Presentation
Clinical Presentation Patellar tendinopathy, is one of many potential diagnoses for a patient presenting with anterior knee pain. [physio-pedia.com]
People present with an ache over the patella tendon. Most people are between 10 and 16 years old. Magnetic resonance imaging can reveal edema (increased T2 signal intensity) in the proximal aspect of the patellar tendon. [en.wikipedia.org]
Entire Body System
- Pain
Description Patellar tendinopathy is a source of anterior knee pain, characterised by pain localised to the inferior pole of the patella. [physio-pedia.com]
Patellar tendinitis Other names Quadriceps tendinopathy, patellar tendinopathy, jumper's knee, patellar tendinosis, patellar tendinitis Location of the pain in patellar tendinitis Specialty Orthopedics, sports medicine Symptoms Pain at the front of the [en.wikipedia.org]
This disorder causes knee pain and tenderness of the tendon under the kneecap. The pain is worst when straightening the knee while climbing stairs, jumping, or doing knee bends. [msdmanuals.com]
I began my physio the same week, and was amazed at how quickly she was able to zero in on my pain. I had never been able to find it--it always seemed to move around and be a general pain, rather than in a specific spot. [blog.humphd.org]
- Inflammation
Topic Resources Infrapatellar tendinitis is inflammation of the tendon under the kneecap (patella) caused by overuse of the knees. Infrapatellar tendinitis typically affects children aged 10 to 13. [msdmanuals.com]
Wacha was on the injured list from June 14 to Sept. 3, 2014, with a right shoulder stress reaction and from Aug. 9 to Sept. 13, 2016, with right shoulder inflammation. He is 1-0 with a 4.64 ERA in four starts this season. [espn.com]
[…] person is still able to perform satisfactorily in his or her sport Stage 3 – Prolonged pain during and after activity, with increasing difficulty in performing at a satisfactory level Stage 4 – Complete tendon tear requiring surgical repair It begins as inflammation [en.wikipedia.org]
In vivo microdialysis and immunohistochemical analyses of tendon tissue demonstrated high amounts of free glutamate and glutamate NMDAR1 receptors, but no signs of inflammation, in Jumper’s knee. [thieme-connect.com]
- Severe Pain
This is reserved for people with severe pain for 6–12 months despite conservative measures. [en.wikipedia.org]
- Swelling
In reactive tendinopathy, this may be a preferred effect, as this may inhibit proteins responsible for tendon swelling [14]. [physio-pedia.com]
Treatment
[ edit ] Evidence for treatment is poor. [3] In the early rest, ice, compression, and elevation may be tried. [en.wikipedia.org]
Miles, MD Updated: March 29, 2019 Explore this Article Diagnosing Patellar Tendinitis Relieving Immediate Discomfort Trying Conventional Treatment Options Exploring Advanced Treatments Show 1 more... Show less... [wikihow.fitness]
Surgical treatment of patellar tendon pain in athletes. Br J Sports Med. 1986; 20 167-169 56 Peers K H, Lysens R J, Brys P. et al. [thieme-connect.com]
Shockwave treatment for musculoskeletal diseases and bone consolidation: qualitative analysis of the literature. [physio-pedia.com]
Every week I went to see her and had various treatments done (laser to stimulate blood flow and healing, electrode stimulation of my quad muscles, physical treatments on the tendon, etc.), while in between I worked on all these exercises and stretches [blog.humphd.org]
Prognosis
[…] sports, being overweight [1] Diagnostic method Based on symptoms and examination [2] Differential diagnosis Chondromalacia patella, Osgood-Schlatter disease, patellofemoral syndrome, infrapatellar bursitis [1] [2] Treatment Rest, physical therapy [2] Prognosis [en.wikipedia.org]
Etiology
Its etiology is a chronic overload of the knee extensor mechanism which is triggered by jumping sports (volleyball, basketball etc.) as well as different intrinsic (ligamentous laxity, Q-angle, patella height, tenderness, pattern of force development) [thieme-connect.com]
Epidemiology
"Quadriceps tendinopathy: a review-part 1: epidemiology and diagnosis". Annals of translational medicine. 7 (4): 71. doi : 10.21037/atm.2019.01.58. [en.wikipedia.org]
Epidemiology of jumper’s knee. Sports Med. 1986; 3 289-295 22 Ferretti A, Ippolito E, Mariani P. et al. Jumper’s knee. Am J Sports Med. 1983; 11 58-62 23 Ferretti A, Puddu G, Mariani P P. et al. [thieme-connect.com]
Prevention
Patella straps and soft insoles are used as prevention. Up to 42 % of patients need surgical therapy after failure of long-lasting non-surgical measures, carried out either open or arthroscopically. [thieme-connect.com]