Ultrasound Guided Scraping for Chronic Patellar Tendinopathy: A Case Report
Chronic patellar tendinopathy is a common complaint among athletes that repetitively stress the extensor mechanism of the knee. Multiple treatment options have been described, but evidence is lacking, specifically when eccentric loading has failed. Debate continues regarding the pathoetiolgy of chronic patellar tendon pain. There has been recent interest regarding the neurogenic influences involved in chronic tendinopathy and interventions targeting neovessels and accompanying neonerves have shown promise. This is the first description of an ultrasound guided technique, where the neovessels and accompanying neonerves in patellar tendinopathy were targeted using a needle scraping technique of the posterior surface of the patellar tendon.
Autor / Fonte:Mederic M Hall, Sathish Rajasekaran PM & R: the Journal of Injury, Function, and Rehabilitation 2015 November 5