OBJECTIVE: To report the retrospective results of ultrasound-guided needle fenestration for the treatment of recalcitrant patellar tendinopathy. DESIGN: Retrospective follow-up study. SETTING: University outpatient sports medicine clinic. PATIENTS: Forty-seven patellar tendons in 32 patients (26 men and 6 women; mean age, 26 years) with recalcitrant patellar tendinopathy. Diagnosis made via history, physical examination, and sonographic examination. INTERVENTION: Ultrasound-guided needle fenestration after failure of conservative management. MAIN OUTCOME MEASURES: Pre-treatment and 4-week clinical follow-up determination of functional activity score. Phone follow-up determination of best achievable level of activity and satisfaction score of the procedure. RESULTS: Average time to follow-up was 45 months. Seventy-two percent of patients reported excellent or good results when questioned regarding return to activity. Twenty-eight percent of patients were unable to return to their desired activity level. Six patients subsequently underwent surgical treatment. One athlete underwent surgery to repair a patellar tendon rupture that occurred 6 weeks after the procedure. Eighty-one percent of patients reported excellent or good satisfaction scores. CONCLUSIONS: Ultrasound-guided needle fenestration warrants further investigation for the treatment of recalcitrant patellar tendinopathy.
OBJECTIVE: To report the retrospective results of ultrasound-guided needle fenestration for the treatment of recalcitrant patellar tendinopathy. DESIGN: Retrospective follow-up study. SETTING: University outpatient sports medicine clinic. PATIENTS: Forty-seven patellar tendons in 32 patients (26 men and 6 women; mean age, 26 years) with recalcitrant patellar tendinopathy. Diagnosis made via history, physical examination, and sonographic examination. INTERVENTION: Ultrasound-guided needle fenestration after failure of conservative management. MAIN OUTCOME MEASURES: Pre-treatment and 4-week clinical follow-up determination of functional activity score. Phone follow-up determination of best achievable level of activity and satisfaction score of the procedure. RESULTS: Average time to follow-up was 45 months. Seventy-two percent of patients reported excellent or good results when questioned regarding return to activity. Twenty-eight percent of patients were unable to return to their desired activity level. Six patients subsequently underwent surgical treatment. One athlete underwent surgery to repair a patellar tendon rupture that occurred 6 weeks after the procedure. Eighty-one percent of patients reported excellent or good satisfaction scores. CONCLUSIONS: Ultrasound-guided needle fenestration warrants further investigation for the treatment of recalcitrant patellar tendinopathy.
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: 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
Authors: Karl F Bowman; Bart Muller; Kellie Middleton; Christian Fink; Christopher D Harner; Freddie H Fu Journal: Knee Surg Sports Traumatol Arthrosc Date: 2013-06-01 Impact factor: 4.342