Ultrasound-Guided Percutaneous Needle Tenotomy for Tendinosis

Abstract

Tendinosis is an important cause of musculoskeletal pain and disability. Tendinosis is principally a degenerative process, rather than inflammatory as was traditionally believed. Consequently, traditional tendinosis treatments focused solely on decreasing inflammation, i.e. intratendinous corticosteroid injection has often been ineffective. The advancement of ultrasonography as for the guidance of musculoskeletal intervention has facilitated the development of percutaneous procedures focused on the regenerative healing process for the treatment of tendinosis. In this article, our aim is to illustrate the technical aspects of ultrasound-guided percutaneous needle tenotomy for the treatment of tendinosis.