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[Jumper's knee--a review].

C O Tibesku1, H H Pässler

  • 1Klinik und Poliklinik für Allgemeine Orthopädie, Universitätsklinikum Münster. carsten@tibesku.de

Sportverletzung Sportschaden : Organ Der Gesellschaft Fur Orthopadisch-Traumatologische Sportmedizin
|May 27, 2005
PubMed
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Jumper's knee is a chronic overuse injury affecting the knee extensor mechanism, common in jumping athletes. Treatment ranges from conservative measures to surgery, with most patients experiencing pain relief but potentially reduced athletic performance post-operation.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanical Engineering

Context:

  • Jumper's knee, or patellar tendinopathy, is a prevalent overuse injury in sports involving repetitive jumping.
  • It stems from chronic overload of the knee extensor mechanism, influenced by intrinsic and extrinsic factors.
  • The pathology typically localizes to the osteo-tendinous junction of the proximal patellar tendon, showing degenerative rather than inflammatory changes.

Purpose:

  • To define jumper's knee, outline its etiology, diagnosis, and treatment modalities.
  • To differentiate between degenerative and inflammatory aspects of the condition.
  • To discuss the efficacy and outcomes of both surgical and non-surgical interventions.

Summary:

  • Diagnosis relies on sports history, physical examination, and ultrasound, with MRI aiding surgical planning.

Related Experiment Videos

  • Non-surgical treatments include rest, physical therapy (eccentric strengthening), and modalities like shock wave therapy.
  • Surgical intervention is considered for persistent cases, involving debridement or tendon-releasing procedures.

    • Impact:

    • Understanding the degenerative nature of jumper's knee guides therapeutic strategies towards tendon healing and load management.
    • Effective management can alleviate pain and improve function, though return to pre-injury performance levels may be challenging.
    • This research informs clinical practice for athletes, coaches, and healthcare providers managing this common sports-related knee injury.