tendon was touched. until. 3. Close the incision The skin is sutured after the drainage strip is placed in the wound.
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