Patellar tendinopathy, or jumper's knee is a common musculoskeletal condition characterized by progressive activity-related pain on the anterior aspect of the knee and tenderness on the patellar tendon. A conservative method is often the first choice of treatment, which can include anti-inflammatory medication, injection therapies, physiotherapy, eccentric exercises, extra corporeal shock wave therapy, orthosis, etc. Although there are several treatment options available, the management of patellar tendinopathy is still controversial. The literature reveals many different injection methods are being used by clinicians for the treatment of patellar tendinopathy. Platelet rich plasma, corticosteroids, autologous blood, and aprotinin are the most commonly used injection treatments. Injection therapies give promising results in the management of Patellar tendinopathy. However, due to low quality research and variation in the protocol and population it is difficult to provide a firm conclusion on its effectiveness. More high-quality clinical studies are recommended to determine the effectiveness of injections and at which stage of Patellar tendinopathy they are the most effective. This review can provide insight to clinicians involved in the management of this condition.
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http://dx.doi.org/10.1080/00913847.2019.1671143 | DOI Listing |
J Appl Physiol (1985)
January 2025
School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
The mechanism of fibrosis at the patella-patellar tendon junction (PPTJ) was investigated using a rabbit overuse jumping model. Thiry-two female New Zealand White rabbits were randomly divided into control and jumping groups, and each group was further divided into four groups at 2, 4, 6, and 8 weeks. The rabbits in the jumping group jumped 150 times per day, 5 days per week.
View Article and Find Full Text PDFBioengineering (Basel)
December 2024
Department of Orthopaedic Surgery, 5th Air Mobility Wing, Republic of Korea Air Force Military Orthopaedic Surgeon, Busan 46718, Republic of Korea.
Introduction: This study hypothesized that changes in the elasticity of the quadriceps and patellar tendons before and after the diagnosis of patellar tendinopathy would correlate with the range of motion (ROM) following conservative treatment. We aimed to prospectively assess post-treatment ROM using multinomial logistic regression, incorporating elasticity measurements obtained via shear wave elastography (SWE).
Materials And Methods: From March 2023 to April 2024, 95 patients (86 men; aged 20-45 years, mean 25.
Diagnostics (Basel)
December 2024
Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, Seattle, WA 98105, USA.
Patellar pathologies are a common cause of knee dysfunction, with Patellofemoral Pain Syndrome (PFPS) alone responsible for 25% of knee-related visits to sports medicine clinics. Non-traumatic conditions, while often overlooked, can also lead to significant discomfort and functional limitations, highlighting the importance of accurate and timely diagnosis for effective management and prevention of complications. This pictorial review examines the radiologic characteristics of various non-traumatic patellar disorders, focusing on imaging modalities such as radiography, computed tomography (CT), and magnetic resonance imaging (MRI).
View Article and Find Full Text PDFBr J Sports Med
January 2025
Department of Physical Medicine & Rehabilitation and Orthopaedics, The University of Utah School of Medicine, Salt Lake City, Utah, USA.
Objectives: Tendinopathy and fasciopathy are common conditions that can result in time-loss injury in athletes. This study aimed to determine if preseason sonographic abnormalities of the patellar tendon, Achilles tendon and plantar fascia are associated with future time-loss injuries in collegiate athletes.
Methods: National Collegiate Athletic Association Division I athletes from three institutions participated in this 3-year prospective, observational study.
J Sci Med Sport
December 2024
Department of Orthopedics and Sports Medicine, Erasmus MC University Medical Center, the Netherlands.
Objectives: To investigate whether the effectiveness of progressive tendon loading exercises (PTLE) on patellar tendinopathy is mediated through changes in physical or imaging properties.
Design: Mediation analyses based on a randomized clinical trial (n = 76) in patellar tendinopathy comparing PTLE with eccentric exercise therapy (EET).
Methods: Pain-related disability on Victorian Institute of Sports Assessment-Patella (VISA-P, 0 to 100) and pain (Visual Analogue Score) after single-leg decline squat (VAS-SLDS, 0 to 10) at 24 weeks were outcome measures.
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