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髌腱:从肌腱病到断裂

Patellar tendon: From tendinopathy to rupture.

作者信息

Rosso Federica, Bonasia Davide Edoardo, Cottino Umberto, Dettoni Federico, Bruzzone Matteo, Rossi Roberto

机构信息

Department of Orthopaedics and Traumatology, Azienda Ospedaliera Mauriziano Umberto I, Largo Turati 62, 10128, Torino, Italy.

Department of Orthopaedics and Traumatology, Azienda Ospedaliera Città della Salute e della Scienza, Centro Traumatologico Ortopedico Hospital, Via Zuretti, Torino, Italy.

出版信息

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Aug 7;2(4):99-107. doi: 10.1016/j.asmart.2015.07.001. eCollection 2015 Oct.

DOI:10.1016/j.asmart.2015.07.001
PMID:29264248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5730651/
Abstract

Patellar tendinopathy is very common in patients complaining of anterior knee pain. Its aetiology is still unclear, but neovascularisation seems to play a role. Different treatments have been proposed overtime, from rehabilitation to platelet-rich-plasma injections, but there is no agreement on the best treatment protocol. The final stage of patellar tendinopathy is patellar tendon rupture. In these cases surgical treatment is often required. The aim of this literature review is to focus on the aetiology, diagnosis, and treatment of both patellar tendinopathy and rupture. We report the conservative treatments proposed for patellar tendinopathy and the surgical techniques described for its rupture.

摘要

髌腱病在主诉膝关节前部疼痛的患者中非常常见。其病因仍不清楚,但新生血管形成似乎起了一定作用。随着时间的推移,人们提出了不同的治疗方法,从康复治疗到富血小板血浆注射,但对于最佳治疗方案尚无共识。髌腱病的最后阶段是髌腱断裂。在这些情况下,通常需要手术治疗。这篇文献综述的目的是聚焦于髌腱病和髌腱断裂的病因、诊断及治疗。我们报告了针对髌腱病提出的保守治疗方法以及针对髌腱断裂所描述的手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a6/5730651/5ec9ff4eac6d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a6/5730651/a9725221a652/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a6/5730651/5ec9ff4eac6d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a6/5730651/a9725221a652/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a6/5730651/5ec9ff4eac6d/gr2.jpg

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本文引用的文献

1
Can PRP effectively treat injured tendons?富血小板血浆能有效治疗受损肌腱吗?
Muscles Ligaments Tendons J. 2014 May 8;4(1):35-7. eCollection 2014 Jan.
2
Platelet-rich plasma in the conservative treatment of painful tendinopathy: a systematic review and meta-analysis of controlled studies.富含血小板血浆在疼痛性肌腱病保守治疗中的应用:对照研究的系统评价与荟萃分析
Br Med Bull. 2014 Jun;110(1):99-115. doi: 10.1093/bmb/ldu007. Epub 2014 May 2.
3
Platelet-rich therapies for musculoskeletal soft tissue injuries.用于肌肉骨骼软组织损伤的富血小板疗法。
Effect of a single versus serial platelet-rich plasma injection on the healing of acute patellar tendon defect: an experimental study.
单次与连续富血小板血浆注射对急性髌腱缺损愈合的影响:一项实验研究。
BMC Musculoskelet Disord. 2024 Aug 30;25(1):684. doi: 10.1186/s12891-024-07804-4.
4
Gouty destruction of a patellar tendon reconstruction and novel revision reconstruction technique: A case report.痛风性髌腱重建破坏及新型翻修重建技术:一例报告
World J Orthop. 2024 Jul 18;15(7):675-682. doi: 10.5312/wjo.v15.i7.675.
5
Impact of Centrifugation Parameters on Platelet-Rich Plasma Injection for Patella Tendinopathy: A Systematic Review and Meta-Analysis.离心参数对髌腱病富血小板血浆注射的影响:一项系统评价和荟萃分析
Cureus. 2024 Jun 27;16(6):e63341. doi: 10.7759/cureus.63341. eCollection 2024 Jun.
6
Association Between Patellar Tendon Abnormality and Land-Jump Biomechanics in Male Collegiate Basketball Players During the Preseason.季前赛期间男性大学篮球运动员髌腱异常与立定跳远生物力学之间的关联
Orthop J Sports Med. 2024 Apr 29;12(4):23259671241242008. doi: 10.1177/23259671241242008. eCollection 2024 Apr.
7
Bibliometric Analysis of the Top 50 Most Influential Studies on Patellar Tendon Injury.髌腱损伤领域最具影响力的50项研究的文献计量分析
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Impact of Patellar Tendinopathy on Isokinetic Knee Strength and Jumps in Professional Basketball Players.髌腱炎对职业篮球运动员等速膝关节力量和跳跃能力的影响。
Sensors (Basel). 2021 Jun 22;21(13):4259. doi: 10.3390/s21134259.
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Percutaneous reconstruction of patellar tendon using semitendinosus tendon in chronic patellar tendon injury--case series and outcome.慢性髌腱损伤中使用半腱肌肌腱经皮重建髌腱——病例系列及结果
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Extensor-mechanism-reconstruction of the knee joint after traumatic loss of the entire extensor apparatus.创伤性全伸膝装置缺失后膝关节伸肌机制重建
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7
Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: average 5.8-year follow-up.同侧腘绳肌腱移植物重建慢性髌腱断裂:平均 5.8 年随访。
J Bone Joint Surg Am. 2013 Sep 4;95(17):e1231-6. doi: 10.2106/JBJS.L.01462.
8
Biomechanical properties of suture anchor repair compared with transosseous sutures in patellar tendon ruptures: a cadaveric study.髌骨肌腱断裂中缝线锚钉修复与经骨缝线修复的生物力学特性:一项尸体研究
Am J Sports Med. 2013 Nov;41(11):2540-4. doi: 10.1177/0363546513500633. Epub 2013 Aug 27.
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The effects of mechanical loading on tendons--an in vivo and in vitro model study.力学加载对肌腱的影响——体内和体外模型研究。
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