In summary, several series report good to excellent results with either open or arthroscopic surgical release in a small number of patients who have had failed conservative treatment. Specific protocols of management of the condition seem to vary and depend upon prevalence in the population and the constraints of the waiting list. Surgery should be in the armamentarium of orthopaedic surgeons, but there is limited evidence to show that it will truly change the natural course of this disabling condition.
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Chambler et al. (2003) studied this question.
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