Utility of Percutaneous Needle Tenotomy to Reduce Pain and Improve Function in Common Extensor Tendinosis of the Lateral Epicondyle

Abstract

A 20-year-old, right-hand-dominant female collegiate tennis player presents with persistent pain over her right lateral epicondyle for the past 4 months that began when she increased activity at the start of season. She was initially diagnosed with lateral epicondylitis and tried oral antiinflammatories, physical therapy, a counterforce brace, a corticosteroid injection, and activity modification without relief. Point-of-care ultrasound demonstrated evidence of chronic tendinosis with thickening of the common extensor tendon, focal hypoechogenicity, and neovascularization. She did a trial of topical nitroglycerin patches and eccentric exercises without significant improvement. She prefers to avoid surgery and would like to know the efficacy of percutaneous needle tenotomy for her common extensor tendinosis.

Statistical Analysis of Percutaneous Tenotomy Outcomes in Chronic Lateral Epicondylitis

“…The statistical rigor of our analysis, evidenced by the p-values, validates the observed clinical improvements, establishing a strong foundation for percutaneous tenotomy as a preferred treatment modality for chronic lateral epicondylitis. 11 Interestingly, the analysis identified specific intervals post-operation where improvements were most pronounced. These insights are invaluable for clinicians and rehabilitation specialists, guiding the optimization of postoperative care and setting realistic recovery expectations for patients.…”

Ultrasound-guided tenotomy for lateral epicondylitis with TenJet improves physical functional and decreased pain outcomes at 1 year: a case series review

“…This conclusion is consistent with other studies showing the safety and effectiveness of MIT. 1 , 2 , 3 , 4 , 6 , 8 , 12 , 13 , 14 , 15 , 17 , 18 …”

“… 6 , 12 Current literature has many studies showing the effectiveness of percutaneous needle tenotomy. 1 , 2 , 3 , 4 , 6 , 8 , 12 , 13 , 14 , 15 , 17 , 18 …”

The Effects of Ultrasound-Guided Percutaneous Tenotomy on Patients’ Pain and Satisfaction Levels

“…Ultimately, this stimulates scar tissue and transitions diseased tendons into a healing state [ 5 ]. This procedure utilizes ultrasound to safely navigate through tissues and is low-risk for bleeding, infection, and other complications associated with any surgery [ 6 ]. With the ability to stimulate a healing process in a chronically diseased tendon, percutaneous tenotomy is a promising procedure that can treat chronic tendinopathies, which more conservative treatments have difficulty treating.…”