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Patellar tendinopathy: pathomechanics and a modern approach to treatment

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journal contribution
posted on 2001-01-01, 00:00 authored by Jill Cook, K Khan, C Purdam
Patellar tendinopathy, a common condition in sport, can be recurrent and resistant to treatment, Risk factors include the level of training, biomechanics, and genetic factors. This review discusses several programs based on eccentric exercise and suggests principles for nonoperative treatment including improving shock absorption, load modification, and adaptation of the tendon to sporting stress. The level of pain that patients are asked to tolerate during tendon-exercise programs varies among programs, and it is unclear what level is optimal to stimulate tendon recovery. Rehabilitation presents several challenges: It can take a long time (3-12 months), exercise prescription in an athlete who is continuing to compete is not straightforward, and guidelines for treatment progression are poor, Nonoperative treatment can fail because of inappropriate exercise prescription and poor athlete compliance. If this occurs and surgical intervention is required, the athlete might still have an unpredictable outcome. Solutions to these problems require additional clinical research.

History

Journal

International sportmed journal

Volume

2

Pagination

1 - 11

Location

Cape Town, South Africa

Open access

  • Yes

ISSN

1528-3356

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2001, FIMS

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