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Patellar Tendinitis


Presentation

  • 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]
  • Further, Shalaby and Almekinders 6 showed that in younger patients with relatively mild symptoms, MRI did not show significant changes, while in older, active patients changes may be present in asymptomatic knees.[ncbi.nlm.nih.gov]
  • Clinical Presentation Patellar tendinopathy, is one of many potential diagnoses for a patient presenting with anterior knee pain.[physio-pedia.com]
  • If the area below your patella is swollen, then severe inflammation is present.[howardluksmd.com]
  • Total tendon disruption is present in Blazina Stage 4. 22 Table 1. Scales to assist in evaluating patellar tendinopathy.[ncbi.nlm.nih.gov]
Pain
  • 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]
  • Patient evaluation A visual analog pain scale was used to describe the level of pain provoked as the tendon was palpated. 0 on the scale is no pain experienced at all and 10 is the worst pain the patient ever experienced.[ncbi.nlm.nih.gov]
  • 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]
  • After a short period rest, they try to go back and the pain returns! What’s going on? Why is that one area so painful? Patellar tendonitis is a common cause of pain in the front of the knee.[howardluksmd.com]
  • Description Patellar tendinopathy is a source of anterior knee pain, characterised by pain localised to the inferior pole of the patella.[physio-pedia.com]
Inflammation
  • […] 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]
  • Results: Both tests showed a significant decrease in tenderness at the area of inflammation when the patellar tendon was under tension.[ncbi.nlm.nih.gov]
  • If the area below your patella is swollen, then severe inflammation is present.[howardluksmd.com]
  • Since patellar tendinosis is a chronic, non-acute condition, inflammation is absent.[ncbi.nlm.nih.gov]
Severe Pain
  • This is reserved for people with severe pain for 6–12 months despite conservative measures.[en.wikipedia.org]
  • An athlete requires a short period of rest when severe pain and inflammation is present. Moist heat, gentle stretching, and limiting jumping, stair climbing and sprinting is critical.[howardluksmd.com]
Asymptomatic
  • Further, Shalaby and Almekinders 6 showed that in younger patients with relatively mild symptoms, MRI did not show significant changes, while in older, active patients changes may be present in asymptomatic knees.[ncbi.nlm.nih.gov]
  • Patellar tendon imaging does not confirm patellar tendon pain, as pathology observed via ultrasound imaging may be present in asymptomatic individuals [11].[physio-pedia.com]
Collapse
  • He had me do a one-legged squat, and showed me how my knee and arch were both collapsing inward, which was causing more strain on my knee vs. hips, ankles, etc.[blog.humphd.org]
Knee Pain
  • Conclusion: We suggest using these studies routinely in the evaluation of patients with anterior knee pain.[ncbi.nlm.nih.gov]
  • pain, often with an aching quality.[en.wikipedia.org]
  • Description Patellar tendinopathy is a source of anterior knee pain, characterised by pain localised to the inferior pole of the patella.[physio-pedia.com]
  • Patients with patellar knee pain may grade pain as general achiness after activity (Blazina Stage 1) to pain during and after activity which interferes with competition (Blazina Stage 3).[ncbi.nlm.nih.gov]
Knee Pain
  • Conclusion: We suggest using these studies routinely in the evaluation of patients with anterior knee pain.[ncbi.nlm.nih.gov]
  • pain, often with an aching quality.[en.wikipedia.org]
  • Description Patellar tendinopathy is a source of anterior knee pain, characterised by pain localised to the inferior pole of the patella.[physio-pedia.com]
  • Patients with patellar knee pain may grade pain as general achiness after activity (Blazina Stage 1) to pain during and after activity which interferes with competition (Blazina Stage 3).[ncbi.nlm.nih.gov]
Anterior Knee Pain
  • knee pain, often with an aching quality.[en.wikipedia.org]
  • Description Patellar tendinopathy is a source of anterior knee pain, characterised by pain localised to the inferior pole of the patella.[physio-pedia.com]
Tendon Disorder
  • Ultrasound and MRI are considered the imaging modalities of choice in patients with tendon disorders.[ncbi.nlm.nih.gov]
Muscle Strain
  • I'm active and work out almost every day, so living with a certain degree of muscle strain and injury is my default state.[blog.humphd.org]
Suggestibility
  • Conclusion: We suggest using these studies routinely in the evaluation of patients with anterior knee pain.[ncbi.nlm.nih.gov]
  • Additionally, deep transverse friction massage, strengthening of the hip musculature and stretching are all suggested initially and throughout the recovery of this type of injury.[ncbi.nlm.nih.gov]
  • Pain relief Isometrics have been suggested as a possible analgesic exercise where isotonic exercises are not possible due to fatigue and high SIN. In a systematic review by Naugle et al.[physio-pedia.com]
Irritability
  • The athlete in stage 3 may still exercise aerobically, but must avoid irritating activities. 23, 28 Visnes et al 29 reported that volleyball players who continued to train and compete during an eccentric rehabilitation exercise program showed no benefit[ncbi.nlm.nih.gov]

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]
  • 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]
  • That will minimize the setbacks later in the treatment process. Surgery for a jumpers knee is very rarely necessary. If surgery is necessary it will take up to 12-16 weeks to be able to return to play.[howardluksmd.com]
  • Arthroscopic treatment of infrapatellar tendonitis. Arthroscopy. 1999; 15 :341–5. [ PubMed ] [ Google Scholar ] 5. Johnson DP, Wakeley CJ, Watt I. Magnetic resonance imaging of patellar tendonitis.[ncbi.nlm.nih.gov]

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]
  • Long-term prognosis for jumper's knee in male athletes. Am J Sports Med. 2002; 30 ( 5 ):689–92 [ PubMed ] [ Google Scholar ] 32. Kongsgaard M, Aagaard P, Roikjaer S, et al.[ncbi.nlm.nih.gov]

Etiology

  • This Clinical Commentary presents a review of the etiology, incidence, and contributory factors related specifically to patellar tendinopathy.[ncbi.nlm.nih.gov]

Epidemiology

  • "Quadriceps tendinopathy: a review-part 1: epidemiology and diagnosis". Annals of translational medicine. 7 (4): 71. doi : 10.21037/atm.2019.01.58. PMID 30963066. a b c d e f g h i j k l m n o p q r s t u v w Santana, JA; Sherman, Al (January 2019).[en.wikipedia.org]
  • Types and epidemiology of tendinopathy. Clin Sports Med. 2003; 22 ( 4 ):675–92 [ PubMed ] [ Google Scholar ] 14. Cook JL, Khan KM, Purdam CR. Conservative treatment of patellar tendinopathy.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

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