XXXX and ultrasonography.

@entity1 @entity924 @entity3331 @entity158
Twenty-five @entity1 , aged between 15 and 45 years old, who were athletically active, presented with @entity3331 ( @entity924 ). By use of ultrasonographic examination, new and precise information was obtained that benefited the diagnosis, choice of treatment, and monitoring of the evolution of @entity3331 in our @entity1 . In 18 of the 25 @entity1 , only 1 knee was affected; in 7 of the @entity1 , both knees were affected, thus making a total of 32 @entity158 tendons. These 25 @entity1 were compared with a control group of 15 healthy, athletically active subjects between the ages of 25 and 35 years old. In all of the 32 @entity158 tendons, ultrasonographic anomalies were observed: thickening or swelling of the tendon (15 knees) appeared in acute cases; a heterogeneous structure of the tendon (24 knees); and thickening and irregularities of the tendinous envelope (8 knees). The 15 acute @entity1 all responded to classic conservative treatment including physical therapy and electrotherapy. Four of the remaining 10 @entity1 were treated successfully with various conservative treatments, including deep transverse friction massage with ice. The other six @entity1 were treated surgically, with tenolysis and "carding" of the patellar tendon. In one @entity1 , this procedure failed, and 12 months later a second operation was performed, in which the distal pole of the patella was resected and the patellar tendon reinserted into bone. Recovery was uneventful. Now, at least 2 years after treatment, all of the @entity1 consider themselves healed.
