Popp J E, Yu J S, Kaeding C C
Division of Orthopaedic Surgery, Ohio State University Medical Center, Columbus, USA.
Am J Sports Med. 1997 Mar-Apr;25(2):218-22. doi: 10.1177/036354659702500214.
Magnetic resonance imaging findings and the results of surgical treatment and histologic evaluation of 11 knees in 9 athletes with recalcitrant patellar tendinitis are reported. All of the athletes had no improvement with traditional nonoperative treatment and all had abnormal magnetic resonance imaging findings consistent with chronic patellar tendinitis. Surgical exploration and debridement were performed on the 11 knees by the same surgeon. With a minimum followup of 1 year, 7 of the 11 knees had excellent results, 3 had good results, and 1 had a poor result. Histologic evaluation of the debrided tissue was consistent with "angiofibroblastic tendinosis," which correlated with the abnormal preoperative magnetic resonance imaging findings in the proximal third of the infrapatellar tendon. This study correlated histologic findings with magnetic resonance imaging findings and shows that in selected patients excellent results can be achieved with surgical treatment of recalcitrant patellar tendinitis or "jumper's knee."
报告了9名患有顽固性髌腱炎的运动员11个膝关节的磁共振成像结果、手术治疗结果及组织学评估结果。所有运动员经传统非手术治疗均无改善，且磁共振成像结果均异常，符合慢性髌腱炎表现。同一位外科医生对这11个膝关节进行了手术探查和清创。随访至少1年，11个膝关节中7个效果极佳，3个效果良好，1个效果较差。清创组织的组织学评估结果符合“血管纤维母细胞性肌腱病”，这与髌腱下极近端三分之一术前磁共振成像异常表现相关。本研究将组织学结果与磁共振成像结果相关联，表明对于选定患者，手术治疗顽固性髌腱炎或“跳跃膝”可取得极佳效果。
