OBJECTIVE: Initial reports have shown percutaneous sonographically guided needle tenotomy without corticosteroid injection to be effective for the treatment of tennis elbow. The purpose of this study was to determine the effectiveness of this procedure with various tendons throughout the body. METHODS: Fourteen tendons in 13 patients were identified as having a greater than 6-month history of clinical presentation consistent with tendinopathy that had failed treatment with physical therapy. All patients were treated with sonographically guided percutaneous tenotomy using a 22-gauge needle and a local anesthetic. A visual analog scale (VAS) pain score measurement was obtained before the procedure and at 4- and 12-week follow-up appointments. All complications were recorded. RESULTS: The 14 tendons in this study included patellar (5), Achilles (4), proximal gluteus medius (1), proximal iliotibial tract (1), proximal hamstring (1), common extensor elbow (1), and proximal rectus femoris (1). The composite VAS score was significantly lower at both 4 weeks (mean +/- SEM, 2.4 +/- 0.7) and 12 weeks (2.2 +/- 0.7) compared with the baseline (5.8 +/- 0.6; P < .001). No complications or morbidity occurred. CONCLUSIONS: Sonographically guided percutaneous tenotomy of tendinosis was effective in improving patient symptoms without complications. Further investigation with additional patients and comparisons to alternative treatments is needed to validate these preliminary results.
OBJECTIVE: Initial reports have shown percutaneous sonographically guided needle tenotomy without corticosteroid injection to be effective for the treatment of tennis elbow. The purpose of this study was to determine the effectiveness of this procedure with various tendons throughout the body. METHODS: Fourteen tendons in 13 patients were identified as having a greater than 6-month history of clinical presentation consistent with tendinopathy that had failed treatment with physical therapy. All patients were treated with sonographically guided percutaneous tenotomy using a 22-gauge needle and a local anesthetic. A visual analog scale (VAS) pain score measurement was obtained before the procedure and at 4- and 12-week follow-up appointments. All complications were recorded. RESULTS: The 14 tendons in this study included patellar (5), Achilles (4), proximal gluteus medius (1), proximal iliotibial tract (1), proximal hamstring (1), common extensor elbow (1), and proximal rectus femoris (1). The composite VAS score was significantly lower at both 4 weeks (mean +/- SEM, 2.4 +/- 0.7) and 12 weeks (2.2 +/- 0.7) compared with the baseline (5.8 +/- 0.6; P < .001). No complications or morbidity occurred. CONCLUSIONS: Sonographically guided percutaneous tenotomy of tendinosis was effective in improving patient symptoms without complications. Further investigation with additional patients and comparisons to alternative treatments is needed to validate these preliminary results.
Authors: Russell Flato; Giovanni J Passanante; Matthew R Skalski; Dakshesh B Patel; Eric A White; George R Matcuk Journal: Skeletal Radiol Date: 2017-02-25 Impact factor: 2.199
Authors: A Barile; F Bruno; S Mariani; F Arrigoni; A Reginelli; M De Filippo; M Zappia; A Splendiani; E Di Cesare; C Masciocchi Journal: Musculoskelet Surg Date: 2017-02-13
Authors: A Barile; F Bruno; S Mariani; F Arrigoni; L Brunese; M Zappia; A Splendiani; E Di Cesare; C Masciocchi Journal: Musculoskelet Surg Date: 2017-02-14
Authors: Benjamin Dallaudière; Marta Lempicki; Lionel Pesquer; Liliane Louedec; Pierre Marie Preux; Philippe Meyer; Vincent Hummel; Ahmed Larbi; Lydia Deschamps; Clement Journe; Agathe Hess; Alain Silvestre; Paul Sargos; Philippe Loriaut; Patrick Boyer; Elisabeth Schouman-Claeys; Jean Baptiste Michel; Jean Michel Serfaty Journal: Eur Radiol Date: 2013-06-26 Impact factor: 5.315
Authors: Luca Maria Sconfienza; Miraude Adriaensen; Domenico Albano; Maria Pilar Aparisi Gómez; Alberto Bazzocchi; Ian Beggs; Bianca Bignotti; Vito Chianca; Angelo Corazza; Danoob Dalili; Miriam De Dea; Jose Luis Del Cura; Francesco Di Pietto; Eleni Drakonaki; Fernando Facal de Castro; Dimitrios Filippiadis; Jan Gielen; Salvatore Gitto; Harun Gupta; Andrea S Klauser; Radhesh Lalam; Silvia Martin; Carlo Martinoli; Giovanni Mauri; Catherine McCarthy; Eugene McNally; Kalliopi Melaki; Carmelo Messina; Rebeca Mirón Mombiela; Benedikt Neubauer; Marina Obradov; Cyprian Olchowy; Davide Orlandi; Athena Plagou; Raquel Prada Gonzalez; Saulius Rutkauskas; Ziga Snoj; Alberto Stefano Tagliafico; Alexander Talaska; Violeta Vasilevska-Nikodinovska; Jelena Vucetic; David Wilson; Federico Zaottini; Marcello Zappia; Georgina Allen Journal: Eur Radiol Date: 2019-12-16 Impact factor: 5.315
Authors: Corinne N Riggin; Mengcun Chen; Joshua A Gordon; Susan M Schultz; Louis J Soslowsky; Viviane Khoury Journal: J Orthop Res Date: 2019-05-20 Impact factor: 3.494