title: [Evidence-based therapy for tendinopathy of the knee joint : Which forms of therapy are scientifically proven?]
abstract: 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.
authors.affiliation: Orthopädische Klinik, Medizinische Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover-Kleefeld, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Horstmann
authors.affiliation: Unfallchirurgische Klinik und Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
authors.forename: J D
authors.initials: JD
authors.lastname: Clausen
authors.affiliation: Unfallchirurgische Klinik und Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Krettek
authors.affiliation: Orthopädische Klinik, Medizinische Hochschule Hannover, Anna-von-Borries-Straße 1-7, 30625, Hannover-Kleefeld, Deutschland. weber-spickschen.sanjay@mh-hannover.de.|Unfallchirurgische Klinik und Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. weber-spickschen.sanjay@mh-hannover.de.
authors.forename: T S
authors.initials: TS
authors.lastname: Weber-Spickschen
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001265:Athletic Injuries / Q000175:diagnosis / Q000628:therapy; D016913:Blood Component Transfusion / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000628:therapy*; D026741:Physical Therapy Modalities; D053657:Platelet-Rich Plasma; D015911:Sclerotherapy / Q000379:methods*; D052256:Tendinopathy / Q000175:diagnosis / Q000628:therapy*; D058971:Tenotomy / Q000379:methods*; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000379:methods*
chemical_list: D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents
keywords: Jumpers knee; Level of evidence; Multimodal therapy approaches; Platelet rich plasma; Shock wave therapy