Khoảng 90% bệnh nhân với các triệu chứng và dấu hiệu lâm sàng gợi ý của khuỷu tay của tay golf mà không cùng tồn tại cạm bẫy của các dây thần kinh trụ có thể được điều trị thành công bằng cách sử dụng các phương thức không phẫu thuật | 14. Tendinopathies Around the Elbow 133 Management of Golfer s Elbow Approximately 90 of patients with symptoms and clinical findings suggestive of golfer s elbow without coexisting entrapment of the ulnar nerve can be treated successfully using the nonsurgical modalities described for tennis elbow 23 . The main significant complications reported following the injection of corticosteroids are the accidental intraneural injection of the ulnar nerve and the injection of corticosteroid into the ulnar collateral ligament which may result in its rupture and elbow instability. To avoid accidentally injecting the ulnar nerve with steroid corticosteroid injections should administered with the elbow in extension 22 . This precaution takes into account those patients approximately 15 of the population who have naturally occurring anterior subluxation of the ulnar nerve. Surgery is reserved for those patients whose symptoms fail to improve following an adequate nonsurgical regime and for those with ulnar nerve symptoms and signs. Release of the common flexor origin is performed in a similar way to surgical decompression of the lateral aspect of the elbow. In many cases abnormal degenerative changes are found within the common flexor origin situated most commonly between the origins of the pronator teres and the flexor carpi radialis muscles. During this procedure care must be taken not to accidentally divide the ulnar collateral ligament which gives rise to considerable postoperative symptoms and frequently requires surgical reconstruction of the ligament complex. In view of the common association between ulnar nerve entrapment and golfer s elbow decompression of the ulnar nerve is recommended while releasing the common flexor origin. For many surgeons clinical findings or nerve conduction study evidence consistent with ulnar nerve entrapment is an indication for proceeding directly to surgical release of the common flexor origin combined with decompression of the ulnar .
