Evidence map›Paper›PMID 38020516›Full record

ArticleJournal of ultrasonography2023

Added value of ultrasound-guided percutaneous needle tenotomy over hydrodissection and physiotherapy in chronic lateral elbow tendinopathy: a pilot randomized controlled trial.

Laurens Koonen, Martin van Amerongen, Katrijn Smulders, Stephanie Mangesius, Gabriella Cerna, Andrea Klauser, Erich Mur, Marina Obradov

Abstract read
In one paragraph

Article in Journal of ultrasonography, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Hydrodissection and hydrodilatation for joint pain: a scoping review.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Laurens KoonenDepartment of Research, Sint Maartenskliniek Nijmegen, Ubbergen, The Netherlands.ORCID https://orcid.org/0009-0000-3826-8086
Martin van AmerongenDepartment of Radiology, Sint Maartenskliniek Nijmegen, Ubbergen, The Netherlands.ORCID https://orcid.org/0000-0001-5815-0392
Katrijn SmuldersDepartment of Research, Sint Maartenskliniek Nijmegen, Ubbergen, The Netherlands.ORCID https://orcid.org/0000-0001-9338-5277
Stephanie MangesiusDepartment of Radiology, Medical University Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0001-5790-2724
Gabriella CernaDepartment of Physical Medicine and Rehabilitation, Medical University Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0009-0009-2900-878X
Andrea KlauserDepartment of Radiology, Medical University Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-1059-9278
Erich MurDepartment of Physical Medicine and Rehabilitation, Medical University Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0009-0001-6457-9467
Marina ObradovDepartment of Radiology, Sint Maartenskliniek Nijmegen, Ubbergen, The Netherlands.ORCID https://orcid.org/0009-0002-6375-3758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the study: There is no consensus on the most suitable non-surgical treatment of chronic lateral elbow tendinopathy. The aim of this pilot randomized controlled trial was to evaluate the size of effect of ultrasound-guided percutaneous needle tenotomy. Material and methods: Three intervention arms were formed: 1) percutaneous needle tenotomy, hydrodissection, and physiotherapy; 2) hydrodissection and physiotherapy; and 3) physiotherapy alone. Patients with chronic lateral elbow tendinopathy were randomized. Clinical endpoints included multiple questionnaires after three months: Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Numeric Rating Scale (NRS) pain at rest and during activity, and EuroQol 5D-5L (EQ-5D-5L). Results: Thirty patients were included of 128 screened. The QuickDASH score improved in the percutaneous needle tenotomy and physiotherapy group, but not in the hydrodissection group. The NRS pain at rest and during activity improved more in the percutaneous needle tenotomy (resp. -2 and -2) and hydrodissection (resp. -3 and -3) groups than in the physiotherapy (resp. +1 and -1) group. The EQ-5D-5L improved similarly in all groups. Conclusions: Patients receiving percutaneous needle tenotomy and/or hydrodissection may show better results in terms of pain but not in their functional outcomes compared to those who received physiotherapy alone. The size of effect, however, is small, so a large sample size is needed for a future randomized controlled trial to further investigate these results.

Indexed as

hydrodissectionlateral elbow tendinopathypercutaneous needle tenotomyphysiotherapyultrasound

Identifiers

PMID38020516
PMCPMC10668925

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.