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首页> 外文期刊>Current sports medicine reports. >Treatment Options for Patellar Tendinopathy: Critical Review
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Treatment Options for Patellar Tendinopathy: Critical Review

机译：Pat骨腱鞘病的治疗选择：综述

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摘要

Patellar tendinopathy is a painful knee injury due to overuse common among jumping athletes. Because rest from sport is neither a feasible nor an effective treatment for patellar tendinopathy in elite athletes, active treatment options are needed. Treatment may be conservative, injection-based, or surgical. This review synthesizes findings from 32 studies of varying quality published between 2001 and 2011. Painful eccentric squats using a 25?-decIine board is supported as a first-line treatment. Extracorporeal shock wave therapy is no more effective than placebo. Sclerosing injections seem to be effective, but the evidence is not definitive. Shaving of abnormal tissue via arthroscopic surgery with realtime ultrasound guidance is superior to sclerosing injections. Steroid injections are inferior to exercise interventions and are not recommended. Injections of autologous blood, platelet-rich plasma, and hyperosmolar dextrose are unproven and experimental. Clinicians need to have a comprehensive knowledge of the evidence in the literature, as well as training and experience, when treating patellar tendinopathy.
机译：jumping骨肌腱病是由于跳跃运动员过度使用而引起的一种痛苦的膝盖损伤。由于运动休息对精英运动员pa骨肌腱病既不可行也不有效，因此需要积极的治疗选择。治疗可以是保守的，基于注射的或外科的。这篇综述总结了2001年至2011年间发表的32项质量不同的研究的发现。一线治疗支持使用25？-Decine板进行的偏心深蹲。体外冲击波疗法没有比安慰剂更有效。硬化剂注射似乎有效，但证据尚不确定。在实时超声引导下，通过关节镜手术刮除异常组织要优于硬化注射。类固醇注射不如运动干预，不建议使用。自体血液，富含血小板的血浆和高渗葡萄糖的注射尚未得到证实和实验。治疗pa骨肌腱病时，临床医生需要对文献证据以及培训和经验有全面的了解。

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