Before we operate on tennis elbow, we first rule out so-called supinator elbow syndrome, as this can occur together with it in some cases.
Supinator ligament syndrome (SLS) is the result of a constriction of a motor branch (posterior interosseous nerve) of the radial nerve (radial nerve) at a muscle arcade (of the supinator muscle).
The disease can lead to symptoms similar to those of tennis elbow.
However, the main pain localization is further away from the body and more towards the middle. The hand surgeon can trigger pain here by applying pressure. If the constriction is severe, extension in the wrist is impaired.
If the forearm is turned outwards or the middle finger is stretched against resistance, we can provoke pain.
If the hand surgery examination reveals severe SLS, surgery to relieve (decompress) the nerve should be considered if conservative treatment fails.
Combination surgery for tennis elbow
This procedure can also be combined well with surgery for tennis elbow.
