First TenJet data in medial elbow tendinopathy
Dr. Michael Dakkak and colleagues at Cleveland Clinic have published the first study of TenJet for medial elbow (common flexor) tendinopathy in JSES Reviews, Reports, and Techniques. They reviewed 18 patients treated in the outpatient setting under local anesthesia. Every patient had ultrasound-confirmed tendinosis and had already failed nonsurgical care.
One-year outcomes:
- Median Oxford Elbow Score improved from 54.2 → 92.7 (0–100 scale, p<.001).
- Subdomains: pain 46.9 → 93.8, function 71.9 → 100, social-psychological 46.9 → 90.6 (all Holm-adjusted p<.001).
- All subdomains of Oxford Elbow Score (Pain, function, and social-psychological) all had statistical significance (p<0.001)
- No complications were reported and no patients required open surgery. The study was not designed or powered to establish a comparative complication rate.
Although the authors acknowledge this is a small, retrospective, single-center series without a control group, it is the largest cohort to date evaluating minimally invasive tenotomy for medial epicondylopathy
With the earlier 100-patient lateral elbow series by Dakkak et al. (JSES International, 2023), TenJet now has 1-year OES outcomes published for both common extensor and common flexor tendinopathy of the elbow.
For chronic refractory common flexor tendinopathy, this now established 1-year outcome data on a minimally invasive option. Read the full paper.