Ultrasound guided dry needling and autologous blood injection for patellar tendinosis.

Abstract:

OBJECTIVE:To evaluate the efficacy of ultrasound guided dry needling and autologous blood injection for the treatment of patellar tendinosis. DESIGN:Prospective cohort study. SETTING:Hospital/clinic based. PATIENTS:47 knees in 44 patients (40 men, 7 women, mean age 34.5 years, age range 17 to 54 years) with refractory tendinosis underwent sonographic examination of the patellar tendon following referral with a clinical diagnosis of patellar tendinosis (mean symptom duration 12.9 months). INTERVENTIONS:Ultrasound guided dry needling and injection of autologous blood into the site of patellar tendinosis was performed on two occasions four weeks apart. MAIN OUTCOME MEASURES:Pre- and post-procedure Victorian Institute of Sport Assessment scores (VISA) were collected to assess patient response to treatment. Follow up ultrasound examination was done in 21 patients (22 knees). RESULTS:Therapeutic intervention led to a significant improvement in VISA score: mean pre-procedure score = 39.8 (range 8 to 72) v mean post procedure score = 74.3 (range 29 to 100), p<0.001; mean follow up 14.8 months (range 6 to 22 months). Patients were able to return to their sporting interests. Follow up sonographic assessment showed a reduction in overall tendon thickness and in the size of the area of tendinosis (hypoechoic/anechoic areas within the proximal patellar tendon). A reduction was identified in interstitial tears within the tendon substance. Neovascularity did not reduce significantly or even increased. CONCLUSIONS:Dry needling and autologous blood injection under ultrasound guidance shows promise as a treatment for patients with patellar tendinosis.

journal_name

Br J Sports Med

authors

James SL,Ali K,Pocock C,Robertson C,Walter J,Bell J,Connell D

doi

10.1136/bjsm.2006.034686

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

518-21; discussion 522

issue

8

eissn

0306-3674

issn

1473-0480

pii

bjsm.2006.034686

journal_volume

41

pub_type

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