Is the chronic painful tendinosis tendon a strong tendon?: A case study involving an Olympic weightlifter with chronic painful Jumper's knee

被引:3
作者
Gisslen, Karl
Ohberg, Lars
Alfredson, Hakan [1 ]
机构
[1] Umea Univ, Natl Inst Working Life, Ctr Musculoskeletal Res, S-90187 Umea, Sweden
[2] Umea Univ, Dept Surg & Perioperat Sci, S-90187 Umea, Sweden
[3] Umea Univ, Dept Radiol, S-90187 Umea, Sweden
基金
瑞典研究理事会;
关键词
Jumper's knee; sonography; neovascularisation; pain; weightlifting; CHRONIC ACHILLES TENDINOSIS; PATELLAR TENDINOPATHY; ECCENTRIC EXERCISE; VOLLEYBALL PLAYERS; PARTIAL RUPTURE; FOLLOW-UP; TENDINITIS; ULTRASOUND; TENOTOMY; LIGAMENT;
D O I
10.1007/s00167-006-0054-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The chronic painful tendinosis tendon is generally considered a degenerated and weak tendon. However, this has not been scientifically verified, and is to be considered a hypothesis. We present here a case study involving a high-level Olympic weightlifter with chronic painful patellar tendinosis who started heavy-weight training very early after successful treatment with sclerosing injections. A 25-year-old super heavy-weight (+105 kg) Olympic weightlifter with 9 months duration of severe pain (prohibiting full training) in the proximal patellar tendon, where ultrasound and Doppler showed a widened tendon with structural changes and neovascularisation, was given one treatment with ultrasound and Doppler-guided injections of the sclerosing agent polidocanol. The injections targeted the neovessels posterior to the tendon. The patient was pain-free after the treatment, and already after 2-weeks he started with heavy-weight training (240 kg in deep squats) to try to qualify for the Olympics. Additional very heavy training on training camps, most often without having any discomfort or pain in the patellar tendon, resulted in Swedish records and ninth place at the European Championships 17 weeks after the treatment. Despite beating the national records, he did not qualify for the Olympics. Ultrasound and Doppler follow-ups have shown only a few remaining neovessels, and little structural tendon changes. This case questions previous theories about the weak tendinosis tendon, and stresses the importance of studies evaluating tendon strength.
引用
收藏
页码:897 / 902
页数:6
相关论文
共 38 条
[1]   Is vasculo-neural ingrowth the cause of pain in chronic Achilles tendinosis?: An investigation using ultrasonography and colour Doppler, immunohistochemistry, and diagnostic injections [J].
Alfredson, H ;
Öhberg, L ;
Forsgren, S .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2003, 11 (05) :334-338
[2]  
ALFREDSON H, 2004, IN PRESS KNEE SURG S
[3]  
[Anonymous], CLIN J SPORT MED
[4]  
Blazina M E, 1973, Orthop Clin North Am, V4, P665
[5]  
BOBBERT MF, 1987, MED SCI SPORT EXER, V19, P339
[6]   A randomised clinical trial of the efficacy of drop squats or leg extension/leg curl exercises to treat clinically diagnosed jumper's knee in athletes: pilot study [J].
Cannell, LJ ;
Taunton, JE ;
Clement, DB ;
Smith, C ;
Khan, KM .
BRITISH JOURNAL OF SPORTS MEDICINE, 2001, 35 (01) :60-64
[7]  
Coleman BD, 2000, AM J SPORT MED, V28, P183
[8]   Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies [J].
Coleman, BD ;
Khan, KM ;
Maffulli, N ;
Cook, JL ;
Wark, JD .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2000, 10 (01) :2-11
[9]  
Colosimo A J, 1990, Orthop Rev, V19, P139
[10]   A cross sectional study of 100 athletes with jumper's knee managed conservatively and surgically [J].
Cook, JL ;
Khan, KM ;
Harcourt, PR ;
Grant, M ;
Young, DA ;
Bonar, SF .
BRITISH JOURNAL OF SPORTS MEDICINE, 1997, 31 (04) :332-336