Ultrasound-Guided Percutaneous Needle Tenotomy (PNT) vs Percutaneous Ultrasonic Tenotomy (PUT) for Gluteal Tendinosis

This study plans to learn more about two commonly used minimally invasive techniques (US-guided percutaneous needle tenotomy vs percutaneous ultrasonic tenotomy) for the treatment of gluteal tendinosis. The goal of the study is to see which works better at reducing pain and improving movement in people with gluteal tendinosis (a condition that causes pain in the hip area).


Why this Research Matters

This study is designed as a single-blinded, randomized control trial with two parallel arms comparing percutaneous needle tenotomy (PNT) to percutaneous ultrasonic tenotomy (PUT) device (Tenex) for the treatment of gluteal (medius and minimus) tendinosis with analysis of pain, physical function, activities of daily living (ADLs) and overall health over six months. Participants will be randomly assigned (1:1) to receive PNT or PUT at one academic medical center.


Who can Participate

Adult

Inclusion Criteria: · Ages 18-75 years of age · Diagnosis of gluteal (medius and/or minimus) tendinosis confirmed clinically and with ultrasonography or MRI · Failure to improve after 3 months of nonoperative treatment · Symptoms present for longer than 3 months Exclusion Criteria: · Patients with concomitant injuries or pain · Full thickness tears of the affected tendon · Prior corticosteroid injection of the affected tendon within the last 3 months · Prior PNT of the affected tendon · Significant abnormalities of bony or tendon morphology


Study ID

Protocol Number: 25-1380


Meet the Team

Image of Principal Investigator

Kyle Goerl, MD

Principal Investigator