Patellar Tendinopathy: Critical Analysis Review of Current Nonoperative Treatments
- PMID: 35358114
- DOI: 10.2106/JBJS.RVW.21.00168
Patellar Tendinopathy: Critical Analysis Review of Current Nonoperative Treatments
Abstract
»: Patellar tendinopathy is an attritional injury of the patellar tendon that is frequently identified in jumping athletes. Through repetitive or explosive movements, considerable loads and high peak strains are generated across the patellar tendon.
»: This leads to microinjury of tendon fibers, local mucoid degeneration, and loss of the fibrocartilaginous tissue that attaches tendon to bone.
»: Management of patellar tendinopathy often begins with nonoperative modalities: progressive tendon loading and eccentric rehabilitative exercise programs are the most effective. While a variety of additional treatment modalities are available, the comparative efficacy of these supportive treatments is not well differentiated at this time.
»: In this article, we analyze the existing literature regarding nonoperative treatment of patellar tendinopathy and provide additional insight on the effectiveness of current modalities.
Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A809).
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References
-
- Hopkins C, Fu SC, Chua E, Hu X, Rolf C, Mattila VM, Qin L, Yung PS, Chan KM. Critical review on the socio-economic impact of tendinopathy. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2016 Apr 22;4:9-20.
-
- Dan MJ, McMahon J, Parr WCH, Broe D, Lucas P, Cross M, Walsh WR. Evaluation of Intrinsic Biomechanical Risk Factors in Patellar Tendinopathy: A Retrospective Radiographic Case-Control Series. Orthop J Sports Med. 2018 Dec 20;6(12):2325967118816038.
-
- Santana JA, Mabrouk A, Sherman AL. Jumpers Knee. StatPearls. Treasure Island, FL: StatPearls Publishing; 2021.
-
- Sprague AL, Smith AH, Knox P, Pohlig RT, Grävare Silbernagel K. Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis. Br J Sports Med. 2018 Dec;52(24):1575-85.
-
- Aksu N, Atansay V, Karalök I, Aksu T, Kara AN, Hamzaoglu A. Relationship of Patellofemoral Angles and Tibiofemoral Rotational Angles With Jumper’s Knee in Professional Dancers: An MRI Analysis. Orthop J Sports Med. 2021 Mar 16;9(3):2325967120985229.
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