Percutaneous ultrasonic tenotomy with the TX-1 device versus surgical tenotomy for the treatment of common extensor tendinosis

Altahawi, Faysal; Li, Xin; Demarest, Brittani; Forney, Michael C.

doi:10.1007/s00256-020-03540-7

Cited by 9 publications

(4 citation statements)

References 29 publications

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“…Ultrasonic tenotomy and calcific deposit removal with Tenex Health Devices (TX1, TX2, TXBone) is a technique that has been available since 2011 and has previously shown to be safe and effective for treatment of tendon disorders throughout the body with minimal adverse events reported. 12,16,19 For example, Baker and Mahoney presented a similar case series demonstrating comparable improvements in pain scores in 29 patients with gluteal tendinopathy. Barnes et al performed ultrasonic tenotomy for common flexor and common extensor tendinosis of the elbow in 19 patients with significant reductions in Visual Analogue Scale and QuickDASH scores at one year post-procedure and no complications.…”

Section: Discussionmentioning

confidence: 99%

“…10 Recent meta-analysis found that ultrasound-guided lavage was more effective than extracorporeal shockwave treatment or a corticosteroid injection with clinically important effect in the short term, but questionable long term results. 9 Complications from calcific tendinopathy can include pain, adhesive capsulitis, rotator cuff tears, greater tuberosity osteolysis and ossifying tendinitis as outlined in the review by Merolla et al 11 Ultrasonic tenotomy and debridement of tendinopathy across multiple tendons in the body is a novel treatment option that has been previously shown to be an effective treatment option for the common extensor tendon of the elbow, [12][13][14][15] Achilles tendon, 16,17 patellar tendon, 18 gluteal tendon 19 and biceps tendon 20 among other areas. 21,22 A common device used, manufactured by Tenex (Tenex Health, Lake Forest, CA) utilizes ultrasonic energy to debride and aspirate pathologic tendon tissue.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonic tenotomy and debridement of tendinopathy across multiple tendons in the body is a novel treatment option that has been previously shown to be an effective treatment option for the common extensor tendon of the elbow, 12 - 15 Achilles tendon, 16 , 17 patellar tendon, 18 gluteal tendon 19 and biceps tendon 20 among other areas. 21 , 22 A common device used, manufactured by Tenex ( Tenex Health, Lake Forest, CA ) utilizes ultrasonic energy to debride and aspirate pathologic tendon tissue.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonic Tenotomy and Debridement for Calcific Tendinopathy of the Shoulder: A Pilot Case Series

Erickson

Jagim

2020

J Prim Care Community Health

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Calcific tendinopathy of the rotator cuff is a common cause of shoulder pain and debility. Minimally invasive treatment options have been employed for management; however, ultrasonic tenotomy has not been previously described for management of calcific tendinopathy of the shoulder. The purpose of the current case series was to provide preliminary evidence in support of a novel treatment modality for calcific tendinopathy of the rotator cuff. This descriptive pilot case series included a total of 8 patients with calcific tendinopathy of the supraspinatus that underwent ultrasound-guided ultrasonic debridement in the sports medicine clinic. All procedures were performed by the same physician (JLE). All patients had confirmation of the diagnosis with MRI and ultrasound imaging. Pain was measured pre-procedure and followed until 3-months post-procedure. Very large, statistically significant, reductions (P < .01) in pain scores were observed at 1 (ES = 1.93), 2 (ES = 1.84) and 3 (ES = 2.20) months post-procedure, respectively. All patients experienced a significant reduction in pain scores, regardless of hardness of the calcium deposit, at 1 month post-procedure with pain scores remaining lower than at baseline at 2 and 3 months post-procedure. No adverse events were noted in any patients. Ultrasonic tenotomy and debridement appears to be a safe and effective treatment option for patients with calcific tendinopathy of the supraspinatus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultrasonic Tenotomy and Debridement for Calcific Tendinopathy of the Shoulder: A Pilot Case Series

Erickson

Jagim

2020

J Prim Care Community Health

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“…The Tenex procedure uses an ultrasonic needle that oscillates at high frequency, emulsifying degenerative scar tissue/damaged tendon tissue, and is performed under ultrasound guidance. 35 The other is the Ten Jet procedure where a special needle is placed under ultrasound guidance, at the area of tendon degeneration, and delivers a pressurized high-velocity stream of saline (salt water) that selectively removes the scar tissue of epicondylitis while sparing the normal tendon. 36 Both of these newer techniques show promise but await high-quality clinical outcomes studies.…”

Section: Diagnosis and Treatment Of Common Elbow Pathologiesmentioning

confidence: 99%