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Nonsurgical treatment combining ultrasound-guided tenotomy and corticosteroid injections effectively helps athletes with core muscle injuries (CMI) continue playing. This approach allows them to finish their seasons without negatively impacting future surgical outcomes.

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Area of Science:

  • Sports Medicine
  • Orthopedic Surgery
  • Regenerative Medicine

Background:

  • Core muscle injuries (CMI) are prevalent in sports, often leading to significant playing time loss.
  • Nonsurgical treatments like platelet-rich plasma, corticosteroids, and ultrasound (US)-guided percutaneous tenotomy are used to manage CMI.
  • Limited data exist on the effectiveness of these interventions for enabling continued athletic participation.

Purpose of the Study:

  • To evaluate the effectiveness of a combined US-guided percutaneous tenotomy and corticosteroid injection protocol for treating core muscle injuries in professional and collegiate athletes.
  • To assess the impact of this temporizing treatment on athletes' ability to complete their seasons and on subsequent surgical outcomes.

Main Methods:

  • A retrospective review of 25 consecutive professional and collegiate athletes with CMI involving the rectus abdominis-adductor aponeurotic plate.
  • Athletes received a combination of US-guided percutaneous needle tenotomy and corticosteroid injections.
  • Primary outcome was season completion; secondary outcomes included return to play time, delay to surgery, and postoperative performance assessed via interviews.

Main Results:

  • Eighty-four percent (21 of 25) of athletes completed their seasons.
  • Athletes returned to play an average of 3 days post-procedure.
  • Surgical repair was delayed by a mean of 18 weeks; 82% of athletes who eventually had surgery alone reported returning to preinjury levels at 6 weeks postoperatively.

Conclusions:

  • Temporizing core muscle injuries with US-guided percutaneous tenotomy and corticosteroid injections is an effective strategy for high-level athletes.
  • This approach allows for continued sport participation and does not adversely affect long-term postoperative outcomes.