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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
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Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research

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Patellar Tendinopathy.

Aaron Schwartz1, Jonathan N Watson2, Mark R Hutchinson2

  • 1Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois schwaaron@gmail.com.

Sports Health
|October 27, 2015
PubMed
Summary
This summary is machine-generated.

Patellar tendinopathy often resolves with nonoperative treatments like physical therapy. For persistent cases, surgical intervention offers good to excellent outcomes when conservative methods fail.

Keywords:
eccentric therapyjumper’s kneepatellar tendinopathy

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation

Background:

  • Patellar tendinopathy is a prevalent musculoskeletal condition.
  • Numerous nonoperative treatment modalities exist, yet consensus on the optimal approach is lacking.

Purpose of the Study:

  • To review current treatment options for patellar tendinopathy.
  • To evaluate the efficacy of various conservative and surgical interventions.

Main Methods:

  • A clinical review of literature.
  • PubMed database search from 1962 to 2014.
  • Level 4 evidence.

Main Results:

  • Nonoperative therapies, including eccentric exercises, are the primary treatment for most cases.
  • Corticosteroid injections offer short-term relief but carry risks; other injectables show mixed results.
  • Surgical debridement is effective for refractory patellar tendinopathy unresponsive to conservative care.

Conclusions:

  • Eccentric exercise-based physical therapy is the cornerstone of patellar tendinopathy management.
  • Evidence for platelet-rich plasma injections is inconclusive.
  • Surgery provides favorable outcomes for patients with persistent symptoms after nonoperative treatment.