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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >High-Volume Image-Guided Injection for Recalcitrant Patellar Tendinopathy in Athletes
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High-Volume Image-Guided Injection for Recalcitrant Patellar Tendinopathy in Athletes

机译：大剂量影像引导注射治疗运动员顽固性Pat骨腱病

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Objective:To assess the effectiveness of high-volume image-guided injection in the middle term in patients with recalcitrant patellar tendinopathy.Design:Case series study; Level of evidence, 4.Setting:All tertiary referrals, public, and private healthcare.Patients:Forty-four patients (41 men and 3 women) with diagnosis of recalcitrant patellar tendinopathy were included.Intervention:Tendon injection of a mixture of 10 mL of 0.5% bupivacaine hydrochloride, 62500 international units of aprotinin, and 40 mL of normal saline solution.Main Outcome Measures:The Victorian Institute of Sport Assessmentpatellar tendon (VISA-P), visual analogue scale, and Roles and Maudsley were assessed at baseline and at the last follow-up.Results:The baseline VISA-P score of 46 18.2 (range, 28-75) improved to 75.3 19.2 (range, 68-100) by 15 months (P = 0.003). The mean pain visual analogue scale changed from 91 mm (range, 66-92 mm) before the injection to 28 mm (2-52 mm) (P = 0.01). Of 32 physically active patients, 23 (72%) had returned to sport at the same level practiced before the onset of symptoms. Thirty-five of the 44 patients (80%) rated their condition as good or excellent.Conclusions:High-volume injection at the interface between the deep surface of the patellar tendon and Hoffa body improves in the short-term symptoms and function of the knee.
机译：目的：评估中期大剂量影像引导注射治疗in骨肌腱病的难治性。证据等级，4。设置：所有三级转诊，公共和私人医疗机构患者：包括44例诊断为pa骨肌腱病顽固性病变的患者（41名男性和3名女性）干预措施：Tendon注射10 mL混合物0.5％的布比卡因盐酸盐，62500国际单位的抑肽酶和40 mL生理盐水溶液。主要观察指标：维多利亚州运动评估学会Victoria肌腱（VISA-P），视觉模拟量表以及在基线和基线时评估了Roles和Maudsley结果：基线VISA-P评分为46 18.2（范围28-75），在15个月内提高到75.3 19.2（范围68-100）（P = 0.003）。平均疼痛视觉模拟评分从注射前的91毫米（66-92毫米）变化到28毫米（2-52毫米）（P = 0.01）。在32名体育锻炼患者中，有23名（72％）恢复到与症状发作前相同的水平。在44例患者中，有35例（80％）认为其状况良好或良好。结论：tend骨腱深表面与Hoffa体之间界面的大剂量注射改善了the骨肌腱的短期症状和功能。膝盖。

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