Sonographically guided percutaneous needle tenotomy for the treatment of chronic XXXX .

@entity1 @entity2633 @entity924 @entity158
OBJECTIVE: Initial reports have shown percutaneous sonographically guided needle tenotomy without corticosteroid injection to be effective for the treatment of @entity2633 . The purpose of this study was to determine the effectiveness of this procedure with various tendons throughout the body. METHODS: Fourteen tendons in 13 @entity1 were identified as having a greater than 6-month history of clinical presentation consistent with @entity924 that had failed treatment with physical therapy. All @entity1 were treated with sonographically guided percutaneous tenotomy using a 22-gauge needle and a local anesthetic. A visual analog scale (VAS) @entity158 score measurement was obtained before the procedure and at 4- and 12-week follow-up appointments. All complications were recorded. RESULTS: The 14 tendons in this study included patellar (5), Achilles (4), proximal gluteus medius (1), proximal iliotibial tract (1), proximal hamstring (1), common extensor elbow (1), and proximal rectus femoris (1). The composite VAS score was significantly lower at both 4 weeks (mean +/- SEM, 2.4 +/- 0.7) and 12 weeks (2.2 +/- 0.7) compared with the baseline (5.8 +/- 0.6; P < .001). No complications or morbidity occurred. CONCLUSIONS: Sonographically guided percutaneous tenotomy of @entity924 was effective in improving @entity1 symptoms without complications. Further investigation with additional @entity1 and comparisons to alternative treatments is needed to validate these preliminary results.
