The Influence of Patient Persona and Affective Framing on Management Recommendations of ChatGPT, Gemini and Claude for Unruptured Intracranial Aneurysms: A Comparative Benchmarking Study.

Chronic epicondylopathy humeri radialis (cEHR) is widely regarded as the most common cause of elbow pain [, , , ]. Typically, it is self-limiting, with most patients becoming asymptomatic within one year of symptom onset [, , , ]. Initial treatment is recommended to be nonoperative, focusing on rest, physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), bracing, and extracorporeal shock wave therapy. Injection therapies, including autologous blood, corticosteroids, or platelet-rich plasma, may also be considered [, , ]. Nevertheless, 4–11% of individuals continue to have symptoms despite thorough conservative management [, ]. In cases of therapy-resistant cEHR, surgical intervention - regardless of the technique employed - typically yields favorable outcomes, particularly in terms of pain relief and patient satisfaction [, , ]. Based on current data, it is not yet possible to make an evidence-based recommendation for a specific surgical procedure [, , ]. The extensor carpi radialis brevis (ECRB) tendon is the primary structure affected in cEHR, primarily due to repetitive stress and overuse []. Histopathological analyses have identified a degenerative process in the ECRB tendon, marked by fiber microtears, angiofibroblastic hyperplasia, fibrosis, disorganized loose collagen, and osseous calcifications. These pathological changes may contribute to the progressive fibrocartilaginous transformation of the ECRB enthesis, weakening the tendon-bone junction and compromising its structural integrity [, , , ]. Those changes may contribute to the failure of conservative treatment. Arthroscopic ECRB debridement has been introduced to be one option for the treatment of cEHR [, ]. It allows a minimal invasive approach to treat chronic epicondylopathia and if necessary, management of additional intra-articular pathology. The arthroscopic approach offers significant advantages over open and percutaneous procedures []. The ability to perform direct visual assessment of stability and integrity of the lateral capsule complex, lower rates of wound healing complications and the favorable cosmetic outcome with smaller skin incisions are among the major advantages of an arthroscopic approach when compared to open techniques [, ].