Surgery for patellar tendinopathy (jumper’s knee)

Dan, Michael J.; Phillips, Alfred; Johnston, Renea V; Harris, Ian

doi:10.1002/14651858.cd013034.pub2

Cited by 21 publications

(20 citation statements)

References 34 publications

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“…Table 1 summarizes the key characteristics of the eligible SRs 8,12‐56 . Of the 46 included SRs, 31 used the Cochrane Collaboration tool, 13 the PEDro scale, 2 the revised Cochrane Collaboration tool (RoB 2), and 2 both the Cochrane Collaboration tool and the PEDro scale.…”

Section: Resultsmentioning

confidence: 99%

Risk of bias in systematic reviews of tendinopathy management: Are we comparing apples with oranges?

Challoumas

Millar

2020

Transl. Sports. Med.

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We aimed to provide an overview of the use of risk of bias (RoB) assessment tools in systematic reviews (SRs) in tendinopathy management given increased scrutiny of the SR literature in clinical decision making. A search was conducted in Medline from inception to June 2020 for all SRs of randomized controlled trials (RCTs) assessing the effectiveness of any intervention(s) on any location(s) of tendinopathy. Included SRs had to use one of (a) Cochrane Collaboration tool, (b) PEDro scale, or (c) revised Cochrane Collaboration tool (RoB 2) for their RoB assessment. A total of 46 SRs were included. Around half of SRs (46%) did not use an RoB assessment in data synthesis, and only 30% used it to grade the certainty of evidence. The RoB 2 tool was the most likely to determine "overall high RoB" (52%) followed by the Cochrane Collaboration tool (34.6%) and the PEDro scale (18.6%) as determined by the authors of the SRs. We have demonstrated substantial problems associated with the use of RoB assessments in tendinopathy SRs. The universal use of a single RoB assessment tool should be promoted by journals and SR guidance documents.

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Section: Resultsmentioning

confidence: 99%

Risk of bias in systematic reviews of tendinopathy management: Are we comparing apples with oranges?

Challoumas

Millar

2020

Transl. Sports. Med.

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“…Patellar tendinopathy is also most commonly treated with tenotomy and debridement. A recent Cochrane review, however, demonstrated no benefit of open surgery versus eccentric exercises for patellar tendinopathy at 12 months with regard to pain and tendon function 53 .…”

Section: Managementmentioning

confidence: 98%

Recent advances in tendinopathy

Challoumas¹,

Biddle²,

Millar³

2020

Fac Rev

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endinopathy refers to the clinical diagnosis of activity-related pain resulting in a decline in tendon function. In the last few years, much has been published concerning the basic science and clinical investigation of tendinopathy and debates and discussions to new questions and points of view started many years ago. This advances review will discuss the current thinking on the basic science and clinical management of tendinopathy and in particular new findings in the tendon repair space that are relevant to the pathophysiology of tendinopathy. We will further discuss potential novel therapies on the horizon in human tendon disease.

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“…24,28 No tratamento cirúrgico estão disponíveis várias técnicas, abertas ou artroscópicas, alguns apresentando resultados satisfatórios. 15 Os princípios cirúrgicos incluem excisão do paratedão, excisão do tecido degenerativo, resseção do polo inferior da rótula e incisões longitudinais no tendão. 3,11 A maioria dos pacientes reporta melhoria sintomática após a cirurgia, mas com longos tempos de retoma à atividade desportiva, com uma percentagem significativa dos casos sem retorno ao nível competitivo pré-lesional.…”

Section: Uma Nova Etapa Que Se Junta No Tratamento De Tendinopatias?unclassified

“…3,11 A maioria dos pacientes reporta melhoria sintomática após a cirurgia, mas com longos tempos de retoma à atividade desportiva, com uma percentagem significativa dos casos sem retorno ao nível competitivo pré-lesional. 2, 15 O aumento da compreensão histológica e radiológica dos processos envolvidos na lesão de tecidos moles está a guiar o tratamento musculosquelético para novos tratamentos. 5, 16 A ecografia na orientação das intervenções nas articulações e nos tecidos moles permite a maximização do tratamento e minimização de complicações.…”

Section: Uma Nova Etapa Que Se Junta No Tratamento De Tendinopatias?unclassified

Uma nova etapa que se junta no tratamento de tendinopatias? A propósito de um caso clínico.

Marinho-Cardoso¹,

Dimitri-Pinheiro²,

Lixa³

et al. 2022

revdesp

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Jumper’s knee has been defined as painful chronic overuse injury of the extensor mechanism of the knee joint. The etiology is a chronic overload which is triggered by jumping/plyometric movements as well as different intrinsic and extrinsic dispositions. Therapy should be chosen according to the stage of the disease and usually starts with a non-surgical approach. A potential treatment for the tendinopathy is the eco-guided brisement. This procedure involves the smooth passage of a needle through the abnormal tendon several times to transform a chronic degenerative process into an acute condition that is more likely to heal. It’s important to have a rehabilitation program post-brisement. The authors made a concise review of the literature and present a clinical case which an athlete was treated using this technique.

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Surgery for patellar tendinopathy (jumper’s knee)

Cited by 21 publications

References 34 publications

Risk of bias in systematic reviews of tendinopathy management: Are we comparing apples with oranges?

Risk of bias in systematic reviews of tendinopathy management: Are we comparing apples with oranges?

Recent advances in tendinopathy

Uma nova etapa que se junta no tratamento de tendinopatias? A propósito de um caso clínico.

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