Poster 179 Ultrasound Guided Percutaneous Tenotomy for Refractory Lateral Epicondylitis

Barayeva, Diana; Edelstein, Yudell; Stickevers, Susan M.

doi:10.1016/j.pmrj.2016.07.219

Cited by 1 publication

(2 citation statements)

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“…10 Recent meta-analysis found that ultrasound-guided lavage was more effective than extracorporeal shockwave treatment or a corticosteroid injection with clinically important effect in the short term, but questionable long term results. 9 Complications from calcific tendinopathy can include pain, adhesive capsulitis, rotator cuff tears, greater tuberosity osteolysis and ossifying tendinitis as outlined in the review by Merolla et al 11 Ultrasonic tenotomy and debridement of tendinopathy across multiple tendons in the body is a novel treatment option that has been previously shown to be an effective treatment option for the common extensor tendon of the elbow, [12][13][14][15] Achilles tendon, 16,17 patellar tendon, 18 gluteal tendon 19 and biceps tendon 20 among other areas. 21,22 A common device used, manufactured by Tenex (Tenex Health, Lake Forest, CA) utilizes ultrasonic energy to debride and aspirate pathologic tendon tissue.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonic tenotomy and debridement of tendinopathy across multiple tendons in the body is a novel treatment option that has been previously shown to be an effective treatment option for the common extensor tendon of the elbow, 12 - 15 Achilles tendon, 16 , 17 patellar tendon, 18 gluteal tendon 19 and biceps tendon 20 among other areas. 21 , 22 A common device used, manufactured by Tenex ( Tenex Health, Lake Forest, CA ) utilizes ultrasonic energy to debride and aspirate pathologic tendon tissue.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonic Tenotomy and Debridement for Calcific Tendinopathy of the Shoulder: A Pilot Case Series

Erickson

Jagim

2020

J Prim Care Community Health

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Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain and debility. Minimally invasive treatment options have been employed for management; however, ultrasonic tenotomy has not been previously described for management of calcific tendinopathy of the shoulder. The purpose of the current case series was to provide preliminary evidence in support of a novel treatment modality for calcific tendinopathy of the rotator cuff. This descriptive pilot case series included a total of 8 patients with calcific tendinopathy of the supraspinatus that underwent ultrasound-guided ultrasonic debridement in the sports medicine clinic. All procedures were performed by the same physician (JLE). All patients had confirmation of the diagnosis with MRI and ultrasound imaging. Pain was measured pre-procedure and followed until 3-months post-procedure. Very large, statistically significant, reductions (P < .01) in pain scores were observed at 1 (ES = 1.93), 2 (ES = 1.84) and 3 (ES = 2.20) months post-procedure, respectively. All patients experienced a significant reduction in pain scores, regardless of hardness of the calcium deposit, at 1 month post-procedure with pain scores remaining lower than at baseline at 2 and 3 months post-procedure. No adverse events were noted in any patients. Ultrasonic tenotomy and debridement appears to be a safe and effective treatment option for patients with calcific tendinopathy of the supraspinatus.

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