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Julie K. Wilson, Thomas L. Sevier, Robert Helfst, Eric W. Honing, and Aly Thomann

Objective:

To compare outcomes of 2 rehabilitation protocols on patellar tendinitis subjects.

Design:

Prospective, randomized, blinded, controlled clinical trial.

Setting:

Outpatient rehabilitation clinic.

Subjects:

Randomized into 2 rehabilitation groups—traditional (n = 10) and ASTM AdvantEDGE (n = 10).

Main Outcome Measures:

Clinical data and self-reported questionnaires collected at 0, 6, and 12 weeks.

Results:

On completion of the 6th week, 100% of the ASTM AdvantEDGE group and 60% of the traditional group had resolved. The unresolved subjects were crossed over to the ASTM AdvantEDGE for additional therapy. At the end of the additional therapy, 50% of the crossover subjects had resolved. The ASTM AdvantEDGE group's clinical outcomes and weekly journals indicated a statistically significant (P = .04) improvement in subjective pain and functional-impairment ratings.

Conclusions:

Findings suggest that ASTM AdvantEDGE resulted in improved clinical outcomes in treating patellar tendinitis.

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Sheri A. Hale

Objective:

To review the etiology of patellar tendinopathy as it relates to clinical management of chronic patellar-tendon disease in athletes.

Data Sources:

Information was gathered from a MEDLINE search of literature in English using the key words patellar tendinitis, patellar tendonitis, patellar tendinosis, patellar tendinopathy, and jumper’s knee.

Study Selection:

All relevant peer-reviewed literature in English was reviewed.

Data Synthesis:

The etiology of patellar tendinopathy is multifactorial, incorporating both intrinsic and extrinsic factors. Age, muscle flexibility, training program, and knee-joint dynamics have all been associated with patellar tendinopathy. The roles of gender, body morphology, and patellar mobility in patellar tendinopathy are unclear.

Conclusions:

The pathoetiology of patellar tendinopathy is a complex process that results from both an inflammatory response and degenerative changes. There is a tremendous need for research to improve our understanding of the pathoetiology of patellar tendinopathy and its clinical management.

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Irene S. McClay, John R. Robinson, Thomas P. Andriacchi, Edward C. Frederick, Ted Gross, Philip Martin, Gordon Valiant, Keith R. Williams, and Peter R. Cavanagh

Overuse injuries are common in basketball. To gain insight into their etiology and relationship to mechanics, researchers and clinicians need an understanding of the normal biomechanics of the sport. This study was undertaken with this goal in mind. Lower extremity joint kinematics and structural parameters were collected from 24 players from five professional basketball teams as they performed maneuvers typical of their sport. The results indicated that certain common moves such as the layup landing resulted in knee flexion velocities almost double those seen during the landing phase of running. Lateral movements such as cutting and shuffling placed the foot in extreme positions of supination. Both of these findings have implications for injuries common to basketball such as patellar tendinitis and ankle sprains. It is hoped that this information will initiate a database for normal lower extremity kinematics during basketball and lead to a greater understanding of the relationship of lower extremity movement patterns and injury.

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Alison M. Gardiner-Shires and Cristina B. Seffrin

rehabilitation methods in the treatment of patellar tendinitis . J Sport Rehabil . 2000 ; 9 ( 4 ): 304 – 314 . doi:10.1123/jsr.9.4.304 10.1123/jsr.9.4.304 30. McCormack JR , Underwood FB , Slaven EJ , Cappaert TA . Eccentric exercise versus eccentric exercise and soft tissue treatment (Astym) in

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Lucas C. Bianco, James M. May, Smokey L. Fermin, Robert Oates, and Scott W. Cheatham

– 296 . PubMed ID: 8960651 doi:10.1111/j.1600-0838.1996.tb00473.x 8960651 10.1111/j.1600-0838.1996.tb00473.x 25. Shalaby M , Almekinders LC . Patellar tendinitis: the significance of magnetic resonance imaging findings . Am J Sports Med . 1999 ; 27 : 345 – 349 . PubMed ID: 10352771 doi:10

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Nathaniel S. Nye, Drew S. Kafer, Cara Olsen, David H. Carnahan, and Paul F. Crawford

.63 Fibular collateral ligament bursitis Patellofemoral syndrome 726.64 Patellar tendinitis 726.65 Prepatellar bursitis 726.69 Bursitis: infrapatellar, subpatellar Lower leg and ankle 733.16 Pathologic fracture of tibia or fibula 726.70 Enthesopathy of ankle and tarsus 716.17 Traumatic arthropathy, ankle and

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Inmaculada Reina-Martin, Santiago Navarro-Ledesma, Ana Belen Ortega-Avila, Kevin Deschamps, Alfonso Martinez-Franco, Alejandro Luque-Suarez, and Gabriel Gijon-Nogueron

incidence of injury to runners ranges from 18.2% to 94.4%. 2 The most frequent lesion suffered is that of medial tibial stress syndrome, which has an incidence of 13.6% to 20%. This is followed by Achilles tendinitis, which affects 9.1% to 10.9% of runners, 3 plantar fasciitis (4.5%–10%), and patellar

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Laura C. Slane, Stijn Bogaerts, Darryl G. Thelen, and Lennart Scheys

, Mulier JC . Patellar tendinitis: pathology and results of treatment . Acta Orthop Scand . 1982 ; 53 ( 3 ): 445 – 450 . PubMed doi:10.3109/17453678208992239 10.3109/17453678208992239 7090767 4. Yoo JH , Yi SR , Kim JH . The geometry of patella and patellar tendon measured on knee MRI . Surg

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Rebecca A. Zakrajsek, Leslee A. Fisher, and Scott B. Martin

have my mind right when my patellar tendinitis is keeping me from jumping the way I want to or think I should be?’ [what an athlete would be thinking]. . . . [A] sport psychologist can break that down and it’s really just giving [athletes] the tools and the self-talk to give them cues on what to focus