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“跳跃膝”的诊断与管理

[Diagnosis and management of "jumper's knee"].

作者信息

Halasi T, Hehl I, Esztergályos J, Gaál M

出版信息

Magy Traumatol Ortop Kezseb Plasztikai Seb. 1994;37(2):107-15.

PMID:8049740
Abstract

Authors deal with a characteristic and frequent sport damage, not yet described in the professional literature of this country. The Syndrome "Jumper's knee" is a collective term comprising the insertiopathies in the knee region, developed in consequence of the overuse of the extensors. During 6 years 385 patients were treated for this problem at the National Institute for Sport Medicine, Department of Sport Surgery and operations were performed in 47 cases. The average age of the patients was 18.9 years, of the patients operated 23.4 years. The most frequent sports were: basket-ball, volley-ball, athletic jumping. Authors stress the importance of ultrasound examination in this disease, otherwise poor in symptoms. The conservative treatment was carried out according to clinical stages and its results are better in early stages, the interval to return to sport was also shorter. The operative procedure was the resection of the apex patellae with the degenerated part of the tendon, having its origin here. Based on 32 control examinations the results can be considered as good and the authors stress the importance of the exact operative indication and the time-sparing technique. Beside describing the possibilities of the prophylaxis authors think the adequate information given to sportsmen and the trainers essential.

摘要

作者探讨了一种该国专业文献中尚未描述过的典型且常见的运动损伤。“跳跃膝综合征”是一个统称,包括因伸肌过度使用而在膝关节区域发生的附着点病。在6年时间里,国立运动医学研究所运动外科有385例患者因该问题接受治疗,其中47例进行了手术。患者的平均年龄为18.9岁,接受手术的患者平均年龄为23.4岁。最常见的运动项目是:篮球、排球、田径跳跃。作者强调了超声检查在这种症状不明显的疾病中的重要性。保守治疗根据临床阶段进行,早期效果更好,恢复运动的间隔时间也更短。手术方法是切除髌骨尖及在此处起源的退变肌腱部分。基于32次对照检查,结果可被视为良好,作者强调了准确的手术指征和节省时间的技术的重要性。除了描述预防的可能性外,作者认为向运动员和教练提供充分的信息至关重要。

相似文献

1
[Diagnosis and management of "jumper's knee"].“跳跃膝”的诊断与管理
Magy Traumatol Ortop Kezseb Plasztikai Seb. 1994;37(2):107-15.
2
Ultrasonography of jumper's knee.跳跃膝的超声检查
Acta Radiol. 1990 Mar;31(2):147-9.
3
[Possibilities of sonography in patellar apex syndrome].[超声检查在髌尖综合征中的应用可能性]
Ultraschall Med. 1990 Feb;11(1):44-7. doi: 10.1055/s-2007-1011528.
4
Patellar tendinosis (jumper's knee): findings at histopathologic examination, US, and MR imaging. Victorian Institute of Sport Tendon Study Group.髌腱炎(跳跃者膝):组织病理学检查、超声及磁共振成像表现。维多利亚运动肌腱研究小组
Radiology. 1996 Sep;200(3):821-7. doi: 10.1148/radiology.200.3.8756939.
5
[Jumper's knee--a review].[跳跃膝——综述]
Sportverletz Sportschaden. 2005 Jun;19(2):63-71. doi: 10.1055/s-2005-858141.
6
Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study.不同运动项目精英运动员中跳跃膝的患病率:一项横断面研究。
Am J Sports Med. 2005 Apr;33(4):561-7. doi: 10.1177/0363546504270454. Epub 2005 Feb 8.
7
[The jumper's knee].[跳跃者膝]
Helv Chir Acta. 1976 Dec;43(5-6):447-50.
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Neuroanatomic basis for pain in patellar tendinosis ("jumper's knee"): a neuroimmunohistochemical study.髌腱炎(“跳跃者膝”)疼痛的神经解剖学基础:一项神经免疫组织化学研究。
Am J Knee Surg. 2001 Summer;14(3):174-7.
9
Superior results with eccentric compared to concentric quadriceps training in patients with jumper's knee: a prospective randomised study.在跳跃膝患者中,离心性股四头肌训练相较于向心性股四头肌训练效果更佳:一项前瞻性随机研究。
Br J Sports Med. 2005 Nov;39(11):847-50. doi: 10.1136/bjsm.2005.018630.
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Arthroscopic resection of the lower patellar pole in patients with chronic patellar tendinosis.慢性髌腱炎患者的髌下极关节镜切除术
Arthroscopy. 2008 Feb;24(2):167-73. doi: 10.1016/j.arthro.2007.08.021. Epub 2007 Nov 5.