title: 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.affiliation: Department of Physical Medicine & Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN.
authors.forename: Katherine N
authors.initials: KN
authors.lastname: Nanos
authors.affiliation: Rutgers School of Medicine- NJ Medical School, Newark, NJ; and New Jersey Regenerative Institute, Cedar Knolls, NJ.
authors.forename: Gerard A
authors.initials: GA
authors.lastname: Malanga
mesh_terms: D001490:Basketball / Q000293:injuries*; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D007718:Knee Injuries / Q000150:complications* / Q000628:therapy; D008297:Male; D017847:Patellar Ligament / Q000293:injuries*; D053657:Platelet-Rich Plasma; D052256:Tendinopathy / Q000209:etiology / Q000628:therapy*; D058971:Tenotomy / Q000379:methods*; D059708:Ultrasonic Surgical Procedures / Q000379:methods*; D055815:Young Adult