Ultrasound guided dry needling and autologous blood injection for patellar tendinosis

James, Steven L J, Ali, Kaline, Pocock, Chris, Robertson, Claire, Walter, Joy, Bell, Jonathan and Connell, David (2007) Ultrasound guided dry needling and autologous blood injection for patellar tendinosis. British Journal of Sports Medicine, 41(8), pp. 518-521. ISSN (print) 0306-3674

Full text available as:
[img]
Preview
Text
Robertson-C-2620.pdf - Published Version

Download (362Kb) | Preview

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.

Item Type: Article
Uncontrolled Keywords: knee exertion injuries, jumpers knee, surgical-treatment, tendon, tendinopathy, achilles, proliferation, management, doppler, cells
Research Area: Other hospital based clinical subjects
Faculty, School or Research Centre: Faculty of Health and Social Care Sciences
Related URLs:
Depositing User: Mark Brennan
Date Deposited: 16 Sep 2008
Last Modified: 16 Jul 2012 21:55
URI: http://eprints.kingston.ac.uk/id/eprint/2620

Actions (Repository Editors)

Item Control Page Item Control Page