Efficacy of Ultrasonic Tenotomy and Debridement and Platelet-Rich Plasma Injections for Lateral Elbow Tendinopathy

Rupe, Marshall W.; Fleury, Ignacio Garcia; Glass, Natalie; Kruse, Ryan; Buckwalter V, Joseph A.

doi:10.1016/j.jhsg.2023.04.004

Cited by 5 publications

(4 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7,8,14 In addition, similar findings have been shown for various tendinopathies in both the upper and lower limbs. 13,15–18…”

Section: Discussionmentioning

confidence: 99%

“…7,8,14 In addition, similar findings have been shown for various tendinopathies in both the upper and lower limbs. 13,[15][16][17][18] It is important to consider the results of this study compared with surgical treatment options in the form of endoscopic or open release. The outcomes after surgical release are highly variable in the literature, with as low as only 50% of patients reporting a satisfactory outcome and an average time for complete recovery as long as 7.85 months.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study

Kruse,

Volfson

2024

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

Objective: To evaluate the long-term efficacy and safety of an ultrasonic fasciotomy for plantar fasciopathy. Design: Prospective observational study. Setting: Tertiary care academic medical center. Participants: Patients with chronic plantar fasciopathy refractory to standard, conservative treatments were included in this study. Interventions: Patients underwent ultrasonic fasciotomy of the plantar fascia. Main Outcome Measures: The primary outcome measures were change in visual analog scale at 12 and 52 weeks post-procedure compared with baseline as well as patients' self-reported satisfaction with the procedure. Results: Sixty-seven patients were included. There was a significant improvement in visual analog scale at all follow-up time points, with an average overall improvement of 5.87 (P < 0.0001). 94% of patients reported satisfaction with the outcomes of their procedure at 12 and 52 weeks. No procedural complications were seen. Conclusions: This study demonstrates that an ultrasonic fasciotomy is a safe and effective treatment option for chronic plantar fasciopathy, with continued symptom improvement and a high degree of patient satisfaction up to 52 weeks post-procedure. Clinical Relevance: These findings suggest that an ultrasonic fasciotomy should be considered for patients with chronic plantar fasciopathy refractory to conservative treatments.

show abstract

“…7,8,14 In addition, similar findings have been shown for various tendinopathies in both the upper and lower limbs. 13,15–18…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study

Kruse,

Volfson

2024

Clinical Journal of Sport Medicine

View full text Add to dashboard Cite

show abstract

“…It reduces costs and risks compared to other treatments, such as surgery and platelet-rich plasma (PRP) injections. Open surgical procedures such as tendon debridement introduce more risk, invasiveness, and cost, with patients commonly paying more than $10,000 for the procedure [ 4 ]. PRP injections are an alternative treatment option with promising effectiveness and lower costs and risks than open debridement, but they are also more expensive and are frequently not covered by insurance compared to percutaneous tenotomy [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Open surgical procedures such as tendon debridement introduce more risk, invasiveness, and cost, with patients commonly paying more than $10,000 for the procedure [4]. PRP injections are an alternative treatment option with promising effectiveness and lower costs and risks than open debridement, but they are also more expensive and are frequently not covered by insurance compared to percutaneous tenotomy [4]. The goal of percutaneous tenotomy is to induce an acute inflammatory response in order to recruit clotting and growth factors.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Ultrasound-Guided Percutaneous Tenotomy on Patients’ Pain and Satisfaction Levels

Parry,

Gaschen,

Allen

et al. 2024

Cureus

View full text Add to dashboard Cite

Introduction: Tendinopathy is a common pathology with numerous treatment options. Ultrasound-guided percutaneous tenotomy is a newer procedure to treat chronic tendinopathy. It reduces costs and risks compared to other treatments, such as open surgery and platelet-rich plasma (PRP) injections. The goal of percutaneous tenotomy is to induce an acute inflammatory response that recruits clotting and growth factors, induces bleeding, and transforms scar tissue and diseased tendons into a healing state. Methods: A tenotomy was performed in 57 patients for elbow epicondylitis (13), supraspinatus tendonitis (4), gluteal tendinopathy (34), and patellar tendinopathy (5). The survey was created and sent electronically to all 57 patients, yielding 46 respondents. Each patient was surveyed postoperatively to determine their pain levels on a numeric scale from 1 to 10 prior to and following the procedure. We also asked patients about their satisfaction with the procedure, whether they would recommend it to a friend, and how long it took them to recover completely. Results: Forty-six of 57 patients responded to the survey. The average healing time was 58 days, and no patients required further surgery. Pain scores significantly improved after tenotomies in the shoulder, elbow, and hip. About 74% of patients were completely satisfied with the procedure, and 80% received enough benefit to recommend it to a friend. Conclusions: Ultrasonic tenotomy provides significant relief for tendinopathy in the shoulder, elbow, and hip for the majority of patients. The knee pain scores were not significantly reduced, likely due to the small sample size of four patients. Some patients did not experience complete relief and benefited from a PRP injection after tenotomy. Some patients did not benefit, likely due to additional pathology, arthritis, and referred pain. Some limitations to our study include the lack of a control group and each procedure was performed by the same physician, which limits its generalizability. The survey responses were subjective, and the sample size was variable between each body region. More high-quality research is needed to establish the efficacy of tenotomy between different tendons and compare it to other treatment methods.

show abstract

Minimally invasive needle tenotomy vs. platelet rich plasma injection in the treatment of chronic elbow epicondylitis

Nguyen,

Lee,

Kaufman

et al. 2024

JSES International

View full text Add to dashboard Cite

Efficacy of Ultrasonic Tenotomy and Debridement and Platelet-Rich Plasma Injections for Lateral Elbow Tendinopathy

Cited by 5 publications

References 27 publications

Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study

Ultrasonic Fasciotomy for the Treatment of Chronic Plantar Fasciopathy: A Prospective Study

The Effects of Ultrasound-Guided Percutaneous Tenotomy on Patients’ Pain and Satisfaction Levels

Minimally invasive needle tenotomy vs. platelet rich plasma injection in the treatment of chronic elbow epicondylitis

Contact Info

Product

Resources

About