Konservative Therapie von Sehnenverletzungen

The treatment of tendon injuries in general presents one of the most relevant challenges in sports medicine, and there is high demand to ensure a long-term successful treatment and short time loss of the sport. However, there are only a few contributions providing guidance and recommendations for the nonoperative treatment of tendon injuries. The 2016 GOTS Expert Meeting, initiated by the German-Austrian-Swiss Society for Orthopaedic Traumatologic Sports Medicine (GOTS), focused on the topic of muscle and tendon injuries. The committee was composed of twenty-two medical specialists. Nine of them were delegated to a subcommittee focusing on the nonoperative treatment of tendon injuries. The recommendations and statements that were developed were reviewed by the entire consensus committee and voted on by the members. The committee reached a consensus on the utility and efficacy of the management of tendon injuries. Addressing precipitating risk factors and the concept of load management including well designed training programs are one of the most relevant steps in the treatment of tendinopathies. A wide variety of additional therapeutic approaches can be considered individually based on the underlying localisation, the grade of injury and the healing phase. The present work provides a structured overview on the diverse conservative treatment strategies of tendon injuries and evaluates their efficacy with respect to the existing scientific evidence and clinical expertise in the context of basic science on the healing process of tendon injuries