Patella tendinopathy

Patella tendinopathy

https://www.sportnova.co.uk/wp-content/uploads/2017/01/patella-tendonitis-tendinopat-min.png

l  Clinical feature

n  Pain aggravated by activities

n  Most common site: deep attachment of the tendon to the inferior pole of the patella

n  Reproduce the patient’s pain

l  Ultrasound examination with doppler is more sensitive than MRI

n  Vascurality around the tendon

l  Overview of Management

n  Long recovery period

u  Require more than 3~6 months to recover

n  Relative tendon unloading

n  Progressive strengthening

n  Conservative treatment first

u  Require 6~12 months to return to sports after successful patella tendon surgery

l  Treatment

n  Local reduction

n  Strengthning

n  Soft tissue therapy

n  Cryotherapy

n  Pharmacotherapy

n  Injection theray: corticosteroid, blood injection(autologous blood, platelet-rich plasma)

n  Surgery

Ref) Clinical sports Medicine P 700,702