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

Abstract Chronic proximal patellar tendinopathy is a common condition in sports medicine that may be refractory to nonoperative treatments, including activity modification, medications, and comprehensive rehabilitation. Percutaneous ultrasonic tenotomy is a recently developed technique designed to c...

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Bibliographic Details
Published in:PM & R 2015-12, Vol.7 (12), p.1300-1305
Main Authors: Nanos, Katherine N., MD, Malanga, Gerard A., MD
Format: Article
Language:English
Subjects:
Basketball - injuries
Follow-Up Studies
Humans
Injections
Knee Injuries - complications
Knee Injuries - therapy
Male
Patellar Ligament - injuries
Physical Medicine and Rehabilitation
Platelet-Rich Plasma
Tendinopathy - etiology
Tendinopathy - therapy
Tenotomy - methods
Ultrasonic Surgical Procedures - methods
Young Adult
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Summary:Abstract Chronic proximal patellar tendinopathy is a common condition in sports medicine that may be refractory to nonoperative treatments, including activity modification, medications, and comprehensive rehabilitation. Percutaneous ultrasonic tenotomy is a recently developed technique designed to cut and debride tendinopathic tissue, thus promoting pain relief and functional recovery. We present a case of a collegiate athlete with chronic proximal patellar tendinopathy who was effectively treated with percutaneous ultrasonic tenotomy after not responding to extensive nonoperative treatment, surgical debridement, and platelet-rich plasma injections. Percutaneous ultrasonic tenotomy can be considered as a treatment option in patients presenting with refractory proximal patellar tendinopathy, including those who do not respond to previous operative intervention.
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2015.06.439