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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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Related Experiment Video

Updated: Jun 15, 2025

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
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Exercise for patellar tendinopathy.

Alexandre D Lopes1, Rodrigo Rn Rizzo2,3, Luiz Hespanhol4

  • 1Department of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, Massachusetts, USA.

The Cochrane Database of Systematic Reviews
|May 27, 2025
PubMed
Summary

This study found very uncertain evidence regarding the effectiveness of strengthening exercises for patellar tendinopathy pain and function compared to no treatment or surgery. Exercise may offer little difference in function or pain versus glucocorticoid injections.

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Area of Science:

  • Orthopedics and Sports Medicine
  • Rehabilitation Science
  • Clinical Trials Research

Background:

  • Patellar tendinopathy, a common cause of anterior knee pain, is often treated with exercise, particularly eccentric loading.
  • Existing treatments include various exercise modalities, glucocorticoid injections, and surgery.

Purpose of the Study:

  • To evaluate the benefits and harms of strengthening exercises for treating patellar tendinopathy.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted, searching major databases up to September 2023.
  • Included RCTs compared strengthening exercises against no treatment, usual care, glucocorticoid injection, or surgery.
  • Data on pain, function, treatment success, quality of life, and return to sport were extracted and analyzed.

Main Results:

  • Evidence is very uncertain regarding the effect of strengthening exercise on pain compared to no treatment.
  • Strengthening exercise may show little difference in function compared to no treatment or glucocorticoid injections.
  • Comparisons with surgery show very uncertain effects on pain and function, with low-certainty evidence for treatment success and return to sport.

Conclusions:

  • The certainty of evidence for strengthening exercises in treating patellar tendinopathy is low to very low across comparisons.
  • Further high-quality RCTs are needed to establish definitive benefits and harms, especially for non-athlete populations.
  • Current evidence suggests exercise may offer similar outcomes to other interventions but with considerable uncertainty.