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Patellar tendinopathy

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https://www.readbyqxmd.com/read/29703124/diagnostic-accuracy-of-a-self-report-measure-of-patellar-tendinopathy-in-youth-basketball
#1
Oluwatoyosi B A Owoeye, J Preston Wiley, Richard E A Walker, Luz Palacios-Derflingher, Carolyn A Emery
Study Design Prospective diagnostic accuracy validation study. Background Engaging clinicians for diagnosis of patellar tendinopathy in large surveillance studies is often impracticable. A self-report measure, the Oslo Sports Research Trauma Centre patellar tendinopathy (OSTRC-P) Questionnaire, an adaptation of the OSTRC Questionnaire may provide a viable alternative. Objectives To evaluate the diagnostic accuracy of the OSTRC-P Questionnaire in detecting patellar tendinopathy in youth basketball players when compared to clinical evaluation...
April 27, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29685503/refractory-patellar-tendinopathy-treated-by-arthroscopic-decortication-of-the-inferior-patellar-pole-in-athletes-mid-term-outcomes
#2
Dhong Won Lee, Jin Goo Kim, Tae Min Kim, Du Han Kim
BACKGROUND: This study aimed to evaluate the clinical outcomes of arthroscopic decortication of the inferior patellar pole in athletes with refractory chronic patellar tendinopathy. METHODS: Thirty-seven athletes in whom conservative management for at least six months failed underwent arthroscopic patellar tendon debridement and decortication of the inferior pole of the patella. Clinical outcomes were evaluated using subjective knee scores and isokinetic muscle strength tests...
April 20, 2018: Knee
https://www.readbyqxmd.com/read/29671490/common-running-injuries-evaluation-and-management
#3
Michael J Arnold, Aaron L Moody
Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial band syndrome and patellofemoral pain syndrome are less common than patellar tendinopathy and are treated by strengthening exercises for the core and legs in addition to flexibility exercises. Acute hamstring strains and medial tibial stress syndrome require a period of relative rest, followed by stretching and graded return to activity...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29658926/evaluation-of-stem-cell-therapies-in-a-bilateral-patellar-tendon-injury-model-in-rats
#4
John R Wagner, Takashi Taguchi, Jane Y Cho, Chandrashekhar Charavaryamath, Dominique J Griffon
Regenerative medicine provides novel alternatives to conditions that challenge traditional treatments. The prevalence and morbidity of tendinopathy across species, combined with the limited healing properties of this tissue, have prompted the search for cellular therapies and propelled the development of experimental models to study their efficacy. Umbilical cord matrix-derived mesenchymal stem cells (UCM-MSC) are appealing candidates because they are abundant, easy to collect, circumvent the ethical concerns and risk of teratoma formation, yet resemble primitive embryonic stem cells more closely than adult tissue-derived MSCs...
March 30, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29658150/proximal-patellar-tendon-pathology-can-develop-during-adolescence-in-young-ballet-dancers-a-2-year-longitudinal-study
#5
A Rudavsky, J L Cook, S Docking
PURPOSE: Patellar tendinopathy (tendon pain and dysfunction), or jumper's knee is prevalent in adult jumping athletes. Pathology in the proximal patellar tendon is a key risk factor for developing patellar tendinopathy. When pathology develops in the proximal patellar tendon is not known, though it is reported to exist in adolescent athletes. The aim of this study was to follow young jumping athletes (ballet dancers) through adolescence to identify if pathology develops and its relation to the adolescent growth spurt...
April 15, 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29649012/clinical-improvements-are-not-explained-by-changes-in-tendon-structure-on-utc-following-an-exercise-program-for-patellar-tendinopathy
#6
Mathijs van Ark, Ebonie Rio, Jill Cook, Inge van den Akker-Scheek, James E Gaida, Johannes Zwerver, Sean Docking
OBJECTIVES: The aim of this study was to investigate the effects of a 4-week in-season exercise program of isometric or isotonic exercises on tendon structure and dimensions as quantified by Ultrasound Tissue Characterization (UTC). DESIGN: Randomized clinical trial. Volleyball and basketball players (16-31 years, n=29) with clinically diagnosed patellar tendinopathy were randomized to a 4-week isometric or isotonic exercise program. The programs were designed to decrease patellar tendon pain...
