Ryan Mattie1, Joseph Wong2, Zachary McCormick3, Sloane Yu4, Mikhail Saltychev5, Katri Laimi6. 1. Division of PM&R, Department of Orthopedic Surgery, Stanford University, Redwood City, CA; Stanford University Hospital & Clinics, 450 Broadway Street, Pavilion C, MC 6342, Redwood City, CA 94063(∗). Electronic address: rmattie@stanford.edu. 2. Division of PM&R, Department of Orthopedic Surgery, Stanford University, Redwood City, CA(†). 3. Department of Orthopaedic Surgery, University of California at San Francisco, San Francisco, CA(‡). 4. Division of PM&R, Department of Orthopedic Surgery, Stanford University, Redwood City, CA(§). 5. Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland(‖). 6. Department of Physical and Rehabilitation Medicine, Turku University Hospital and University of Turku, Turku, Finland(¶).
Abstract
OBJECTIVE: To analyze the literature to determine whether controlled studies on percutaneous tenotomy have been published, and if so, to systematically assess the efficacy of percutaneous tenotomy for the treatment of tendinosis at the lateral epicondyle of the elbow. DESIGN: Systematic review of the available literature. METHODS: Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE, CINAHL, and Web of Science databases were searched in November 2015, unrestricted by date. After the initial search, we excluded conference proceedings, theses, reviews, expert opinions, and publications written in languages other than English. Next, 2 independent reviewers screened all of the remaining records with regard to their titles and abstracts, and subsequently, the full texts of identified publications potentially relevant to the present study. RESULTS: Six articles focused on percutaneous tenotomy, none of which were controlled against a placebo or conservative treatment group. The absence of true randomized controlled trials created a great deal of heterogeneity between the studies; thus we could not include any of our studies in the intended final quantitative analysis with meta-analysis tools. We describe all 6 studies identified by this systematic review with a detailed analysis of the procedural methods, outcome measures, and conclusions of each study. CONCLUSIONS: Percutaneous tenotomy presents an alternative to surgical release of the common extensor tendon for the treatment of chronic tendinosis at the lateral epicondyle of the elbow. Current research supporting the efficacy of this procedure, however, is of low quality (level II to level IV). LEVEL OF EVIDENCE: III.
OBJECTIVE: To analyze the literature to determine whether controlled studies on percutaneous tenotomy have been published, and if so, to systematically assess the efficacy of percutaneous tenotomy for the treatment of tendinosis at the lateral epicondyle of the elbow. DESIGN: Systematic review of the available literature. METHODS: Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE, CINAHL, and Web of Science databases were searched in November 2015, unrestricted by date. After the initial search, we excluded conference proceedings, theses, reviews, expert opinions, and publications written in languages other than English. Next, 2 independent reviewers screened all of the remaining records with regard to their titles and abstracts, and subsequently, the full texts of identified publications potentially relevant to the present study. RESULTS: Six articles focused on percutaneous tenotomy, none of which were controlled against a placebo or conservative treatment group. The absence of true randomized controlled trials created a great deal of heterogeneity between the studies; thus we could not include any of our studies in the intended final quantitative analysis with meta-analysis tools. We describe all 6 studies identified by this systematic review with a detailed analysis of the procedural methods, outcome measures, and conclusions of each study. CONCLUSIONS: Percutaneous tenotomy presents an alternative to surgical release of the common extensor tendon for the treatment of chronic tendinosis at the lateral epicondyle of the elbow. Current research supporting the efficacy of this procedure, however, is of low quality (level II to level IV). LEVEL OF EVIDENCE: III.
Authors: Michael P Gaspar; Michael A Motto; Sarah Lewis; Sidney M Jacoby; Randall W Culp; A Lee Osterman; Patrick M Kane Journal: Orthop J Sports Med Date: 2017-12-06
Authors: Joana Martins; Igor S Neto; Ana F Gonçalves; Adriana Pereira; Mariana Santiago; Inês Ferro; Tiago Lopes; José Luís Carvalho Journal: Cureus Date: 2022-02-21