[Transarterial Periarticular Embolization (TAPE): Indications and Initial Experience in Germany].

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht. 17. BMC Musculoskelet Disord. 2017 Apr 4;18(1):146. doi: 10.1186/s12891-017-1508-2. Prognostic value of MRI in arthroscopic treatment of chronic patellar tendinopathy: a prospective cohort study. Ogon P(1), Izadpanah K(2), Eberbach H(2), Lang G(2), Südkamp NP(2), Maier D(3). Author information: (1)Center of Orthopedic Sports Medicine, Breisacher Strasse 84, 79110, Freiburg, Germany. (2)Department of Orthopedics and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany. (3)Department of Orthopedics and Trauma Surgery, Medical Center - Albert-Ludwigs-University of Freiburg, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany. dirk.maier@uniklinik-freiburg.de. BACKGROUND: To date, prognostic outcome factors for patients undergoing arthroscopic treatment due to chronic patellar tendinopathy (PT) are lacking. The purpose of this study was to investigate whether preoperatively assessed MRI parameters might be of prognostic value for prediction of functional outcome and return to sports in arthroscopic treatment of chronic PT. METHODS: A prospective cohort study was conducted including 30 cases (4 female and 24 male competitive athletes) undergoing arthroscopic patellar release (APR) due to chronic PT. The mean age was 28.2 years (range, 18-49 years) at the time of surgery, and the mean follow-up period was 4.2 years (range, 2.2-10.4 years). Preoperatively assessed MRI parameters included bone marrow edema (BME) of the inferior patellar pole, patellar tendon thickening, infrapatellar fat pad (IFP) edema, and infrapatellar bursitis. Prevalences of preoperative MRI findings were correlated to functional outcome scores in order to determine statistically significant predictors. RESULTS: All athletes regained their preinjury sports levels. Athletes featuring preoperative IFP edema showed significantly inferior modified Blazina score (0.6 ± 0.7 vs. 0.2 ± 0.5), single assessment numeric evaluation (SANE; 86.0 ± 8.8 vs. 94.3 ± 7.5), and Visual Analogue Scale (VAS; 1.0 ± 1.2 vs. 0.3 ± 0.8) compared to subjects without IFP edema (p