scholarly journals Jumper's knee

2003 ◽  
Vol 7 (3) ◽  
pp. 22-23
Author(s):  
R. V.P. De Villiers

Patellar tendinopathy or 'jumper's knee' is a common cause of anterior knee pain in athletes. This condition is often resistant to therapy and can cause a premature end to a professional sporting career. MRI and high-definition ultrasound are the modalities of choice for evaluating the athlete with anterior knee pain. Ultrasound with a linear, high-resolution 10 or 12 MHz probe is suggested. Comparison is always made with the presumed normal contralateral tendon. MRI, although more expensive, is not operator-dependent. It also demonstrates a more global picture. Fluid-sensitive studies are used in the axial and sagittal planes. The pathology of patellar tendinopathy represents a tendinosis, rather than a tendonitis, due to the absence of inflammatory cells.

2013 ◽  
Vol 48 (6) ◽  
pp. 479-480
Author(s):  
Laura Susan Kox ◽  
Esther Maria A Wiegerinck ◽  
Mario Maas

2013 ◽  
Vol 48 (6) ◽  
pp. 476-476
Author(s):  
Laura Susan Kox ◽  
Esther Maria A Wiegerinck ◽  
Mario Maas

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y A Abbas ◽  
Y I Abdulkhalik ◽  
Y H Motlaq

Abstract Background The knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities, there has been a parallel increase in sport-induced internal derangements of the knee. The main strength of knee MRI is the assessment of articular and Peri-articular diseases. The specific structures best suited for MRI assessment include tendons, muscles and ligaments, as well as peri-articular soft tissue masses. Objective The purpose of this study is to detect the accuracy of MR imaging as a diagnostic tool in the evaluation of different knee joint pathologies that cause anterior knee pain, with emphasis on some of their grades and types for better assessment. Methodology This study included 20 patients (6 female and 14 male). Their ages range between 10-60 years (average age 30 years). All presented by anterior knee pain and were referred to radiology department of Ain Shams University hospital or private centers for MRI examination after orthopedic consultation. Results 5% of the patients presented with anterior knee pain showed MRI evidence of patellar tendinopathy (66% below the age of 30 years and more in females). In all cases the hyperintense focal thickening was at the proximal third of the tendon, with the AP diameter of the patellar tendon greater than 8mm. In our results about 10% of the patients in the study sample, had MRI evidence of tear in the anterior horn of lateral knee meniscus with a female equal to male (50% females and 50% males). Cartilage injuries were detected in 5% of the study sample, showing male predominance (100% were male and 0% were female) with average age 32 years. All have a past history of trauma. Conclusion MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups. Also, it has a high specification in detecting the grades and types of some of these diseases.


Author(s):  
Oluwatoyosi B. A. Owoeye ◽  
Luz Palacios-Derflingher ◽  
Kati Pasanen ◽  
Tate HubkaRao ◽  
Preston Wiley ◽  
...  

This study aimed at evaluating the burden and risk factors of patellar and Achilles tendinopathy among youth basketball players. Patellar and Achilles tendinopathy were prospectively monitored in 515 eligible male and female youth basketball players (11–18 years) through a competitive season. Overall, the season prevalence of patellar tendinopathy was 19.0% (95% CI: 15.7–22.7%), 23.2% (95% CI: 18.6–28.2%) in males and 12.5% (95% CI: 8.3–17.9%) in females. The season prevalence of Achilles tendinopathy was 4.3% (95% CI: 2.7–6.4%), 4.1% (95% CI: 2.2–7.0%) in males and 4.5% (95% CI: 2.1–8.4%) in females. Median proportion of symptoms duration was 83% of average total weeks of basketball exposure for patellar tendinopathy and 75% for Achilles tendinopathy. Median time to patellar tendinopathy onset was 8 weeks for male players and 6 weeks for female players. Higher odds of patellar tendinopathy risk were seen in males (OR: 2.23, 95% CI: 1.10–4.69) and players with previous anterior knee pain had significantly elevated odds (OR: 8.5, 95% CI: 4.58–16.89). The burden and risk of patellar tendinopathy is high among competitive youth basketball players. Risk factors include sex and previous anterior knee pain. These findings provide directions for practice and future research.


2015 ◽  
Vol 24 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Randon Hall ◽  
Kim Barber Foss ◽  
Timothy E. Hewett ◽  
Gregory D. Myer

Objectives:To determine if sport specialization increases the risk of anterior knee pain in adolescent female athletes.Design:Retrospective cohort epidemiology study.Methods:Female basketball, soccer, and volleyball players (N = 546) were recruited from a single county public school district in Kentucky consisting of 5 middle schools and 4 high schools. A total of 357 multisport and 189 single-sport (66 basketball, 57 soccer, and 66 volleyball) athlete subjects were included due to their diagnosis of patellofemoral pain (PFP) on physical exam. Testing consisted of a standardized history and physician-administered physical examination to determine the presence of PFP. This study compared self-reported multisport athletes with sport-specialized athletes participating in only 1 sport. The sports-participation data were normalized by sport season, with each sport accounting for 1 season of exposure. Incidence rate ratios and 95% confidence intervals (CI) were calculated and used to determine significant differences between athletes who specialized in sport in early youth and multisport athletes.Results:Specialization in a single sport increased the relative risk of PFP incidence 1.5-fold (95% CI 1.0−2.2, P = .038) for cumulative PFP diagnoses. Specific diagnoses such as Sinding Larsen Johansson/patellar tendinopathy (95% CI 1.5−10.1, P = .005) and Osgood Schlatter disease (95% CI 1.5−10.1, P = .005) demonstrated a 4-fold greater relative risk in single-sport compared with multisport athletes. Incidence of other specific PFP diagnoses such as fat pad, plica, trauma, pes anserine bursitis, and iliotibial-band tendonitis was not different between single-sport and multisport participants (P > .05).Conclusion:Early sport specialization in female adolescents is associated with increased risk of anterior knee-pain disorders including PFP, Osgood Schlatter, Sinding Larsen-Johansson compared with multisport athletes.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Farrugia ◽  
C Tinning

Abstract Anterior knee pain is one of the main symptoms in osteoarthritis, resulting from the rich sensory innervation of its capsule. Pain control can be difficult to achieve, with non-responders to conservative and medical therapy often requiring a total knee replacement. Radiofrequency ablation (RFA) is a novel technique that could be beneficial in managing anterior knee pain by targeting the genicular nerves around the knee; however, its routine use is not included in current guidelines. A literature search identified fifty-two results, which underwent screening using a study protocol and the final literature sources, of varying levels of evidence, underwent critical appraisal and analysis. The primary outcome included the significant improvement of pain scores from baseline, against their respective control treatments. The ten studies included in the final analysis consisted of seven comparative studies and three non-comparative studies. Literature showed significant improvement in their mean pain scores, all meeting the primary outcome measure. Most studies also showed significant improvement from the control treatments used. Current literature shows evidence that genicular nerve RFA is an effective and safe treatment modality in the management of anterior knee pain secondary to osteoarthritis. However, the literature available is limited and further comparative studies are required.


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