Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Clin J Sport Med. 2010 Nov;20(6):488-90. doi: 10.1097/JSM.0b013e3181f3617f.
To report the retrospective results of ultrasound-guided needle fenestration for the treatment of recalcitrant patellar tendinopathy.
Retrospective follow-up study.
University outpatient sports medicine clinic.
Forty-seven patellar tendons in 32 patients (26 men and 6 women; mean age, 26 years) with recalcitrant patellar tendinopathy. Diagnosis made via history, physical examination, and sonographic examination.
Ultrasound-guided needle fenestration after failure of conservative management.
Pre-treatment and 4-week clinical follow-up determination of functional activity score. Phone follow-up determination of best achievable level of activity and satisfaction score of the procedure.
Average time to follow-up was 45 months. Seventy-two percent of patients reported excellent or good results when questioned regarding return to activity. Twenty-eight percent of patients were unable to return to their desired activity level. Six patients subsequently underwent surgical treatment. One athlete underwent surgery to repair a patellar tendon rupture that occurred 6 weeks after the procedure. Eighty-one percent of patients reported excellent or good satisfaction scores.
Ultrasound-guided needle fenestration warrants further investigation for the treatment of recalcitrant patellar tendinopathy.
报告超声引导下经皮穿刺治疗顽固性髌腱病的回顾性结果。
回顾性随访研究。
大学门诊运动医学诊所。
32 例患者的 47 个髌腱（26 名男性和 6 名女性；平均年龄 26 岁），均患有顽固性髌腱病。通过病史、体格检查和超声检查进行诊断。
在保守治疗失败后进行超声引导下经皮穿刺。
治疗前和 4 周临床随访时的功能活动评分。通过电话随访确定最佳可行活动水平和手术满意度评分。
平均随访时间为 45 个月。72%的患者在询问活动恢复情况时报告了出色或良好的结果。28%的患者无法恢复到期望的活动水平。6 名患者随后接受了手术治疗。1 名运动员在手术后 6 周发生髌腱断裂，随后接受了手术治疗。81%的患者报告了出色或良好的满意度评分。
超声引导下经皮穿刺治疗顽固性髌腱病值得进一步研究。
