Percutaneous ultrasonic tenotomy linked with pain relief and improved function for tennis elbow
At 3-year follow-up, patients with recalcitrant tennis elbow who underwent minimally invasive percutaneous ultrasonic tenotomy experienced sustained pain relief and functional improvement, according to results.
Researchers assessed 20 patients with lateral elbow tendinopathy 36 months after percutaneous ultrasonic tenotomy for VAS for pain, DASH compulsory/work scores, the need for adjunct procedures and overall satisfaction. All patients were reassessed with ultrasound imaging at 36 months, and researchers assessed evidence of the common extensor tendon response in terms of tendon hypervascularity, tendon thickness and the progress of the hypoechoic scar tissue.
Results showed no patients required further treatment procedures and 100% expressed satisfaction. Researchers found VAS and DASH work scores remained improved from 12 months, while DASH compulsory scores had a further reduction with a significant decrease on repeated measures.
According to results, 94% of patients experienced resolved tendon hypervascularity and all patients had a reduction in tendon thickness. Researchers noted all patients had an overall reduction in the hypoechoic scar tissue, with a 90% response achieved by 6 months. Around 60% of patients experienced further reduction in scars between 6 months and 36 months, with 20% of patients having complete resolution of the hypoechoic scar, according to results. – by Casey Tingle
Disclosures: Seng reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.