Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow

@article{Mcshane2006SonographicallyGP,
  title={Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow},
  author={John M. Mcshane and Levon N Nazarian and Marc I. Harwood},
  journal={Journal of Ultrasound in Medicine},
  year={2006},
  volume={25}
}
Objective. Chronic tendinosis of the common extensor tendon of the lateral elbow can be a difficult problem to treat. We report our experience with sonographically guided percutaneous needle tenotomy to relieve pain and improve function in patients with this condition. Methods. We performed sonographically guided percutaneous needle tenotomy on 58 consecutive patients who had persistent pain and disability resulting from common extensor tendinosis. Under a local anesthetic and sonographic… Expand

Paper Mentions

Interventional Clinical Trial
Tendinopathy is a clinical syndrome of chronic pain and tendon degeneration that impairs a person's ability to perform daily activities and recreation. Traditional conservative… Expand
ConditionsChronic Tendinopathy
InterventionProcedure
Sonographically Guided Percutaneous Needle Tenotomy for Treatment of Common Extensor Tendinosis in the Elbow
  • J. Mcshane, V. Shah, L. Nazarian
  • Medicine
  • Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • 2008
TLDR
Sonographically guided percutaneous needle tenotomy for refractory lateral elbow tendinosis is an effective procedure, and subsequent corticosteroid injection is not necessary. Expand
Sonographically Guided Percutaneous Needle Tenotomy for the Treatment of Chronic Tendinosis
TLDR
Sonographically guided percutaneous tenotomy of tendinosis was effective in improving patient symptoms without complications, and comparisons to alternative treatments is needed to validate these preliminary results. Expand
Percutaneous ultrasonic tenotomy for chronic elbow tendinosis: a prospective study.
TLDR
Percutaneous ultrasonic tenotomy performed under local anesthesia appears to be a safe and effective treatment option for chronic, refractory lateral or medial elbow tendinopathy up to 1 year after the procedure. Expand
Ultrasound-guided tenotomy improves physical function and decreases pain for tendinopathies of the elbow: a retrospective review.
TLDR
Benefits of USGT for elbow tendinopathy include pain relief, improved physical function, and high patient satisfaction, and quality-of-life assessments showed significant improvement in physical function at short- and long-term follow-up. Expand
Fasciotomy and Surgical Tenotomy for Recalcitrant Lateral Elbow Tendinopathy
TLDR
Ulasonic microresection of diseased tissue with the TX1 device provides a focally directed, safe, specific, minimally invasive, and well-tolerated treatment for recalcitrant lateral elbow tendinopathy in an office-based or ambulatory surgical setting with good evidence of some level of efficacy in 19 of 20 patients (95%) that is sustained for at least 1 year. Expand
Percutaneous Needle Tenotomy for the Treatment of Muscle and Tendon Contractures in Adults With Brain Damage: Results and Complications.
TLDR
Percutaneous needle tenotomy yields good results in the management of selected superficial muscle and tendon contractures, and this treatment can be an alternative to conventional surgery in frail patients with neurologic diseases. Expand
Ultrasound-guided percutaneous needle tenotomy using Tenex system for refractory lateral epicondylitis; short and long-term effectiveness and contributing factors
TLDR
USPNT with Tenex significantly improves symptoms and function in individuals with LE even with long-term follow-up for 3 years, and a significant association between treatment response and post-procedure physical therapy (PT) was present. Expand
Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy
TLDR
Minimally invasive percutaneous ultrasonic tenotomy provided sustained pain relief and functional improvement for recalcitrant tennis elbow at 3-year follow-up and is one of the few procedures to demonstrate positive sonographic evidence of tissue-healing response. Expand
The Role of Needle Fenestration with Platelet-Rich Plasma in Chronic Tennis Elbow with Indication of Partial Extensor Tendon Tear
TLDR
Tendon fenestration is safe and effective in 75% of patients who failed conservative treatment for ECRB tendinosis, and the presence of a partial E CRB tear is an indicator that fenESTration alone was not as effective as a PRP injection with fENestration. Expand
Lengthening of knee flexor muscles by percutaneous needle tenotomy: Description of the technique and preliminary results
TLDR
Needle tenotomy was well tolerated and yielded a significant increase in ROM with no unwanted effects, and this technique could be used in an ambulatory care setting or within institutions for severely disabled individuals. Expand
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