Rodenberg Richard E, Bowman Eric, Ravindran Reno
NCH Sports Medicine Fellowship Program, Division of Sports Medicine, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Dublin, OH 43017, USA.
Prim Care. 2013 Jun;40(2):453-73. doi: 10.1016/j.pop.2013.02.007. Epub 2013 Mar 19.
Tendinopathy and chronic tendon issues related to tendinosis are conditions difficult to treat. These conditions often lead to patients' quality of life declining because of the inability to participate in exercise, occupation-related activities, and activities of daily living. By better understanding the pathophysiology related to the development of tendinosis, clinicians will be better able to understand the treatment options available and their limitations while allowing novel therapies to be developed. Conservative treatment of tendinosis starting with a sound rehabilitation program seems to be the best place to start while reserving surgical approaches for cases that have failed conservative management.
肌腱病以及与肌腱退变相关的慢性肌腱问题是难以治疗的病症。这些病症常常导致患者生活质量下降,因为他们无法参与运动、与职业相关的活动以及日常生活活动。通过更好地理解与肌腱退变发展相关的病理生理学,临床医生将能更好地了解可用的治疗选择及其局限性,同时也能开发新的治疗方法。对于肌腱退变,从完善的康复计划开始进行保守治疗似乎是最佳的起始方式,而对于保守治疗失败的病例则保留手术治疗方法。