Sclerosing injections and ultrasound-guided arthroscopic shaving for patellar tendinopathy: good clinical results and decreased tendon thickness after surgery—a medium-term follow-up study
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3028-z |2 doi |
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| 245 | 0 | 0 | |a Sclerosing injections and ultrasound-guided arthroscopic shaving for patellar tendinopathy: good clinical results and decreased tendon thickness after surgery—a medium-term follow-up study |h [Elektronische Daten] |c [Kerstin Sunding, Lotta Willberg, Suzanne Werner, Håkan Alfredson, Magnus Forssblad, Martin Fahlström] |
| 520 | 3 | |a Purpose: Treatment of patellar tendinopathy/jumper's knee with ultrasound-guided sclerosing injections or ultrasound-guided arthroscopic shaving has shown good clinical short-term results. Former studies indicate that the tendon thickness and structure stays unaffected after successful treatment. The aim of this study was to evaluate the sonographic findings and clinical outcome 3-5years after treatment of patellar tendinopathy with ultrasound-guided sclerosing injections or arthroscopic shaving. Methods: Fifty-seven patellar tendons (43 patients) with chronic patellar tendinopathy were evaluated, with ultrasound, colour Doppler (CD) and visual analogue scale (VAS) for pain and satisfaction with treatment, 3-5years after treatment. Functional status was evaluated with a single question—"Back in full loading activity?” yes or no. Results: At endpoint (mean 46months), there was a significant decrease in anteroposterior thickness of the proximal patellar tendon in patients treated with ultrasound-guided arthroscopic shaving but not after sclerosing injections. Tendon structure had improved, and CD local blood flow had diminished significantly in both groups. There were good clinical results with a significant decrease in VAS for pain after sclerosing injections (VAS 64±18→17±23) with 74% satisfied patients and also after arthroscopic shaving (VAS 77±16→13±23) with 80% satisfied patients. There were no significant differences in VAS between groups. A significant correlation between low local blood flow and high patient satisfaction was found. Conclusions: Tendon thickness decreased over time after ultrasound-guided arthroscopic shaving, and tendon structure and local blood flow decreased after both treatments. There were good, and similar, clinical results with both methods. Level of evidence: III. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Arthroscopic shaving |2 nationallicence | |
| 690 | 7 | |a Colour Doppler |2 nationallicence | |
| 690 | 7 | |a Jumper's knee |2 nationallicence | |
| 690 | 7 | |a Patellar tendon |2 nationallicence | |
| 690 | 7 | |a Sclerosing injections |2 nationallicence | |
| 690 | 7 | |a Ultrasonography |2 nationallicence | |
| 700 | 1 | |a Sunding |D Kerstin |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | |
| 700 | 1 | |a Willberg |D Lotta |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | |
| 700 | 1 | |a Werner |D Suzanne |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | |
| 700 | 1 | |a Alfredson |D Håkan |u Sports Medicine Unit, Department of Surgical and Perioperative Science, Umeå University, 901 87, Umeå, Sweden |4 aut | |
| 700 | 1 | |a Forssblad |D Magnus |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | |
| 700 | 1 | |a Fahlström |D Martin |u Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, 901 87, Umeå, Sweden |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/8(2015-08-01), 2259-2268 |x 0942-2056 |q 23:8<2259 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3028-z |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3028-z |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sunding |D Kerstin |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Willberg |D Lotta |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Werner |D Suzanne |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Alfredson |D Håkan |u Sports Medicine Unit, Department of Surgical and Perioperative Science, Umeå University, 901 87, Umeå, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Forssblad |D Magnus |u Stockholm Sports Trauma Research Centre/Karolinska Institutet, Capio Artro Clinic AB, Box 5605, 114 86, Stockholm, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Fahlström |D Martin |u Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, 901 87, Umeå, Sweden |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/8(2015-08-01), 2259-2268 |x 0942-2056 |q 23:8<2259 |1 2015 |2 23 |o 167 | ||