Article

OBJECTIVE: To analyze the literature to determine whether controlled studies on
percutaneous tenotomy have been published, and if so, to systematically assess
the efficacy of percutaneous tenotomy for the treatment of tendinosis at the
lateral epicondyle of the elbow. DESIGN: Systematic review of the available
literature. METHODS: Cochrane Controlled Trials Register (CENTRAL), MEDLINE,
EMBASE, CINAHL, and Web of Science databases were searched in November 2015,
unrestricted by date. After the initial search, we excluded conference
proceedings, theses, reviews, expert opinions, and publications written in
languages other than English. Next, 2 independent reviewers screened all of the
remaining records with regard to their titles and abstracts, and subsequently,
the full texts of identified publications potentially relevant to the present
study. RESULTS: Six articles focused on percutaneous tenotomy, none of which were
controlled against a placebo or conservative treatment group. The absence of true
randomized controlled trials created a great deal of heterogeneity between the
studies; thus we could not include any of our studies in the intended final
quantitative analysis with meta-analysis tools. We describe all 6 studies
identified by this systematic review with a detailed analysis of the procedural
methods, outcome measures, and conclusions of each study. CONCLUSIONS:
Percutaneous tenotomy presents an alternative to surgical release of the common
extensor tendon for the treatment of chronic tendinosis at the lateral epicondyle
of the elbow. Current research supporting the efficacy of this procedure,
however, is of low quality (level II to level IV).
LEVEL OF EVIDENCE: III.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS