There have been several studies evaluating the efficacy of percutaneous fenestration for tendinopathy of the patellar, Achilles, and lateral elbow tendons. This retrospective chart review analyzed post-procedure outcomes of 21 patients with chronic (average 29 months) tendinopathy of various pelvis and hip tendons (gluteus medius, gluteus minimus, proximal hamstring, and tensor fascia latae). Each patient underwent an ultrasound-guided needle fenestration by a fellowship-trained musculoskeletal radiologists with ultrasound-guided procedural experience (range 5–15 years) at the University of Michigan Department of Radiology. Post-procedure follow-up notes of the referring physicians were electronically accessed and searched for terms that denoted various levels of success from the needle fenestration. There was on average either “marked” (46%) or “some” (36%) improvement in symptoms on an average of 70 days of follow up. The authors called for a prospective, blinded, and randomized controlled trial to validate their positive findings.
Jacobson JA, Rubin J, Yablon CM, Kim SM, Kalume-brigido M, Parameswaran A. Ultrasound-Guided Fenestration of Tendons About the Hip and Pelvis: Clinical Outcomes. J Ultrasound Med. 2015;34(11):2029-35.
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