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Patellar tendon: From tendinopathy to rupture.

Federica Rosso1, Davide Edoardo Bonasia2, Umberto Cottino3

  • 1Department of Orthopaedics and Traumatology, Azienda Ospedaliera Mauriziano Umberto I, Largo Turati 62, 10128, Torino, Italy.

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
|December 22, 2017
PubMed
Summary

Patellar tendinopathy, a common cause of anterior knee pain, involves unclear causes and varied treatments. This review covers diagnosis and management for both tendinopathy and its severe form, patellar tendon rupture.

Keywords:
patellareconstructionrepairrupturetendinopathy

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomedical Engineering

Background:

  • Patellar tendinopathy frequently causes anterior knee pain, with neovascularization implicated in its etiology.
  • Treatment options range from rehabilitation to platelet-rich plasma injections, yet consensus on optimal protocols remains elusive.
  • Patellar tendon rupture represents an advanced stage of tendinopathy, often necessitating surgical intervention.

Purpose of the Study:

  • To review the current literature on the etiology, diagnosis, and treatment of patellar tendinopathy.
  • To examine the diagnostic approaches and surgical techniques for patellar tendon rupture.
  • To consolidate information on conservative management for patellar tendinopathy and surgical options for rupture.

Main Methods:

  • Systematic literature review of studies on patellar tendinopathy and rupture.
  • Analysis of etiological factors, diagnostic criteria, and treatment modalities.
  • Synthesis of findings on conservative and surgical interventions.

Main Results:

  • Etiology of patellar tendinopathy is multifactorial and not fully elucidated, though neovascularization plays a role.
  • A wide array of conservative treatments exist for patellar tendinopathy, with no universally agreed-upon best practice.
  • Surgical interventions are primarily indicated for patellar tendon ruptures, with various techniques reported.

Conclusions:

  • Further research is needed to clarify the precise etiology of patellar tendinopathy and establish evidence-based treatment guidelines.
  • Accurate diagnosis is crucial for differentiating tendinopathy from rupture and guiding appropriate management.
  • Optimal treatment strategies for patellar tendinopathy and rupture require further investigation and standardization.