髌腱：从肌腱病到断裂

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

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.

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.

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.

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。