Peck Evan, Jelsing Elena, Onishi Kentaro
Section of Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Florida, 525 Okeechobee Boulevard, Suite 1400, West Palm Beach, FL 33401, USA; Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.
Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Mayo Clinic Sports Medicine Center, Minneapolis, MN 55403, USA.
Phys Med Rehabil Clin N Am. 2016 Aug;27(3):733-48. doi: 10.1016/j.pmr.2016.04.008.
Tendinopathy is increasingly recognized as an important cause of musculoskeletal pain and disability. Tendinopathy is thought to be principally a degenerative process, rather than inflammatory as was traditionally believed. Consequently, traditional tendinopathy treatments focused solely on decreasing inflammation have often been ineffective or even harmful. The advancement of ultrasonography as for guidance of outpatient musculoskeletal procedures has facilitated the development of novel percutaneous procedures for the treatment of tendinopathy, mostly by using mechanical intervention to stimulate regeneration. Several of these techniques, including percutaneous needle tenotomy, percutaneous ultrasonic tenotomy, high-volume injection, and percutaneous needle scraping, are reviewed in this article.
肌腱病日益被认为是肌肉骨骼疼痛和残疾的重要原因。肌腱病被认为主要是一个退行性过程，而非传统观念所认为的炎症过程。因此，传统上单纯专注于减轻炎症的肌腱病治疗方法往往无效甚至有害。超声检查在门诊肌肉骨骼手术中的应用进展，推动了用于治疗肌腱病的新型经皮手术的发展，主要是通过机械干预来刺激再生。本文对其中几种技术进行了综述，包括经皮针刺腱切断术、经皮超声腱切断术、大容量注射和经皮针刮术。
