Percutaneous Tenotomy for Chronic Tennis Elbow: A Minimally Invasive Technique with Better Outcomes – A Case Series

,; Sharma, Vipin; Kumar, Anu; ,; Parashar, Aakash; ,; Rai, Vikramaditya; ,; Kumar, Vipan; ,; Udiwal, Harshita; ,

doi:10.13107/jocr.2024.v14.i02.4242

Cited by 1 publication

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study aims to further the available literature on percutaneous tenotomy and its effectiveness in reducing pain and improving the quality of life in patients. A limited number of studies have shown that this procedure is low-risk and successful in isolated tendons [7], but few studies compare its effectiveness between different body regions. This paper will help establish the safety and efficacy of percutaneous tenotomy by comparing its use with some of the most common pathologic tendons.…”

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

Section: Introductionmentioning

confidence: 99%