Zwerver J
Universitair Sportmedisch Centrum Groningen, Rijksuniversiteit Groningen, Hanzeplein 1, 9700 RB Groningen.
Ned Tijdschr Geneeskd. 2008 Aug 16;152(33):1831-7.
Patellar tendinopathy is a common and difficult-to-treat overuse injury of the patellar tendon with a very negative impact on the careers of many athletes. It appears to involve a failed healing process in the tendon--not inflammation--and has consequences for the treatment strategy. Rehabilitation programs are based on the principles of load reduction and an eccentric exercise program to improve muscle-tendon function and optimize the kinetic chain. Prolonged rehabilitation is necessary because of slow tendon recovery. Anti-inflammatory treatment is often unsuccessful. Surgery does not guarantee a quick symptom-free return to sport at the original level either. Extracorporeal shock wave therapy, ultrasound-guided sclerosing of new vessels and tendinous and peritendinous injections of aprotinin and autologous growth factors seem to be promising new treatment options.
髌腱病是一种常见且难以治疗的髌腱过度使用损伤，对许多运动员的职业生涯产生非常负面的影响。它似乎涉及肌腱愈合过程失败而非炎症反应，这对治疗策略有影响。康复计划基于减轻负荷的原则和离心运动计划，以改善肌肉-肌腱功能并优化动力链。由于肌腱恢复缓慢，长时间的康复是必要的。抗炎治疗往往不成功。手术也不能保证能迅速无症状地恢复到原来的运动水平。体外冲击波疗法、超声引导下新生血管硬化以及腱内和腱周注射抑肽酶和自体生长因子似乎是有前景的新治疗选择。
