Myllymäki T, Bondestam S, Suramo I, Cederberg A, Peltokallio P
Department of Diagnostic Radiology, Helsinki University Central Hospital, Finland.
Acta Radiol. 1990 Mar;31(2):147-9.
The aim of the study was to evaluate the role of ultrasonography (US) in the management of jumper's knees. Sixty-two cases of clinically suggested jumper's knees, 52 asymptomatic contralateral knees and 100 asymptomatic knees of healthy middle aged men were examined. In the symptomatic group US was normal in 25 cases, all recovered with conservative therapy. In 31 symptomatic knees the findings were consistent with jumper's knee as a hypoechoic lesion located in the upper insertion of the patellar tendon in 23 cases and in the distal insertion in one case. In 7 cases the lesion was situated in the insertion of the quadriceps tendon. Surgery was performed on 20 knees and in all of them there was a lesion matching the lesion detected by US. In 6 cases US findings were pathologic, but different from jumper's knee. US findings consistent with jumper's knee could not be detected in the asymptomatic group.
本研究的目的是评估超声检查(US)在髌腱炎管理中的作用。对62例临床诊断为髌腱炎的病例、52例无症状的对侧膝关节以及100例健康中年男性的无症状膝关节进行了检查。在有症状的组中,25例超声检查正常,所有这些病例经保守治疗后均康复。在31例有症状的膝关节中,检查结果符合髌腱炎,其中23例表现为髌腱上止点处低回声病变,1例为下止点处病变。7例病变位于股四头肌腱止点处。对20例膝关节进行了手术,所有病例均存在与超声检查发现相匹配的病变。6例超声检查结果为病理性,但与髌腱炎不同。在无症状组中未检测到与髌腱炎相符的超声检查结果。