慢性跟腱病的诊室针式肌腱镜检查取得了良好的临床疗效并迅速恢复了活动能力

Q3 Medicine Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2024-06-01 DOI:10.1016/j.asmr.2024.100937

James J. Butler Mb.Ch.B. , Grace W. Randall B.S. , Lauren Schoof M.D. , Mackenzie Roof M.D. , Matthew B. Weiss B.S. , Arianna L. Gianakos D.O. , John G. Kennedy M.D., M.Ch., M.MSc., F.F.S.E.M., F.R.C.S. (Orth)

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引用次数: 0

摘要

目的评估跟腱诊室针式腱鞘镜（IONT）治疗慢性跟腱病（cAT）后至少 12 个月随访的结果。方法对 2019 年 1 月至 2022 年 12 月期间接受跟腱诊室针式腱鞘镜治疗的患者进行回顾性病例系列评估。纳入标准为年龄≥18岁，临床病史、体格检查史和磁共振成像结果与cAT一致，且对至少3个月的保守治疗无效的患者，每位患者都接受了跟腱内固定术，并接受了至少12个月的随访。临床效果采用维多利亚体育研究所的跟腱评估和视觉模拟量表评分进行评估。患者的满意度在最后一次随访时用 5 点李克特量表进行测量。结果12 名患者（13 名跟腱病患者）参与了研究，平均年龄为 50.9 ± 14.6 岁。平均随访时间为 26.3 ± 6.3 个月。维多利亚体育研究所运动评估-跟腱平均得分从术前的 35.6 ± 5.9 分提高到术后的 83.6 ± 14.1 分（P <.001）。平均视觉模拟量表评分从术前的 6.6 ± 1.0 分提高到术后的 1.3 ± 1.7 分（P < .001）。有 10 名患者（83.3%）在 IONT 术前参加过体育活动。其中，9 名患者（90.0%）在平均 5.9 ± 2.6 周的时间内重返赛场。恢复工作的平均时间为（4.2 ± 1.2）天。患者对 IONT 的总体评价良好，平均评分为（4.5 ± 0.9）。结论这项回顾性研究表明，跟腱 IONT 治疗 cAT 能显著改善主观临床效果，并发症发生率低，短期随访时患者满意度高。

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Excellent Clinical Outcomes and Rapid Return to Activity Following In-Office Needle Tendoscopy for Chronic Achilles Tendinopathy

Purpose

To assess outcomes following Achilles in-office needle tendoscopy (IONT) for the treatment of chronic Achilles tendinopathy (cAT) at a minimum 12-month follow-up.

Methods

A retrospective case series was conducted to evaluate patients who underwent Achilles IONT for cAT between January 2019 and December 2022. Inclusion criteria were patients ≥18 years of age and clinical history, physical history, and magnetic resonance imaging findings consistent with cAT who did not respond to a minimum of 3 months of conservative management for which each patient underwent Achilles IONT and had a minimum 12-month follow-up. Clinical outcomes were evaluated using the Victorian Institute of Sport Assessment–Achilles and visual analog scale scores. Patient satisfaction was measured at the final follow-up visit with a 5-point Likert scale.

Results

Twelve patients (13 Achilles) with a mean age of 50.9 ± 14.6 years were included in the study. The mean follow-up time was 26.3 ± 6.3 months. The mean Victorian Institute of Sport Assessment–Achilles scores improved from a preoperative score of 35.6 ± 5.9 to a postoperative score of 83.6 ± 14.1 (P < .001). The mean visual analog scale score improved from a preoperative score of 6.6 ± 1.0 to a postoperative score of 1.3 ± 1.7 (P < .001). There were 10 patients (83.3%) who participated in sports activities before the IONT procedure. Within this group, 9 patients (90.0%) returned to play at a mean time of 5.9 ± 2.6 weeks. The mean time to return to work was 4.2 ± 1.2 days. Patients reported an overall positive IONT experience with a mean rating scale of 4.5 ± 0.9.

Conclusions

This retrospective review demonstrated that Achilles IONT for the treatment of cAT results in significant improvements in subjective clinical outcomes and a low complication rate together with high patient satisfaction scores at short-term follow-up.