Ultrasound-guided Percutaneous Needle Tenotomy for Chronic Proximal Tensor Fascia Lata Tendinopathy: A Report of 2 Cases

Proximal tensor fascia lata (TFL) tendinopathy at its origin on the anterior superior iliac crest is one potential cause of lateral hip pain. However, there is limited literature regarding the mechanism, disease course or management of this condition. There is growing evidence supporting the effective treatment of percutaneous needle tenotomy (PNT) for chronic tendinopathy. Only a single case series has examined the efficacy of PNT for tendinopathy about the hip and pelvis. Presented here are examples of two cases of chronic recalcitrant proximal ultrasound confirmed TFL tendinopathy effectively treated with ultrasound-guided PNT.

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