Patellar Tendinopathy: Diagnosis and Treatment. Issue 12 (December 2016)

• Record Type: Journal Article
• Authors: Figueroa, David; Figueroa, Francisco; Calvo, Rafael
• Is Part Of: Journal of the American Academy of Orthopaedic Surgeons. Volume 24:Issue 12(2016)
• Publication Date: 2016-12
• Subjects: patellar tendinopathy -- patellar tendinitis -- jumper's knee -- tendinosis -- distal patellar pole; Orthopedics -- Periodicals; Orthopedic surgery -- Periodicals; Joint Diseases -- Periodicals; Orthopedics -- Periodicals; Orthopedic surgery; Orthopedics; Periodicals; 616.7005
• DOI: 10.5435/JAAOS-D-15-00703
• Languages: English
• ISSNs: 1067-151X

Abstract

Abstract : Patellar tendinopathy is a common cause of pain in athletes' knees. Historically, it has been related to jumping sports, such as volleyball and basketball. Repetitive jumping generates a considerable load of energy in the extensor mechanism, leading to symptoms. The main pathophysiologic phenomenon in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate. The nonsurgical treatment of patellar tendinopathy is focused on eccentric exercises and often has good results. Other experimental options, with variable levels of evidence, are available for recalcitrant cases. Surgical treatment is indicated for cases that are refractory to nonsurgical treatment. Open or arthroscopic surgery can be performed; the two methods are comparable, but arthroscopic surgery results in a faster recovery time.