This protocol addresses procedural intervention for medial epicondylitis, targeting the flexor-pronator group. Multiple surgical and minimally invasive approaches are covered, with a defined postoperative recovery goal.
The protocol covers procedural options directed at the flexor-pronator group — including open surgical and minimally invasive techniques. Specific approach selection, procedural steps, and sequencing are detailed in the full protocol.
Return to full, unrestricted activity by 3–4 months postoperatively.
DOI: 10.1016/j.jorep.2023.100172
Open debridement with reattachment of the FPG is the most common surgical treatment of ME.
While more commonly employed for LE, elbow arthroscopy may be used for ME.
A partial capsulectomy is performed with subsequent debridement and decortication of the FPG until superficial fibers of the anterior band of the UCL become visible.
Percutaneous treatment of ME requires formal experience with ultrasound and the ability to accurately identify healthy tendon versus a hypoechoic tendinopathy.
By 3–4 months, most patients return to full, unrestricted activity.
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