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 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.

• Authors: Katherine N Nanos, Gerard A Malanga
• Journal: PM & R : the journal of injury, function, and rehabilitation (PM R) Vol. 7 Issue 12 Pg. 1300-1305 (Dec 2015) ISSN: 1934-1563 [Electronic] United States
• PMID: 26146192 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

Topics

• Basketball (injuries)
• Follow-Up Studies
• Humans
• Injections
• Knee Injuries (complications, therapy)
• Male
• Patellar Ligament (injuries)
• Platelet-Rich Plasma
• Tendinopathy (etiology, therapy)
• Tenotomy (methods)
• Ultrasonic Surgical Procedures (methods)
• Young Adult