Treatment of Insertional Peroneus Brevis Tendinopathy by Ultrasound-Guided Percutaneous Ultrasonic Needle Tenotomy: A Case Report

Sussman, Walter I.; Hofmann, Kurt J.

doi:10.1053/j.jfas.2019.04.004

Cited by 4 publications

(2 citation statements)

References 36 publications

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“…9 PUT has been previously used successfully in the treatment of tendinopathy at the elbow, hip and pelvis, and knee, with improvement in pain and satisfaction outcomes, as well as in the peroneus brevis tendinopathy with rapid recovery and improvement in pain. 10 However, there is a paucity of literature on use of PUT in the treatment of tendon and ligament of the foot and ankle.…”

Section: Discussionmentioning

confidence: 99%

“…PUT is achieved by insertion of an 18-gauge ultrasonic vibrating double lumen needle with a suction and irrigation system through a small incision to phacoemulsify diseased tendon tissue 9 . PUT has been previously used successfully in the treatment of tendinopathy at the elbow, hip and pelvis, and knee, with improvement in pain and satisfaction outcomes, as well as in the peroneus brevis tendinopathy with rapid recovery and improvement in pain 10 . However, there is a paucity of literature on use of PUT in the treatment of tendon and ligament of the foot and ankle.…”

Section: Discussionmentioning

confidence: 99%

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Emerging Treatment Options for Chronic Tendinopathy of the Foot

Chowdhary

Sherrier²,

Onishi³

2022

Am J Phys Med Rehabil

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The patient is a 65-year-old female recreational skier and avid walker who presented with a several-month history of right ankle and foot pain. The patient’s pain began without inciting event and was described as a constant aching pain aggravated by downhill walking and alleviated with rest. She was diagnosed with right distal tibialis anterior tendinopathy with partial thickness tear noted on magnetic resonance imaging and musculoskeletal ultrasound. Given symptoms recalcitrant to conservative measures, the patient opted to pursue an ultrasound-guided prolotherapy injection and a course of physical therapy; unfortunately, she did not have any improvement in symptoms. The patient subsequently underwent ultrasound-guided percutaneous ultrasonic tenotomy and debridement of the distal tibialis anterior tendon, followed by a postprocedure rehabilitation protocol of physical therapy with transition to home exercise program with complete resolution of her pain. Prolotherapy, and percutaneous ultrasonic tenotomy and debridement are two treatment modalities that show promise in the treatment of painful, chronic tendinopathy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%