In addressing paratendonitis surgically, some authors advocate a J-shaped incision, starting medial to lateral distal to the Achilles tendon insertion, to turn back the skin for exposure. Others recommend the two-incision (medial and lateral) technique, keeping the skin bridge at least 4 cm wide. We recommend a medial incision. Dissection is carried down to the paratenon, which is freed from the superficial skin and subcutaneous tissue. The paratenon is usually hyperemic, fibrotic, and adherent to the underlying tendon. The affected paratenon is resected, but care is taken not to excise the anterior portion, where the critical blood supply enters the tendon. Complete excision of the paratenon could lead to severe postoperative fibrosis and is not recommended.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.