Faculty of Medicine, University of Thessaly, 41500, Larissa, Greece.
Arch Orthop Trauma Surg. 2023 Nov;143(11):6695-6705. doi: 10.1007/s00402-023-04998-5. Epub 2023 Aug 4.
Patellar tendinopathy (PT), or jumper's knee, is an overuse injury that occurs in professional, as well as recreational, athletes. This condition is a noncontact injury, typically characterized by gradually increasing pain in the patellar tendon. It is prevalent in participants of several sports, but it occurs mostly in jumping sports. The diagnosis of PT is primarily clinical; however, imaging techniques can be useful as well. Risk factors differ between sexes, playing conditions, the kind of sport, playing level and personal characteristics. Screening is an essential tool to assess PT. This condition affects athletic performance and often persists for years. The use of preventative methods is imperative because of the persistence of this condition, especially in elite athletes who sometimes end their career after long and failed treatments. There are a wide variety of treatment and rehabilitation options available, the majority of which are non-operative, such as eccentric exercises, cryotherapy, platelet-rich plasma (PRP) injections, and anti-inflammatory strategies. If conservative treatment fails, surgery is the next most preferable step. Even though there are many surgical treatment methods, there is no clear evidence on what is the most effective approach to address PT. Taking this into consideration, as well as the extent of this clinical entity, novel therapeutic techniques, as well as screening and prevention methods, are expected to emerge in the near future.
髌腱病(PT),又称跳跃者膝,是一种过度使用损伤,发生于专业和业余运动员。这种情况是非接触性损伤,通常表现为髌腱逐渐出现疼痛。它在多种运动项目中较为常见,但主要发生在跳跃类运动项目中。PT 的诊断主要是临床诊断;然而,影像学技术也可能有用。不同性别、运动条件、运动类型、运动水平和个人特点的风险因素也有所不同。筛查是评估 PT 的重要工具。这种疾病会影响运动表现,而且常常持续多年。由于这种情况的持续存在,使用预防方法是至关重要的,尤其是对于精英运动员来说,他们有时会在长期和失败的治疗后结束职业生涯。有很多种治疗和康复选择,其中大多数是非手术治疗,如离心运动、冷冻疗法、富含血小板的血浆(PRP)注射和抗炎策略。如果保守治疗失败,手术是下一个首选治疗方案。尽管有许多手术治疗方法,但对于什么是治疗 PT 最有效的方法,目前还没有明确的证据。考虑到这一点,以及这种临床实体的广泛程度,预计在不久的将来会出现新的治疗技术以及筛查和预防方法。