Morton, Sarah and Chan, Otto and King, John and Perry, David and Crisp, Tom and Maffulli, Nicola and Morrisey, Dylan (2014) High volume image-guided Injections for patellar tendinopathy: a combined retrospective and prospective case series. M.L.T.J. Muscles, Ligaments and Tendons Journal, 4 (2). pp. 214-219. ISSN 2240-4554
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Abstract
Background: the aim was to quantify the effect of a novel high volume-image guided injection (HVIGI) technique for recalcitrant patellar tendinopathy (PT). Methods: twenty patients (8 prospective; 12 retrospective) with ultrasonographically confirmed proximal PT were recruited. A HVIGI under ultrasound guidance of 10 ml 0.5% Bupivacaine, 25 mg Hydrocortisone and 30 ml normal saline at the interface of the patellar tendon and Hoffa’s fat pad was administered. A standardised eccentric loading rehabilitation protocol was prescribed. Results: the VISA-P score improved from 45.0 to 64.0 (p<0.01) for all subjects, likely to be clinically significant. There was no statistically significant difference between the increase in the retrospective group of 19.9 (± 23.5) and the prospective of 16.4 (± 11.3) p = 0.7262.5% of prospective subjects agreed that they had significantly improved, with 37.5% returning to sport within 12 weeks. Conclusions: HVIGI should be considered in the management of recalcitrant PT. Randomised controlled trials are warranted.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | injection, patellar tendon, tendinopathy, ultrasound, VISA-P |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.1 Ferite e lesioni |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 20 May 2015 11:27 |
| Last Modified: | 20 May 2015 11:27 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/10884 |
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