Meredith T Jason, Hornsby Hannah, Bagby Jackson, Goodsell Scott
Department of Family Medicine, UNMC Primary Care Sports Medicine Fellowship, University of Nebraska Medical Center, Omaha, NE, USA.
Offutt Air Force Base Family Medicine Residency Program, Offutt AFB, NE, USA.
Curr Rev Musculoskelet Med. 2025 Sep 2. doi: 10.1007/s12178-025-09993-4.
Tendinopathy is a common cause of musculoskeletal morbidity, resulting in frequent visits to primary care providers, orthopedists, and urgent care clinics. Six common regions of tendinopathy are discussed in this article, including up to date findings in their clinical history and exam findings, special testing, imaging, and treatment.
Point of care musculoskeletal ultrasound has gained popularity as a tool in the diagnosis of various tendinopathies. Advanced interventions, including extracorporeal shockwave therapy (ESWT) and injections modalities such as platelet rich plasma (PRP) are becoming more common in the treatment of tendinopathy; however, the evidence for these interventions is mixed with most providing some short-term relief in symptoms but no long-term improvement in outcomes.
Point of care musculoskeletal ultrasound has gained popularity as a tool in the diagnosis of various tendinopathies. Advanced interventions, including extracorporeal shockwave therapy (ESWT) and injections modalities such as platelet rich plasma (PRP) are becoming more common in the treatment of tendinopathy; however, the evidence for these interventions is mixed with most providing some short-term relief in symptoms but no long-term improvement in outcomes. The diagnosis of tendinopathy often remains a clinical diagnosis with the mainstay of treatment remaining activity modification, physical therapy, and anti-inflammatories for acute pain control. Recovery time is widely variable between patients and conditions.
肌腱病是肌肉骨骼疾病的常见病因，导致患者频繁就诊于初级保健医生、骨科医生和紧急护理诊所。本文讨论了六个常见的肌腱病发病部位，包括其临床病史、体格检查结果、特殊检查、影像学检查及治疗方面的最新研究结果。
床旁肌肉骨骼超声作为诊断各种肌腱病的工具越来越受欢迎。包括体外冲击波疗法（ESWT）和富血小板血浆（PRP）注射等先进干预措施在肌腱病治疗中越来越普遍；然而，这些干预措施的证据不一，大多数措施能在短期内缓解症状，但对长期疗效并无改善。
床旁肌肉骨骼超声作为诊断各种肌腱病的工具越来越受欢迎。包括体外冲击波疗法（ESWT）和富血小板血浆（PRP）注射等先进干预措施在肌腱病治疗中越来越普遍；然而，这些干预措施的证据不一，大多数措施能在短期内缓解症状，但对长期疗效并无改善。肌腱病的诊断通常仍为临床诊断，治疗的主要方法仍是调整活动、物理治疗以及使用抗炎药控制急性疼痛。患者和病情的恢复时间差异很大。
