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髌腱病:急性髌腱断裂与跳跃膝

Patellar Tendinosis: Acute Patellar Tendon Rupture and Jumper's Knee.

作者信息

Depalma Michael James, Perkins Robert Harrison

机构信息

Department of Physical Medicine and Rehabilitation, The Ohio State University, Columbus, OH, 43210, USA.

出版信息

Phys Sportsmed. 2004 May;32(5):41-5. doi: 10.3810/psm.2004.05.310.

Abstract

Patellar tendinopathy (jumper's knee) may affect athletes who engage in explosive lower-limb movements. An eccentric contraction of the quadriceps when landing after a jump may lead to acute patellar tendon rupture, the end-stage of patellar tendinopathy. Plain x-rays will usually confirm the diagnosis. Treatment centers around reducing the stress placed on the patellar tendon. Postoperative functional restoration and preventive measures must address biomechanic abnormalities that may predispose patients to disruptive patellar tendon strain. As this case report shows, counseling patients who have early-stage tendinopathy on appropriate flexibility and plyometric exercises may prevent more serious damage.

摘要

髌腱病(跳跃者膝)可能会影响从事爆发性下肢运动的运动员。跳跃后落地时股四头肌的离心收缩可能导致急性髌腱断裂,这是髌腱病的终末期。普通X线通常可确诊。治疗的重点是减轻髌腱所承受的压力。术后功能恢复和预防措施必须针对可能使患者易发生髌腱断裂性劳损的生物力学异常情况。正如本病例报告所示,对患有早期腱病的患者进行适当的柔韧性和增强式训练指导,可能会预防更严重的损伤。

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