Treatment of Patellar Tendinopathy Refractory to Surgical Management Using Percutaneous Ultrasonic Tenotomy and Platelet‐Rich Plasma Injection: A Case Presentation

Nanos, Katherine N.; Malanga, Gerard A.

doi:10.1016/j.pmrj.2015.06.439

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…Another common intervention that uses an ultrasound guide is the tendon tenotomy, which exploits high-frequency energy to remove the pathological tissue and stimulates an acute inflammatory process that should help healthy tendon tissue to grow. This intervention is performed in the different tendinopathies of the lower limb [ 54 , 55 ]. Another interesting ultrasound-guided intervention for tendinopathies is dry needling, which uses a repeated needle to stimulate an inflammatory process in the abnormal tendon tissue and, through the granulation process of inflammation strength, the tendon tissue [ 56 ].…”

Section: Resultsmentioning

confidence: 99%

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

et al. 2020

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Tendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultrasound as an imaging tool and guide for treatments in lower limbs tendinopathy. Using three different databases—PubMed, MEDLINE and CENTRAL—a literature search has been performed in May 2020 combining MeSH terms and free terms with Boolean operators. Authors independently selected studies, conducted quality assessment, and extracted results. Ultrasound imaging has a good reliability in the differentiation between healthy and abnormal tendon tissue, while there are difficulties in the identification of tendinopathy stages. The main parameters considered by ultrasound imaging are tendon thickness, hypoechogenicity of tendon structure and neovascularization of the tendon bound tissue. Ultrasound-guide is also used in many tendinopathy treatments and the available studies gave encouraging results, even if further studies are needed in this field.

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Section: Resultsmentioning

confidence: 99%

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

et al. 2020

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“…There is some literature supporting their use in Achilles tendinopathy [67][68][69]. Unfortunately, studies looking at its use in patellar tendinopathy is lacking beyond a few case series [70,71]. Early returns are intriguing, but this is an area that could benefit from well-designed studies for it to be recommended as an evidence-based treatment of patellar tendinopathy.…”

Section: Other Injectionsmentioning

confidence: 99%

Taping, Bracing, and Injection Treatment for Patellofemoral Pain and Patellar Tendinopathy

Sisk

Fredericson

2020

Curr Rev Musculoskelet Med

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Purpose of Review This article will focus on additional treatment options for the two most common causes of anterior knee pain, patellofemoral pain syndrome, and patellar tendinopathy. Conservative management is the first-line treatment for these conditions. For clinicians to maximize the efficacy of conservative treatment options for their patients, they must understand the most up-to-date literature evaluating the potential benefit of taping, bracing, and injections as adjunctive treatments for maximizing treatment success. Recent Findings Recent studies of bracing and taping have found them to be helpful for patients in the short-term management of pain and improving function. However, less is known about their exact mechanism but studies are encouraging that they have a subtle role in changing patellofemoral biomechanics. Injections remain a commonly used treatment for musculoskeletal conditions; however, the evidence for their use in patellofemoral pain and patellar tendinopathy is limited. The use of platelet-rich plasma (PRP), sclerosing, high volume, or stem cell injections is an exciting new area in the treatment of patellar tendinopathy. However, evidence at this time to recommend these treatments is lacking, and more well-designed studies are needed. Summary The treatment of patellofemoral pain and patellar tendinopathy consists of a multi-faceted approach of physiotherapy and physical modalities. There is evidence for short-term use of taping and bracing for these conditions. The evidence for injections at this time is limited and remains under investigation. Future well-designed randomized controlled studies will provide insight into the efficacy of several different types of injections in the treatment of patellar tendinopathy. Physicians should feel comfortable integrating taping and bracing into their anterior knee pain treatment paradigm while making cautious use of invasive injections as adjunctive therapy.

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“…To date, the technique showed promise in the management of elbow, patellar, and Achilles tendinopathy. [169][170][171] Although widely used as an intra-articular injectate for viscosupplementation, HA is also emerging as a possible treatment for tendinopathy. The theoretical basis for its use is that it is secreted by the tendon sheath, and also that it is a major component of synovial fluid that lubricates and provides nutrition to the tendon.…”

Section: Stem Cell Therapy and Other Future Directionsmentioning

confidence: 99%

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

Walsh

Farrell

Hynes

et al. 2018

Semin Musculoskelet Radiol

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Over the last several decades, the volume and range of therapeutic musculoskeletal (MSK) interventions that radiologists can offer their patients has dramatically increased. With new materials and improving imaging modalities, as well as significant investment in research, the field of MSK interventional radiologic intervention will likely continue to expand. In this article, we summarize the range of interventions currently available to the MSK radiologist. We also seek to explore new and emerging techniques that may become commonplace in the near future while considering the challenges that may lie ahead in the field of MSK radiology.

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Treatment of Patellar Tendinopathy Refractory to Surgical Management Using Percutaneous Ultrasonic Tenotomy and Platelet‐Rich Plasma Injection: A Case Presentation

Cited by 18 publications

References 10 publications

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Taping, Bracing, and Injection Treatment for Patellofemoral Pain and Patellar Tendinopathy

Therapeutic Intervention in Musculoskeletal Radiology: Current Practice and Future Directions

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