April 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29605861/synergistic-activity-of-platelet-rich-plasma-and-high-volume-image-guided-injection-for-patellar-tendinopathy
#7
Michele Abate, Luigi Di Carlo, Sandra Verna, Patrizia Di Gregorio, Cosima Schiavone, Vincenzo Salini
PURPOSE: Platelet rich plasma and high volume image guided injections of saline have been used in the treatment of patellar tendinopathy with positive results. As the different mechanisms of action do not interfere each other, it can be hypothesized that they can be used in combination. Aim of this study was twofold: first, to evaluate the efficacy of these two treatments in the management of patellar tendinopathy; second, to verify whether the combination of these therapies could provide further advantages...
March 31, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29601207/nonsurgical-treatments-of-patellar-tendinopathy-multiple-injections-of-platelet-rich-plasma-are-a-suitable-option-a-systematic-review-and-meta-analysis
#8
Luca Andriolo, Sante Alessandro Altamura, Davide Reale, Christian Candrian, Stefano Zaffagnini, Giuseppe Filardo
BACKGROUND: Patellar tendinopathy is a condition characterized by anterior knee activity-related pain. It has a high incidence among athletes engaged in jumping sports and may become a chronic condition. Nonoperative management is the first choice in these patients, and several nonsurgical treatment options have been proposed. Nonetheless, clear indications on the most effective approach to address patellar tendinopathy are still lacking. PURPOSE: To analyze the evidence on nonoperative options to treat chronic patellar tendinopathy through a systematic review of the literature and to perform a meta-analysis to identify the most effective nonsurgical option...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29574453/infographic-achilles-and-patellar-tendinopathy-rehabilitation-strive-to-implement-loading-principles-not-recipes
#9
Peter Malliaras, Jorge Rodriguez Palomino, Christian J Barton
No abstract text is available yet for this article.
March 24, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29395632/predictors-of-clinical-success-in-runners-with-patellofemoral-pain-secondary-analyses-of-a-randomized-clinical-trial
#10
Jean-Francois Esculier, Laurent J Bouyer, Blaise Dubois, Jean Leblond, Mélanie Brisson, Luc Chau, Jean-Sébastien Roy
OBJECTIVES: To identify predictors of outcome to a rehabilitation program focused on education and management of training loads in runners with patellofemoral pain (PFP). DESIGN: Secondary analyses of a randomized clinical trial. METHODS: Fifty-eight runners with PFP (62% female, aged 31.2±6.6years, running 20.3±5.6km/week) were included in analyses. Following baseline collection of demographics, anthropometry, symptomatology, isometric strength, running mechanics and radiological data, runners were randomized to one of the three 8-week intervention program: (1) Education on symptoms management and training modifications; (2) Education+Exercise program; (3) Education+Gait retraining...
January 27, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29387638/quantitative-analysis-of-patellar-tendon-size-and-structure-in-asymptomatic-professional-players-sonographic-study
#11
Maurizio Giacchino, Cristina Caresio, Negar E Gorji, Filippo Molinari, Giuseppe Massazza, Marco Alessandro Minetto
Background: Ultrasonographic abnormalities of the patellar tendon frequently occur in asymptomatic athletes and it is not always clear whether they precede (and may predict) the development of tendinopathy. Objective: This study aimed to investigate by ultrasonography the prevalence of patellar tendon abnormalities in players of "pallapugno" and to establish whether structural tendon abnormalities predict tendinopathy development. Methods: Ultrasound B-mode images of the patellar tendon of both sides were acquired in fourteen throwers...
July 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/29320945/the-influence-of-exercise-dosing-on-outcomes-in-patients-with-knee-disorders-a-systematic-review
#12
Jodi L Young, Daniel I Rhon, Joshua A Cleland, Suzanne J Snodgrass
Study Design Systematic review. Background Therapeutic exercise is commonly used to treat individuals with knee disorders, but dosing parameters for optimal outcomes are unclear. Large variations exist in exercise prescription, and research related to specific dosing variables for knee osteoarthritis, patellar tendinopathy, and patellofemoral pain is sparse. Objectives To identify specific doses of exercise related to improved outcomes of pain and function in individuals with common knee disorders, categorized by effect size...
March 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29226423/patellar-tendinopathy-with-intratendinous-alteration-on-mri-may-be-related-to-patellofemoral-dysplasia
#13
P M Tscholl, R M Biedert, F Wanivenhaus, S F Fucentese
Patellar tendinopathy (PT) is a frequent overuse injury of the extensor knee apparatus, whereas as up to 30% of the athletes might suffer from persisting symptoms during their entire career. In the present case-control study, 47 patients (30.8 ± 11.4 years) with PT with intratendinous alteration (PTita) of a minimum of ≥25% of the axial surface on MRI and minimum Blazina score of II (pain during without limiting sports activity) were included; MR images were analyzed for trochlear geometry, patellar height/tilt, and tibial tubercle-trochlear groove distance (TT-TG)...
