scholarly journals Rapid and Successful Rehabilitation and Return to Play for a Division 1 Gymnast after Treatment for Recalcitrant Lateral Epicondylosis with Ultrasound Guided Percutaneous Tenotomy

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Walrod Bryant
Keyword(s):  
Return To Play ◽  
Ultrasound Guided ◽  
Division 1 ◽  
Percutaneous Tenotomy ◽  
Successful Rehabilitation ◽  
Lateral Epicondylosis

scholarly journals Results of hip arthroscopy in elite level water polo players with femoroacetabular impingement: return to play and patient satisfaction

2020 ◽  
Vol 7 (1) ◽  
pp. 116-121
Author(s):  
Nicholas Ramos ◽  
Keon Youssefzadeh ◽  
Michael Gerhardt ◽  
Michael Banffy
Keyword(s):  
Patient Satisfaction ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Return To Sport ◽  
The Body ◽  
Return To Play ◽  
Water Polo ◽  
Study Results ◽  
Division 1 ◽  
Elite Level

Abstract Water polo places significant stress on the hip joint requiring repetitive hip flexion and rotation to elevate the body out of water for passing, shooting and blocking. Femoroacetabular impingement (FAI) is common in water polo athletes; however, no study to date has investigated the results of hip arthroscopy in this patient population. The purpose of this study was to determine return to play rates and satisfaction following hip arthroscopy for FAI in a cohort of elite level water polo players. A retrospective review of our surgical database was performed. Collegiate water polo players with clinical and radiographic FAI who underwent hip arthroscopy were identified. Pre- and post-operative modified Harris hip scores (mHHSs) were obtained. Patient surveys were administered to determine return to play rates, level of return to play, timing of return and patient satisfaction. A Wilcoxon ranked sum test was performed to compare pre- and post-operative outcome scores. Ten patients met inclusion criteria. Average age was 19.5 years old (SD  ±1.08). All patients were male Division 1 collegiate water polo players. Median mHHS improved from 66.0 (SD  ±7.9) pre-operatively to 89.5 (SD  ±3.2) at average 1.6 years (range: 0.4–3.6 years) post-operatively. Patient survey responses demonstrated a 100% return to water polo and 100% return to the same level of play (NCAA Division 1) at mean 5.75 months (SD  ±1.8). All patients (10/10) reported being satisfied with their surgical result. Our study results, suggest that return to sport rates and patient satisfaction are high in water polo players who undergo hip arthroscopy for FAI.

Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy

2002 ◽  
Vol 34 (4) ◽  
pp. 573-580 ◽  
Author(s):  
VITTORINO TESTA ◽  
GIOVANNI CAPASSO ◽  
FRANCO BENAZZO ◽  
NICOLA MAFFULLI
Keyword(s):  
Achilles Tendinopathy ◽  
Ultrasound Guided ◽  
Percutaneous Tenotomy

scholarly journals Ultrasound-guided tendon fenestration versus open-release surgery for the treatment of chronic lateral epicondylosis of the elbow: protocol for a prospective, randomised, single blinded study

BMJ Open ◽  
2018 ◽  
Vol 8 (6) ◽  
pp. e021373 ◽  
Author(s):  
Eugen Lungu ◽  
Philippe Grondin ◽  
Patrice Tétreault ◽  
François Desmeules ◽  
Guy Cloutier ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Open Release ◽  
Blinded Study ◽  
Lateral Epicondylosis

Ultrasound-Guided Percutaneous Tenotomy

2016 ◽  
Vol 20 (05) ◽  
pp. 414-421 ◽  
Author(s):  
Sung Kim ◽  
Monica Brigido ◽  
Jon Jacobson
Keyword(s):  
Ultrasound Guided ◽  
Percutaneous Tenotomy

scholarly journals Ultrasound-guided Percutaneous Tenotomy Shows Sustained Clinical and Sonographic Outcomes for Recalcitrant Lateral Elbow Tendinopathy at 7.5 Years

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0042
Author(s):  
Joyce Koh ◽  
Meng Ai Png ◽  
Tet Sen Howe ◽  
Brian Lee ◽  
Bernard Morrey ◽  
...  
Keyword(s):  
Pain Relief ◽  
Adverse Outcomes ◽  
Ultrasound Guided ◽  
Secondary Intervention ◽  
Tissue Healing ◽  
Lateral Elbow ◽  
Percutaneous Tenotomy ◽  
Lateral Elbow Tendinopathy

Objectives: In our previously published study, 20 patients who underwent ultrasound-guided percutaneous tenotomy for recalcitrant lateral elbow tendinopathy were followed up clinically and sonographically for 3 years, demonstrating sustained pain relief and functional improvement, with sonographic evidence of tissue healing. We aim to explore the long-term clinical and sonographic results of ultrasound-guided percutaneous tenotomy. Methods: The same cohort of patients were recalled at 7-8 years and assessed for visual analog scale (VAS) for pain, Disabilities of the Arm, Shoulder and Hand (DASH) scores, need for secondary intervention, and overall satisfaction. They were also reassessed with ultrasound imaging to evaluate tendon hypervascularity, tendon thickness, and the progress or recurrence of the hypoechoic scar tissue. Results: We successfully scored 19 subjects and performed ultrasound on 16 subjects, with a follow up of 90 (median±standard deviation: 90±2.7; range: 86-94) months. Among them, one patient had subsequently undergone surgical fixation for an ipsilateral radial head fracture 6 years after ultrasound-guided percutaneous tenotomy, and was thus excluded from the study. There were no adverse outcomes and satisfaction remained at 100% (6 satisfied, 12 very satisfied). No patient developed a recurrence of lateral elbow tendinopathy, and therefore no secondary intervention was required. The improvement from baseline and early term scores was sustained as seen in figure 1. There was no significant change in VAS score (median±SD: 0±1.0; range: 0-4) at 7.5 years, compared to 3 years (0±0.9; 0-3) (p=1.000) or DASH-Compulsory score (0±4.51; 0-13.3) at 7.5 years compared to 3 years (0±0.644; 0-2) (p=0.627) or DASH-Work score (0±6.61; 0-25) at 7.5 years compared to 3 years (0±0; 0)(p=1.000), although there were isolated cases of increased DASH scores due to rotator cuff issues, as described by the patients, which were consistent with degeneration. DASH-Sports/performing arts had too few responses for analysis. At current, hypervascularity remained resolved in 13/16 (81%) subjects, 16/16 (100%) subjects had reduced tendon swelling, and 15/16 (94%) had sustained resolution or reduction of the hypoechoic lesion (Figure 2). Conclusion: At long term follow up, ultrasound-guided percutaneous tenotomy, previously shown to enhance recovery of lateral elbow tendinopathy, demonstrates good sustainability of pain relief and functional recovery that was previously achieved, accompanied with sonographic evidence of tissue healing at 7.5 years. [Figure: see text][Figure: see text]

Ultrasound-guided percutaneous tenotomy of the long head of the biceps tendon: a non-reliable technique

2011 ◽  
Vol 20 (6) ◽  
pp. 1027-1030 ◽  
Author(s):  
Bruno Lévy ◽  
Alexandre Ducat ◽  
Pascal Gaudin ◽  
Ali Maqdés ◽  
Jean Louis Brasseur ◽  
...  
Keyword(s):  
Biceps Tendon ◽  
Ultrasound Guided ◽  
Reliable Technique ◽  
Percutaneous Tenotomy ◽  
Long Head
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