Chronic patellar tendinopathy is often a debilitating process markedly affecting athletic performance and even routine daily activities. Treatment that is at once reliable, safe, effective and with rapid recovery has not, to date, been available. An early two year experience with a percutaneous tenotomy, performed under local anesthia, using ultrasound energy appears to effectively address these desirable treatment goals. (C) 2013 Elsevier Inc. All rights reserved.