Ultrasound Percutaneous Tenotomy for Chronic Refractory Epicondylitis

2019 ◽  
pp. 397-404
Author(s):  
Bernard F. Morrey
Keyword(s):  
Percutaneous Tenotomy

Efficacy and Safety of a Percutaneous Tenotomy System for Debridement of Tendinopathic Tissues

2018 ◽  
Vol 28 (3) ◽  
pp. 199-203
Author(s):  
Andrew K. Wong ◽  
Pooja N. Swami ◽  
Timothy F. Reed ◽  
Adam Bitterman ◽  
Daniel A. Grande
Keyword(s):  
Efficacy And Safety ◽  
Percutaneous Tenotomy

Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months

2021 ◽  
pp. 036354652110101
Author(s):  
Benjamin F.H. Ang ◽  
P. Chandra Mohan ◽  
Meng Ai Png ◽  
John Carson Allen ◽  
Tet Sen Howe ◽  
...  
Keyword(s):  
Pain Relief ◽  
Extensor Tendon ◽  
Tissue Healing ◽  
Lateral Elbow ◽  
Percutaneous Tenotomy ◽  
Vas Scores ◽  
The Common ◽  
Lateral Elbow Tendinopathy

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years’ follow-up. Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon. Study Design: Case series; Level of evidence, 4. Methods: The same cohort of 20 patients was recalled after 7 years, and visual analog scale (VAS) for pain and Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction were assessed. They were also reassessed using ultrasound imaging of the brevis and the common extensor tendon to evaluate tendon hypervascularity, tendon thickness, and the progress or the recurrence of the hypoechoic scar tissue. Results: We successfully scored 19 patients and performed ultrasound on 16 patients with a median follow-up of 90 months (range, 86-102 months). There were no adverse outcomes and satisfaction remained at 100% (6 patients, satisfied; 13 patients, very satisfied). No patient developed a recurrence of symptoms and signs of lateral elbow tendinopathy, and therefore no secondary intervention was required. The improvement from baseline and early term scores was sustained ( P < .001 for all). At 90 months, there was a significant improvement in VAS scores and DASH–Compulsory scores compared with preprocedure scores and all follow-up times until 3 months. There was no difference in VAS scores and DASH–Compulsory scores at 90 months compared with 6 and 36 months. For DASH–Work scores, there was a significant improvement at 90 months compared with preprocedure scores, but there was no difference between DASH–Work scores at 90 months and scores at all other points of follow-up. At 90 months, hypervascularity remained resolved in 79% of patients, while all patients had reduced tendon swelling and sustained resolution or reduction of the hypoechoic lesion. Conclusion: At the long-term follow-up of 90 months, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrated good durability of pain relief and functional recovery that was previously achieved. This was accompanied by sustained sonographic tissue healing with no significant deterioration.

Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy

2002 ◽  
Vol 34 (4) ◽  
pp. 573-580 ◽  
Author(s):  
VITTORINO TESTA ◽  
GIOVANNI CAPASSO ◽  
FRANCO BENAZZO ◽  
NICOLA MAFFULLI
Keyword(s):  
Achilles Tendinopathy ◽  
Ultrasound Guided ◽  
Percutaneous Tenotomy

scholarly journals Percutaneous Tenotomy for Humeral Epicondyliti.

1994 ◽  
Vol 43 (3) ◽  
pp. 984-986
Author(s):  
Kazuo Kimura ◽  
Tatuo Hanamura ◽  
Hirotaka Kida ◽  
Mituharu Goto ◽  
Masatosi Yamada ◽  
...  
Keyword(s):  
Percutaneous Tenotomy

scholarly journals Ultrasonographic Evaluation of Achilles Tendons in Clubfeet before and after Percutaneous Tenotomy

2012 ◽  
Vol 20 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Anil Agarwal ◽  
Nadeem Akhtar Qureshi ◽  
Pawan Kumar ◽  
Amit Garg ◽  
Neeraj Gupta
Keyword(s):  
Before And After ◽  
Percutaneous Tenotomy

scholarly journals Lengthening of Achilles Tendon from the Percutaneous Tenotomy Procedure in Ponseti’s Method

2020 ◽  
Author(s):  
Yen Chang Lin ◽  
Wei Ning Chang ◽  
Yu Cheng Lai
Keyword(s):  
Achilles Tendon ◽  
Pearson Correlation ◽  
Ponseti Method ◽  
Lateral View ◽  
Foot Length ◽  
Tendon Lengthening ◽  
Radiographic Measurements ◽  
Talipes Equinovarus ◽  
Before And After ◽  
Percutaneous Tenotomy

Abstract Background Talipes equinovarus is one of the common congenital disease of foot deformity of newborn. Initial treatment is often with the Ponseti method. Studies have demonstrated that radiographic measurements can be made with clubfoot. The purposes of this study were to document the amount of Achilles tendon lengthening obtained from PAT in Ponseti’s method and to analyze the factors that might impact on the amount of equinus correction. Methods This is a retrospective study carried out from 2002 to 2006. Sixteen feet of twelve children that received percutaneous Achilles tendon tenotomy (PAT) for the treatment of congenital clubfoot were included. Assessments before and after treatment were performed using Dimeglio system. The foot length from toe to heel at the time of PAT, the pre- and post-PAT ankle dorsiflexion and post-casting lateral view of foot were obtained. The Pearson correlation coefficient was used to establish relationships between pre-, post-PATT and post-casting Tibio-calcaneal angle (TCA) and Achilles tendon length(ATL).Results The TCA before, after PATT, and after casting were -9.3, 27.4 and 18.4degrees. The ATL before, after PATT, and after casting were 22.7, 31.3, and 28.3mm. The overall lengthening of Achilles tendon was 5.7% of the foot length. The pre-PATT TCA was correlated with post-PATT and post-casting TCA. The pre-PATT ATL was correlated with post-PATT ATL and post-casting ATL.Conclusion Post-PAT correction effect is negatively correlated with the pre-PAT severity of equinus. The comparison between post-PAT and post-casting TCA could be used to check the quality of casting in the Ponseti method.Level of Evidence: level IV

Ultrasound-Guided Percutaneous Tenotomy

2016 ◽  
Vol 20 (05) ◽  
pp. 414-421 ◽  
Author(s):  
Sung Kim ◽  
Monica Brigido ◽  
Jon Jacobson
Keyword(s):  
Ultrasound Guided ◽  
Percutaneous Tenotomy
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