Arthroscopic Patellar Tendon Debridement and Distal Pole Osteoplasty for Recalcitrant Patellar Tendinopathy.

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Abstract

Conflict of interest statement: One or more of the authors has declared the following potential conflict of interest or source of funding: D.W. received research support from NIH/NIAMS, NSF, and Vericel; is a paid consultant for Newclip Technics, Mitek Sports Medicine, and Vericel. R.W.III. is a paid consultant for Arthrex Inc, JRF Ortho, and Lipogems; received research support from Histogenics; received stock or stock options from BICMD, Cymedica, Engage Surgical, and Gramercy Extremity Orthopedics, Pristine Surgical, and RecoverX. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. 7. Unfallchirurg. 2017 Mar;120(3):199-204. doi: 10.1007/s00113-017-0310-9. [Evidence-based therapy for tendinopathy of the knee joint : Which forms of therapy are scientifically proven?]. [Article in German] Horstmann H(1), Clausen JD(2), Krettek C(2), Weber-Spickschen TS(3)(4). Author information: (1)Orthopädische Klinik, Medizinische Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover-Kleefeld, Deutschland. (2)Unfallchirurgische Klinik und Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. (3)Orthopädische Klinik, Medizinische Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover-Kleefeld, Deutschland. weber-spickschen.sanjay@mh-hannover.de. (4)Unfallchirurgische Klinik und Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. weber-spickschen.sanjay@mh-hannover.de. Tendinopathy in the region of the knee joint is a common pathological disorder. People active in sports, in particular, have a high probability of suffering from tendinopathy. Despite its high clinical relevance, the level of evidence of therapy options for tendinopathy in the knee region differs greatly. This review gives an overview of current evidence levels for therapy options in tendinopathy of the quadriceps, patellar and pes anserinus insertion tendons as well as of the distal iliotibial tract tendon. The treatment with platelet-rich plasma showed a significantly better outcome when used correctly and treatment with shock waves, operative treatment and sclerotherapy have also shown positive effects. Treatment with corticosteroid injections and with oral non-steroidal anti-inflammatory drugs (NSAID) showed positive short-term effects (follow-up ±4 weeks). No reasonable data are available for the treatment of tendinopathy in the knee region by acupuncture, fascial therapy or cryotherapy. The use of kinesio taping showed no significant relief from complaints compared with standard conservative treatment. The use of multimodal therapy without evidence is, therefore, particularly common in elite athletes. DOI: 10.1007/s00113-017-0310-9