medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Number 5

<< Back Next >>

Acta Ortop Mex 2007; 21 (5)

Jumper’s knee. Surgery and arthroscopic treatment with scraping and povidone collagen in high-performance athletes

Caldelas CE, Zarur MN

Language: Spanish
References: 12
Page: 234-238
PDF size: 164.20 Kb.


ABSTRACT

The jumper’s knee or patellar tendonitis is a common injury in the athlete with an incidence between 14% and 16% among high-performance athletes. In addition to an overuse injury, there are some intrinsic factors for its development. Conservative treatment is indicated for the initial form, but when it fails, surgical treatment should be performed with an appropriate rehabilitation program. Material and methods: We retrospectively studied 18 high performance athletes in various disciplines, with an average age of 22 years, operated by arthroscopy and mini-arthrotomy scraping and application of povidone collagen sponge between March 2001 and December 2005. There after patients underwent a rehabilitation program specific for their return to their athletic activity. Results: The patients returned to their sports activity in an average of 15 weeks, with functional knees without pain, with full range of motion. We did not find postoperative fibrosis. Discussion: The results were similar and slightly better in time of return to sports activities to those reported in the world literature, with the difference in follow up. According to the clinical evaluation, treatment performed allows functional improvement with a return to athletic activity in a reasonable time.


REFERENCES

  1. Oysten L, Engebretsen L, Bahr R. Prevalence of jumper´s knee among elite athletes from different sports. Am J Sports Med 2005; 33: 561-7.

  2. Witvrouw E, Bellemans J, et al. Intrinsic risk factors for the development of patellar tendinitis in an athletic population. Am J Sports Med 2001; 29: 190-5.

  3. Malliaras P, Cook J, et al. Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season. Br J Sports Med 2006; 40: 272-4.

  4. Schmid M, Hodler J, et al. Is impingement the cause of jumper´s knee? Am J Sports Med 2002; 30: 388-95.

  5. Hamilton B, Purdam C. Patellar tendinosis as an adaptative process: A new hypothesis. Br J Sports Med 2004; 38: 758-61.

  6. Gisslén K, Alfredson H. Neovascularization and pain in Jumper´s Knee: A prospective clinical and sonographic study in elite junior volleyball players. Br J Sports Med 2005; 39: 423-8.

  7. Shelbourne D, Henne T, Gray T. Recalcitrant patellar tendinosis in elite athletes: Surgical treatment in conjunction with aggressive postoperative rehabilitation. Am J Sports Med 2006; 10: 1177.

  8. Wound and repair regeneration. J Invest Dermatol 1998; 111: 828-34.

  9. Purdam C, Jonsson P, Alfredson H, et al. A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Br J Sports Med 2004; 38: 395-7.

  10. Osbahr D, Speer K. Patellar tendinitis: Evaluation and arthroscopic management. Tech Knee Surg 2003; 2(3): 160-5.

  11. Coleman B, Khan K, et al. Open and arthroscopic patellar tenotomy for chronic patellar tendinopathy. Am J Sports Med 2000; 28: 183-90.

  12. Ferretti A, Conteduca F, et al. Patellar tendinosis. A follow up study of surgical treatment. J Bone Joint Surg 2002; 84A: 2179-85.




2020     |     www.medigraphic.com