Should ultrasound-guided needle fenestration be considered as a treatment option for recalcitrant patellar tendinopathy? A retrospective study of 47 cases

Jeffrey A. Housner, Jon A. Jacobson, Yoav Morag, George Guntar A. Pujalte, Rebecca M. Northway, Tracy A. Boon

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective: To report the retrospective results of ultrasound-guided needle fenestration for the treatment of recalcitrant patellar tendinopathy. Design: Retrospective follow-up study. Setting: University outpatient sports medicine clinic. Patients: Forty-seven patellar tendons in 32 patients (26 men and 6 women; mean age, 26 years) with recalcitrant patellar tendinopathy. Diagnosis made via history, physical examination, and sonographic examination. INTERVENTION:: Ultrasound-guided needle fenestration after failure of conservative management. Main outcome measures: Pre-treatment and 4-week clinical follow-up determination of functional activity score. Phone follow-up determination of best achievable level of activity and satisfaction score of the procedure. Results: Average time to follow-up was 45 months. Seventy-two percent of patients reported excellent or good results when questioned regarding return to activity. Twenty-eight percent of patients were unable to return to their desired activity level. Six patients subsequently underwent surgical treatment. One athlete underwent surgery to repair a patellar tendon rupture that occurred 6 weeks after the procedure. Eighty-one percent of patients reported excellent or good satisfaction scores. Conclusions: Ultrasound-guided needle fenestration warrants further investigation for the treatment of recalcitrant patellar tendinopathy.

Original languageEnglish (US)
Pages (from-to)488-490
Number of pages3
JournalClinical Journal of Sport Medicine
Volume20
Issue number6
DOIs
StatePublished - Nov 1 2010

Keywords

  • needling
  • patellar tendinopathy
  • tenotomy
  • treatment
  • ultrasound guided

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Fingerprint Dive into the research topics of 'Should ultrasound-guided needle fenestration be considered as a treatment option for recalcitrant patellar tendinopathy? A retrospective study of 47 cases'. Together they form a unique fingerprint.

  • Cite this