April 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29210775/isometric-exercise-to-reduce-pain-in-patellar-tendinopathy-in-season-is-it-effective-on-the-road
#14
Ebonie Rio, Craig Purdam, Michael Girdwood, Jill Cook
OBJECTIVE: To investigate the effectiveness of an isometric squat exercise using a portable belt, on patellar tendon pain and function, in athletes during their competitive season. DESIGN: Case series with no requirements to change any aspect of games or training. The object of this pragmatic study was to investigate this intervention in addition to "usual management." A control or sham intervention was considered unacceptable to teams. SETTING: In-season...
November 27, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29209736/magnetic-resonance-imaging-based-morphological-and-alignment-assessment-of-the-patellofemoral-joint-and-its-relationship-to-proximal-patellar-tendinopathy
#15
Michel D Crema, Larissa G Cortinas, Giovanni B P Lima, Rene Jorge Abdalla, Sheila Jean McNeill Ingham, Abdalla Y Skaf
OBJECTIVE: To assess the differences in morphology and alignment of the knee between patients with proximal patellar tendinopathy (PPT) and a control group, using MRI and focusing on the patellofemoral joint. METHODS: We retrospectively included 35 patients with clinically diagnosed and unequivocal findings of PPT on knee MRI, the case group. For the control group, we included 70 patients who underwent knee MRI for other reasons, with no clinical or MRI evidence of PPT...
March 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29193343/response-to-considerations-on-achilles-tendinopathy-and-patellar-tendinopathy-display-opposite-changes-in-elastic-properties
#16
LETTER
B K Coombes, K Tucker, B Vicenzino, V Vuvan, R Mellor, L Heales, A Nordez, F Hug
No abstract text is available yet for this article.
April 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29193329/a-few-considerations-on-achilles-and-patellar-tendinopathy-display-opposite-changes-in-elastic-properties
#17
LETTER
C-H Wu
No abstract text is available yet for this article.
April 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29166934/arthroscopic-patellar-release-for-treatment-of-chronic-symptomatic-patellar-tendinopathy-long-term-outcome-and-influential-factors-in-an-athletic-population
#18
Gernot Lang, Jan M Pestka, Dirk Maier, Kaywan Izadpanah, Norbert Südkamp, Peter Ogon
BACKGROUND: Arthroscopic patellar release (APR) is utilized for minimally invasive surgical treatment of patellar tendinopathy. Evidence regarding long-term success following the procedure is limited. Also, the influence of age and preoperative performance level, are incompletely understood. The aim of this study was to investigate whether APR translates into sustained pain relief over a long-term follow-up in athletes undergoing APR. Furthermore, we analyzed if age influences clinical and functional outcome measures in APR...
November 22, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29153963/shear-wave-elastography-swe-for-monitoring-of-treatment-of-tendinopathies-a-double-blinded-longitudinal-clinical-study
#19
Timm Dirrichs, Valentin Quack, Matthias Gatz, Markus Tingart, Björn Rath, Marcel Betsch, Christiane K Kuhl, Simone Schrading
RATIONALE AND OBJECTIVES: We aimed to investigate the diagnostic accuracy with which shear wave elastography (SWE) can be used to monitor response to treatment of tendinopathies, and to compare it to conventional ultrasound (US)-imaging methods (B-mode US (B-US) and power Doppler US (PD-US)). MATERIALS AND METHODS: A prospective Institutional Review Board-approved longitudinal study on 35 patients with 47 symptomatic tendons (17 Achilles-, 15 patellar-, and 15 humeral-epicondylar) who underwent standardized multimodal US and standardized clinical assessment before and after 6 months of treatment (tailored stretching exercise, sport break, and local Polidocanol) was carried out...
March 2018: Academic Radiology
https://www.readbyqxmd.com/read/29140160/clinical-measures-and-their-contribution-to-dysfunction-in-individuals-with-patellar-tendinopathy
#20
Hyunjae Jeon, Melanie L McGrath, Neal Grandgenett, Adam B Rosen
CONTEXT: Patellar tendinopathy is prevalent in physically active populations and it affects their quality of living, performance of activity, and may contribute to the early cessation of their athletic careers. A number of previous studies have identified contributing factors for patellar tendinopathy however their contributions to self-reported dysfunction remain unclear. OBJECTIVE: The purpose of this investigation was to determine if strength, flexibility, and various lower extremity static alignments contributed to self-reported function and influence the severity of patellar tendinopathy...
November 15, 2017: Journal of Sport Rehabilitation
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