Zusammenfassung
Das patellofemorale Gelenk ist beim Kraftsport hohen Belastungen ausgesetzt. Diese sind von den individuellen Voraussetzungen beeinflusst. Die Kräfte treten dabei winkel- und übungsabhängig auf. Tendinopathien und Gelenkknorpelschäden sind im Kraftsport die häufigsten Erkrankungen, begünstigend wirken patellofemorales Malalignment, Überlastung und Steroide. Günstig wirkt sich ein individuelles Trainingskonzept mit kontrollierten Bewegungsabläufen, bei dem Spitzenbelastungen vermieden werden, aus. Die Therapie reicht von der Gabe von Antiphlogistika bis zur Rekonstruktion von Sehnen und Gelenkknorpel.
Abstract
The patellofemoral joint is stressed strongly during weight training. There are different individual preconditions that influence the stress distribution. Forces on tendons and cartilage are a function of angle and exercise. The most common disorders are tendinopathies and cartilage damage. Patellofemoral malalignment, high loads and overuse, uncontrolled exercises and steroids represent risk factors for injuries. Individual training concepts with controlled exercises that reduce peak loads are desireable. There is a wide scope of therapeutic options ranging from antiphlogistic therapy to the reconstruction of tendons and cartilage.
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Jagodzinski, M., Haasper, C. & Krettek, C. Schäden am patellofemoralen Gelenk durch Krafttraining. Unfallchirurg 112, 381–385 (2009). https://doi.org/10.1007/s00113-009-1621-2
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DOI: https://doi.org/10.1007/s00113-009-1621-2