Die arthroskopische Behandlung der chronischen Tendinose der Patellarsehne (Jumper’s Knee): Operationstechnik

Zusammenfassung

Die von uns beschriebene Technik zur Behandlung der chronischen Tendinose der Patellarsehne (Jumper’s Knee) stellt eine rein arthroskopische Therapie dar, welche die Vorteile einer minimalinvasiven Technik mit schneller Rehabilitation und geringer Komplikationsrate mit exzellenten klinischen Ergebnissen, welche mit den in der Literatur beschriebenen Resultaten der offenen operativen Behandlung vergleichbar sind, kombiniert.

Abstract

The described surgical technique with the arthroscopic resection of the lower patellar pole for the treatment of chronic patellar tendinosis leads to excellent clinical results. It combines the advantages of a minimal-invasive method with fast rehabilitation and return to sporting activities with comparable results to described open procedures.

Schlüsselwörter

Jumper’s Knee - Tendinose der Patellarsehne - Arthroskopie - minimalinvasiv

Key words

Jumper’s knee - patellar tendinosis - arthroscopy - minimal-invasive

Literatur

• 1 Kettunen J A, Kvist M, Alanen E. et al . Long-term prognosis for jumper’s knee in male athletes. A prospective follow-up study.  Am J Sports Med. 2002;  30 (5) 689-692
• 2 Lian O B, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study.  Am J Sports Med. 2005;  33 (4) 561-567
• 3 Ferretti A, Conteduca F, Camerucci E. et al . Patellar tendinosis: a follow-up study of surgical treatment.  J Bone Joint Surg Am. 2002;  84-A (12) 2179-2185
• 4 Witvrouw E, Bellemans J, Lysens R. et al . Intrinsic risk factors for the development of patellar tendinitis in an athletic population. A two-year prospective study.  Am J Sports Med. 2001;  29 (2) 190-195
• 5 Ferretti A, Puddu G, Mariani P P. et al . The natural history of jumper’s knee. Patellar or quadriceps tendonitis.  Int Orthop. 1985;  8 (4) 239-242
• 6 Ogon P, Maier D, Jaeger A. et al . Arthroscopic patellar release for the treatment of chronic patellar tendinopathy.  Arthroscopy. 2006;  22 (4) 462-465
• 7 Ferretti A. Epidemiology of jumper’s knee.  Sports Med. 1986;  3 289-295
• 8 Kujala U M, Ostermann K, Kvist M. et al . Factors predisposing to patellar chondropathy and patellar apicitis in athletes.  Int Orthop. 1986;  10 (3) 195-200
• 9 Cook J L, Malliaras P, De Luca J. et al . Vascularity and pain in the patellar tendon of adult jumping athletes: a 5 month longitudinal study.  Br J Sports Med. 2005;  39 (7) 458-461
• 10 Johnson D P. Arthroscopic surgery for patellar tendonitis: A new technique.  Arthroscopy. 1998;  14 (S44)
• 11 Romeo A A, Larson R V. Arthroscopic treatment of infrapatellar tendonitis.  Arthroscopy. 1999;  15 (3) 341-345
• 12 Coleman B D, Khan K M, Kiss Z S. et al . Open and arthroscopic patellar tenotomy for chronic patellar tendinopathy. A retrospective outcome study. Victorian Institute of Sport Tendon Study Group.  Am J Sports Med. 2000;  28 (2) 183-190
• 13 Shelbourne K D, Henne T D, Gray T. Recalcitrant patellar tendinosis in elite athletes: surgical treatment in conjunction with aggressive postoperative rehabilitation.  Am J Sports Med. 2006;  34 (7) 1141-1146
• 14 Panni A S, Tartarone M, Maffulli N. Patellar tendinopathy in athletes. Outcome of nonoperative and operative management.  Am J Sports Med. 2000;  28 (3) 392-397
• 15 Lorbach O, Diamantopoulos A, Paessler H H. Arthroscopic resection of the lower patellar pole in patients with chronic patellar tendinosis. Vortrag, AANA 27th Annual Meeting, April 26th-29th 2007 San Francisco, USA; 2007 Arthroscopy im Druck
• 16 Pierets K, Verdonk R, De Muynck M. et al . Jumper’s knee: postoperative assessment. A retrospective clinical study.  Knee Surg Sports Traumatol Arthrosc. 1999;  7 (4) 239-242
• 17 Willberg L, Sunding K, Ohberg L. et al . Treatment of Jumper’s knee: promising short-term results in a pilot study using a new arthroscopic approach based on imaging findings.  Knee Surg Sports Traumatol Arthrosc. 2007;  15 (5) 676-681
• 18 Schmid M R, Hodler J, Cathrein P. et al . Is impingement the cause of jumper’s knee? Dynamic and static magnetic resonance imaging of patellar tendinitis in an open-configuration system.  Am J Sports Med. 2002;  30 (3) 388-395
• 19 Johnson D P, Wakeley C J, Watt I. Magnetic resonance imaging of patellar tendonitis.  J Bone Joint Surg Br. 1996;  78 (3) 452-457
• 20 Shalaby M, Almekinders L C. Patellar tendinitis: the significance of magnetic resonance imaging findings.  Am J Sports Med. 1999;  27 (3) 345-349
• 21 Lorbach O, Diamantopoulos A, Kammerer K P. et al .The influence of the lower patellar pole in the pathogenesis of chronic patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc 2007, Epub