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Patellar tendinopati

Sist revidert:
Sist revidert av:


Definisjon:
Tendinopati hvor som helst langs kneets ekstensorapparat. Betegnes også "jumper's knee"
Forekomst:
Ganske vanlig tilstand blant idrettsutøvere
Symptomer:
Smerter ved nedre eller øvre pol av patella. Debuterer ofte etter en enkeltstående hendelse
Funn:
Distinkt ømhet på et lite område ved distale patellarpol, ev. ved øvre patellarpol, ev. ved festet på tuberositas tibiae
Diagnostikk:
Andre undersøkelser er vanligvis ikke påkrevd
Behandling:
Konservativ behandling for de fleste. Ved refraktære tilfeller kan kirurgi bli aktuelt
  1. Lian OB, 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: 561-7. PubMed  
  2. Hyman GS. Jumper's knee. Medscape, last updated Mar 11, 2019. emedicine.medscape.com  
  3. Von Vange TJ. Quadriceps muscle and tendon injuries. UpToDate, last updated Feb 24, 2021. www.uptodate.com  
  4. Van der Worp H, de Poel HJ, Diercks RL, van den Akker-Scheek I, Zwerver J. Jumper's knee or lander's knee? A systematic review of the relation between jump biomechanics and patellar tendinopathy. Int J Sports Med. 2014 Jul. 35 (8):714-22.
  5. Scott A, Lian O, Bahr R, et al. Elevated mast cell numbers in human patellar tendinosis: correlation with symptom duration and vascular hyperplasia. Br J Sports Med 2008; 42: 753-7. British Journal of Sports Medicine  
  6. Hoksrud A, Ohberg L, Alfredson H, Bahr R. Color doppler ultrasound findings in patellar tendinopathy (jumpers knee). Am J Sports Med 2008; 36: 1813-20. PubMed  
  7. Warden SJ, Kiss ZS, Malara FA, et al. Comparative accuracy of magnetic resonance imaging and ultrasonography in confirming clinically diagnosed patellar tendinopathy. Am J Sports Med 2007; 35: 427-36. PubMed  
  8. Alfredson H, Ohberg L. Neovascularisation in chronic painful patellar tendinosis--promising results after sclerosing neovessels outside the tendon challenge the need for surgery. Knee Surg Sports Traumatol Arthrosc. Mar 2005; 13: 74-80. PubMed  
  9. Gisslén K, Alfredson H. Neovascularisation 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. British Journal of Sports Medicine  
  10. Everhart JS, Cole D, Sojka JH, et al. Treatment options for patellar tendinopathy: A Systematic Review. Arthroscopy. 2017. PMID: 28110807 PubMed  
  11. Larsson ME, Käll I, Nilsson-Helander K. Treatment of patellar tendinopathy--a systematic review of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc. 2012 Aug;20(8):1632-46. PubMed  
  12. Jonsson P, Alfredson H. Superior results with eccentric compared to concentric quadriceps training in patients with jumper's knee: a prospective randomised study. Br J Sports Med 2005; 39: 847-50. British Journal of Sports Medicine  
  13. Kongsgaard M, Aagaard P, Roikjaer S, et al. Decline eccentric squats increases patellar tendon loading compared to standard eccentric squats. Clin Biomech (Bristol, Avon) 2006; 21: 748-54.
  14. Mazieres B, Rouanet S, Guillon Y, Scarsi C, Reiner V. Topical ketoprofen patch in the treatment of tendinitis: a randomized, double blind, placebo controlled study. J Rheumatol 2005; 32: 1563-70. PubMed  
  15. Vetrano M, Castorina A, Vulpiani MC, et al. Platelet-rich plasma versus focused shock waves in the treatment of jumper`s knee in athletes.. Am J Sports Med 2013 Apr;41(4):795-803. doi:10.1177/0363546513475345. DOI  
  16. Hoksrud A, Ohberg L, Alfredson H, Bahr R. Ultrasound-guided sclerosis of neovessels in painful chronic patellar tendinopathy: a randomized controlled trial. Am J Sports Med 2006; 34: 1738-46. PubMed  
  17. Dan M, Phillips A, Johnston RV, Harris IA. Surgery for patellar tendinopathy (jumper’s knee). Cochrane Database of Systematic Reviews 2019, Issue 9. Art. No.: CD013034. DOI: 10.1002/14651858.CD013034.pub2 DOI  
  18. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet. 2010 Nov 20. 376(9754):1751-67.
  19. Vetrano M, Castorina A, Vulpiani MC, et al. Platelet-rich plasma versus focused shock waves in the treatment of jumper's knee in athletes. Am J Sports Med. 2013 Feb 13.
  • Ingard Løge, redaktør NEL

Tidligere fagmedarbeidere

  • Arild Aamodt, overlege/professor, Ortopedisk avdeling, Lovisenberg Sykehus, Oslo