Sharma Pankaj, Maffulli Nicola
Department of Trauma and Orthopaedics, Keele University School of Medicine, Thornburrow Drive, Hartshill, Stoke-on-Trent, Staffordshire, ST4 7QB, United Kingdom.
J Bone Joint Surg Am. 2005 Jan;87(1):187-202. doi: 10.2106/JBJS.D.01850.
Tendon disorders are frequent and are responsible for substantial morbidity both in sports and in the workplace. Tendinopathy, as opposed to tendinitis or tendinosis, is the best generic descriptive term for the clinical conditions in and around tendons arising from overuse. Tendinopathy is a difficult problem requiring lengthy management, and patients often respond poorly to treatment. Preexisting degeneration has been implicated as a risk factor for acute tendon rupture. Several physical modalities have been developed to treat tendinopathy. There is limited and mixed high-level evidence to support the, albeit common, clinical use of these modalities. Further research and scientific evaluation are required before biological solutions become realistic options.
肌腱疾病很常见，在体育活动和工作场所都会导致相当高的发病率。与肌腱炎或肌腱病不同，肌腱病是对因过度使用而引起的肌腱及其周围临床状况的最佳通用描述术语。肌腱病是一个难题，需要长期治疗，而且患者对治疗的反应往往不佳。先前存在的退变被认为是急性肌腱断裂的一个危险因素。已经开发了几种物理治疗方法来治疗肌腱病。支持这些方法临床应用（尽管很常见）的高级证据有限且参差不齐。在生物治疗方案成为现实选择之前，还需要进一步的研究和科学评估。
