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).
Similar articles
-
Management of Patellar Tendinopathy.Arthroscopy. 2024 Jan;40(1):13-15. doi: 10.1016/j.arthro.2023.09.004. Arthroscopy. 2024. PMID: 38123261
-
Hamstring Injuries: Critical Analysis Review of Current Nonoperative Treatments.JBJS Rev. 2022 Nov 2;10(11). doi: 10.2106/JBJS.RVW.22.00095. eCollection 2022 Nov 1. JBJS Rev. 2022. PMID: 36574459 Review.
-
Nonsurgical Treatments of Patellar Tendinopathy: Multiple Injections of Platelet-Rich Plasma Are a Suitable Option: A Systematic Review and Meta-analysis.Am J Sports Med. 2019 Mar;47(4):1001-1018. doi: 10.1177/0363546518759674. Epub 2018 Mar 30. Am J Sports Med. 2019. PMID: 29601207
-
Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial.J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7. J Sci Med Sport. 2016. PMID: 26707957 Clinical Trial.
-
Decreasing patellar tendon stiffness during exercise therapy for patellar tendinopathy is associated with better outcome.J Sci Med Sport. 2022 May;25(5):372-378. doi: 10.1016/j.jsams.2022.01.002. Epub 2022 Jan 13. J Sci Med Sport. 2022. PMID: 35094931 Clinical Trial.
Cited by
-
Patellar Tendon Reconstruction Using Semitendinosus Allograft With Suture Tape Augmentation for Recalcitrant Patellar Tendinosis.Arthrosc Tech. 2024 May 18;13(9):103036. doi: 10.1016/j.eats.2024.103036. eCollection 2024 Sep. Arthrosc Tech. 2024. PMID: 39308565 Free PMC article.
-
Long-term Prognosis of Athletes With Patellar Tendinopathy Receiving Physical Therapy: Patient-Reported Outcomes at 5-Year Follow-up.Am J Sports Med. 2025 Jun;53(7):1568-1576. doi: 10.1177/03635465251336466. Epub 2025 May 12. Am J Sports Med. 2025. PMID: 40356204 Free PMC article. Clinical Trial.
-
Precision and Safety of Ultrasound-Guided versus Palpation-Guided Needle Placement on the Patellar Tendon: A Cadaveric Study.Life (Basel). 2023 Oct 15;13(10):2060. doi: 10.3390/life13102060. Life (Basel). 2023. PMID: 37895441 Free PMC article.
-
Changes in Tendon Thickness After Chondrovita FIT® Supplementation in Elite Skaters: Findings from a Quasi-Experimental Study.Int J Environ Res Public Health. 2024 Dec 28;22(1):24. doi: 10.3390/ijerph22010024. Int J Environ Res Public Health. 2024. PMID: 39857478 Free PMC article.
-
Is It Time to Step outside the Laboratory? The Feasibility of Field-Based Examination of Exercise-Induced Hypoalgesia in Elite Badminton Athletes with and without Knee Pain.Transl Sports Med. 2024 Jun 11;2024:2953220. doi: 10.1155/2024/2953220. eCollection 2024. Transl Sports Med. 2024. PMID: 38962163 Free PMC article.
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.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical