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Patellaspitzensyndrom (Jumper´s Knee)

Die Kniescheibe (Patella) ist das größte im menschlichen Körper vorhandene Sesambein (Knochen, der in eine Sehne eingewachsen ist). Die Kniescheibe bildet mit dem Oberschenkelknochen das Kniescheibengelenk (Articulatio femoropatellaris).

Die Patellasehne (Ligamentum patellae) ist die größte Sehne im Kniegelenk und verbindet die Kniescheibe (Patella) mit dem Schienbein (Tibia). Sie dient der Kraftübertragung vom Oberschenkel zum Unterschenkel. Ist sie gerissen, kann das Bein nicht mehr gestreckt werden.

Patellaspitzensyndrom - anatomie

© Kriwat

Symptome

Symptome für das Jumper’s Knee ist ein belastungsabhängiger Schmerz an der Spitze der Kniescheibe. Bei leichten Fällen kommt es zu Beginn der Belastung zu Schmerzen, klingt aber nach Erwärmung wieder ab. Im fortgeschrittenen Stadium ist der Schmerz auch außerhalb von sportlichen Belastungen dauerhaft vorhanden.

 

Ursache

Verantwortlich für die entzündliche Reizung des Kniescheibenbandes am unteren Kniescheibenpol, ist eine übermäßige Belastung des Ligamentum patellae (Kniescheibensehne), durch eine wiederholte oder ungewohnte Belastung und/oder durch eine erhöhte Zugbeanspruchung der Kniescheibensehne aufgrund von muskulären Dysbalancen.

Diagnose

Meist kann eine Diagnose aufgrund der beschriebenen Symptome gestellt werden: Häufig klagen Patienten über Druckschmerz über der Kniescheibenspitze. Ebenfalls fällt Patienten das Strecken des Unterschenkels gegen einen Widerstand sehr schwer. Die Diagnose kann durch eine Ultraschalluntersuchung der Sehne abgesichert werden.

Therapie

Meist wird die Reizung der Patellaspitze konservativ behandelt. Zu Beginn der Therapie wird hierbei die vordere Oberschenkelmuskulatur gedehnt und der Gegenspieler (hintere Oberschenkelmuskulatur) gekräftigt. Ebenfalls ist ein langsames Steigern der sportlichen Belastung in Verbindung mit einer langen Aufwärmphase zu empfehlen. Bei starken Schmerzen sollte eine ausreichende Sportpause eingelegt werden, um das Knie zu schonen. Ebenfalls sind physiotherapeutische Maßnahmen (Kälte/Wärme, Elektrostimulation, Massage, Krankengymnastik, und Stoßwellentherapie) zu empfehlen. Eine Überpronation im Fußgelenk sollte anhand einer orthopädischen Einlage korrigiert werden, um die Beinachse in der Stützphase aktiv zu stabilisieren. Eine Bandage zur Entlastung des Knies ist ebenfalls zu ratsam.

Bewegungsanalyse

Häufig sind Patienten mit dem Jumper’s Knee, Sportler die hohe Sprungbelastungen haben (Handballer, Basketballer, Leichtathleten). In der Bewegungsanalyse ist es primär von Bedeutung evtl. Fehlstellung der Beinachse und Fehlbewegungen des Knies auszuschließen.

 

WELCHE VERLETZUNG INTERESSIERT DICH ALS NÄCHSTES IN DER REIHE “LAUFSPEZIFISCHE VERLETZUNGEN” ?
HINTERLASSE DEINEN WUNSCH IN DEN KOMMENTAREN.

 

 

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