Capio Artro Clinic, Stockholm Sports Trauma Research Centre, Karolinska Institutet, Stockholm, Sweden.
Br J Sports Med. 2011 Apr;45(5):411-5. doi: 10.1136/bjsm.2010.082446.
Proximal patellar tendinopathy/jumper's knee (PT/JK) is well known to be difficult to treat. Recent studies using an ultrasound and colour Doppler-based treatment approach on the dorsal side of the tendon, sclerosing polidocanol injections and ultrasound-guided arthroscopic shaving, have shown promising clinical results.
To compare the clinical effects after treatment with sclerosing polidocanol injections and arthroscopic shaving.
52 patellar tendons (43 men and two women) with ultrasound and colour Doppler-verified diagnosis of PT/JK were randomly assigned to treatment with ultrasound and colour Doppler-guided sclerosing polidocanol injections (group A) or ultrasound and colour Doppler-guided arthroscopic shaving (group B). All patients were involved in patellar tendon loading sports or recreational activities, and had had a long duration of pain symptoms from the proximal patellar tendon. Pain during patellar tendon loading activity, and at rest, before and after treatment (visual analogue scale; VAS), and patient satisfaction with the result of the treatment, was registered.
After treatment, the patients treated with arthroscopic shaving had a significantly lower VAS score at rest and during activity, and were significantly more satisfied compared with the patients in the sclerosing injection group.
Both treatment with ultrasound and colour Doppler-guided sclerosing polidocanol injections and arthroscopic shaving showed good clinical results, but patients treated with arthroscopic shaving had less pain and were more satisfied with the treatment result. Because surgical treatment is a one-stage treatment return to sports was faster in this group.
众所周知，近端髌腱病/跳跃者膝（PT/JK）很难治疗。最近的研究使用基于超声和彩色多普勒的治疗方法对肌腱的背侧、聚桂醇硬化注射和超声引导下关节镜下刨削，显示出有希望的临床结果。
比较硬化醇注射和关节镜下刨削治疗后的临床效果。
52 例髌腱（43 名男性和 2 名女性）经超声和彩色多普勒证实诊断为 PT/JK，随机分为超声和彩色多普勒引导下硬化醇注射治疗组（A 组）或超声和彩色多普勒引导下关节镜下刨削治疗组（B 组）。所有患者均参与髌腱负荷运动或娱乐活动，且有近端髌腱疼痛症状持续时间长。治疗前后（视觉模拟评分；VAS）记录髌腱负荷活动时和休息时的疼痛、休息时的疼痛以及患者对治疗结果的满意度。
治疗后，关节镜下刨削组患者的静息和活动时 VAS 评分明显较低，且对治疗结果的满意度明显高于硬化醇注射组患者。
超声和彩色多普勒引导下硬化醇注射和关节镜下刨削治疗均显示出良好的临床效果，但关节镜下刨削治疗的患者疼痛较轻，对治疗结果更满意。由于手术治疗是一种一次性治疗，因此该组患者的重返运动时间更快。
