Cuéllar Eduardo Caldelas, Mina Nicolás Zarur
Sports Clinic, México, DF.
Acta Ortop Mex. 2007 Sep-Oct;21(5):234-8.
The jumper's knee or patellar tendonitis is a common injury in the athlete with an incidence between 14% and 16% among high-performance athletes. In addition to an overuse injury, there are some intrinsic factors for its development. Conservative treatment is indicated for the initial form, but when it fails, surgical treatment should be performed with an appropriate rehabilitation program.
We retrospectively studied 18 high performance athletes in various disciplines, with an average age of 22 years, operated by arthroscopy and mini-arthrotomy scraping and application of povidone collagen sponge between March 2001 and December 2005. There after patients underwent a rehabilitation program specific for their return to their athletic activity.
The patients returned to their sports activity in an average of 15 weeks, with functional knees without pain, with full range of motion. We did not find postoperative fibrosis.
The results were similar and slightly better in time of return to sports activities to those reported in the world literature, with the difference in follow up. According to the clinical evaluation, treatment performed allows functional improvement with a return to athletic activity in a reasonable time.
跳跃者膝部损伤或髌腱炎是运动员中常见的损伤，在高水平运动员中的发病率为14%至16%。除了过度使用损伤外，其发展还有一些内在因素。对于初始形式，建议采用保守治疗，但如果治疗失败，则应进行手术治疗并配合适当的康复计划。
我们回顾性研究了18名不同项目的高水平运动员，他们的平均年龄为22岁，于2001年3月至2005年12月期间接受了关节镜检查、微型关节切开刮除术，并应用了聚维酮胶原海绵。此后，患者接受了针对恢复体育活动的特定康复计划。
患者平均在15周后恢复体育活动，膝关节功能正常且无疼痛，活动范围完全正常。我们未发现术后纤维化。
在恢复体育活动的时间方面，结果与世界文献报道的相似且略好，只是随访时间有所不同。根据临床评估，所进行的治疗能够在合理时间内实现功能改善并恢复体育活动。
