Rotator cuff tendinopathy without open surgery — TenJet® percutaneous tenotomy
Many patients with rotator cuff tendinopathy and shoulder tendon degeneration are candidates for TenJet® percutaneous tenotomy — a minimally invasive alternative to open or arthroscopic shoulder surgery.
Find an Atlanta Specialist Surgery vs TenJet®For patients with tendinopathy (tendon degeneration without complete tear), TenJet® offers significant advantages over traditional surgical approaches.
| Factor | Open/Arthroscopic Surgery | TenJet® Tenotomy |
|---|---|---|
| Incision | Large or multiple portals | Small single incision |
| Anesthesia | General or regional | Local anesthesia only |
| Setting | Hospital or surgical center | Office or clinic |
| Procedure time | 45–90 minutes | ~15 minutes |
| Recovery time | 3–6 months | Weeks to months |
| Insurance coverage | Yes | Medicare + most insurers |
| Guideline imaging | Fluoroscopy/arthroscopy | Real-time ultrasound |
TenJet® by HydroCision uses a high-pressure saline FluidJet™ to precisely emulsify and remove degenerated shoulder tendon tissue. The procedure is performed under continuous ultrasound guidance, allowing the physician to target only the damaged tissue while preserving healthy surrounding fibers.
Official product information: hydrocision.com/product/tenjet/
TenJet® tenotomy is typically appropriate for patients who:
Your specialist will review your imaging and clinical history to determine if you are a suitable candidate.
Official demonstration video from HydroCision, the maker of TenJet, plus a look at how tendinitis differs from the deeper tissue degeneration TenJet is designed to treat.
TenJet Shoulder Minimally Invasive Tenotomy



Diagrams and video courtesy of HydroCision, Inc.