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Use of a Chopat strap
12%
276/2287
Intra-tendinous injection of corticosteroid
2%
53/2287
Intra-articular corticosteroid injection
50/2287
Arthroscopic patellar chondroplasty
9%
205/2287
Surgical excision of the affected tissue
74%
1688/2287
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The clinical presentation and imaging studies are consistent with Blazina Stage III patellar tendonitis. This is supported by the chronic inflammation and mucoid degeneration seen within the patellar tendon on the MRI. Therefore, surgical excision of the affected tissue is indicated. Blazina et al. descibe a classification system wherein persistent pain with or without activities, as well as deterioration of performance is indicitive of Blazina stage III disease. They report surgical treatment is indicated in Stage III disease. Panni et al review extensor mechanism injuries in athletes. They report debridement can be performed in an open or arthroscopic fashion. Postoperative rehabilitation involves initial immobilization in extension, with weight bearing as tolerated and progressive range-of-motion. They report approximately 80% to 90% of athletes are able to return to play post-operatively.
1.9
(29)
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