Surgical treatment compared with eccentric training for patellar tendinopathy (jumper's knee): A randomized, controlled trial

Journal of Bone and Joint Surgery

Volumn 88, Issue 8, 2006, Pages 1689-1698

  Bahr, Roald ^a   Fossan, Bjørn ^b   Løken, Sverre ^a   Engebretsen, Lars ^a  

^a NORWEGIAN SCHOOL OF SPORT SCIENCES   (Norway)

^b Health Department   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ECCENTRIC MUSCLE CONTRACTION; EVALUATION RESEARCH; FEMALE; HUMAN; INTERMETHOD COMPARISON; JUMPING; KINESIOTHERAPY; KNEE DISEASE; MALE; OPEN PATELLAR TENOTOMY; PATELLA TENDINOPATHY; PATELLA TENDON; PRIORITY JOURNAL; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SURGICAL TECHNIQUE; SYMPTOMATOLOGY; TENDON DISEASE; TENOTOMY; TRAINING; VICTORIAN INSTITUTE OF SPORT ASSESSMENT SCORING SYSTEM;

EID: 33746919921     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.E.01181     Document Type: Article

References (34)

1. Lian OB, Engebretsen L, Bahr R. Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005; 33:561-7.
2. Ferretti A, Puddu G, Mariani PP, Neri M. Jumper's knee: an epidemiological study of volleyball players. Physician Sportsmed. 1984;12:97-103.
3. Ferretti A. Epidemiology of jumper's knee. Sports Med. 1986;3:289-95.
4. Lian O, Holen KJ, Engebretsen L, Bahr R. Relationship between symptoms of jumper's knee and the ultrasound characteristics of the patellar tendon among high level male volleyball players. Scand J Med Sci Sports. 1996;6: 291-6.
5. Coleman BD, Khan KM, Maffulli N, Cook JL, Wark JD. Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scand J Med Sci Sports. 2000;10:2-11.
6. Khan KM, Maffulli N, Coleman BD, Cook JL, Taunton JE. Patellar tendinopathy: some aspects of basic science and clinical management. Br J Sports Med. 1998;32:346-55.
7. Fredberg U, Bolvig L. Jumper's knee. Review of the literature. Scand J Med Sci Sports. 1999;9:66-73.
8. Alfredson H, Forsgren S, Thorsen K, Fahlstrom M, Johansson H, Lorentzon R. Glutamate NMDAR1 receptors localised to nerves in human Achilles tendons. Implications for treatment? Knee Surg Sports Traumatol Arthrosc. 2001;9: 123-6.
9. Alfredson H, Thorsen K, Lorentzon R. In situ microdialysis in tendon tissue: high levels of glutamate, but not prostaglandin E2 in chronic Achilles tendon pain. Knee Surg Sports Traumatol Arthrosc. 1999;7:378-81.
10. Khan KM, Cook JL, Kannus R Maffulli N, Bonar SF. Time to abandon the "ten-dinitis" myth. BMJ. 2002;324:626-7.
11. Cook JL, Feller JA, Bonar SF, Khan KM. Abnormal tenocyte morphology is more prevalent than collagen disruption in asymptomatic athletes' patellar tendons. J Orthop Res. 2004;22:334-8.
12. Peers KH, Lysens RJ. Patellar tendinopathy in athletes: current diagnostic and therapeutic recommendations. Sports Med. 2005;35:71-87.
13. Jozsa L, Kannus P. Human tendons: anatomy, physiology, and pathology. Champaign, IL: Human Kinetics; 1997.
14. Khan KM, Visentini PJ, Kiss ZS, Desmond PM, Coleman BD, Cook JL. Tress BM, Wark JD, Forster BB. Correlation of ultrasound and magnetic resonance imaging with clinical outcome after patellar tenotomy: prospective and retrospective studies. Victorian Institute of Sport Tendon Study Group. Clin J Sport Med. 1999;9:129-37.
15. Testa V, Capasso G, Maffulli N, Bifulco G. Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy. Med Sci Sports Exerc. 1999;31:1509-15.
16. Curwin S, Stanish WD. Tendinitis, its etiology and treatment. Lexington, MA: Collamore Press: 1984.
17. Young MA, Cook JL, Purdam CR, Kiss ZS, Alfredson H. Eccentric decline squat protocol offers superior results at 12 months compared with traditional eccentric protocol for patellar tendinopathy in volleyball players. Br J Sports Med. 2005;39:102-5.
18. Erratum in: Br J Sports Med. 2005;39:246.
19. Purdam CR, Jonsson P, Alfredson H, Lorentzon R, Cook JL, Khan KM. A pilot study of the eccentric decline squat in the management of painful chronic patellar tendinopathy. Br J Sports Med. 2004;38:395-7.
20. Cannell LJ, Taunton JE, Clement DB, Smith C, Khan KM. A randomized clinical trial of the efficacy of drop squats or leg extension/leg curl exercises to treat clinically-diagnosed jumper's knee in athletes: pilot study. Br J Sports Med. 2001; 35:60-4.
21. Alfredson H, Pietila T, Jonsson P Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26:360-6.
22. Silbernagel KG, Thomee R, Thomee P, Karlsson J. Eccentric overload training for patients with chronic Achilles tendon pain-a randomised controlled study with reliability testing of the evaluation methods. Scand J Med Sci Sports. 2001;11:197-206.
23. Fahlstrom M, Jonsson P, Lorentzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11:327-33.
24. Roos EM, Engstrom M, Lagerquist A, Soderberg B. Clinical improvement after 6 weeks of eccentric exercise in patients with mid-portion Achilles tendinopathy-a randomized trial with 1-year follow-up. Scand J Med Sci Sports. 2004;14:286-95.
25. Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson GJ. Jumper's knee. Orthop Clin North Am. 1973;4:665-78.
26. Visentini PJ, Khan KM, Cook JL, Kiss ZS, Harcourt PR, Wark JD. The VISA score: an index of severity of symptoms in patients with jumper's knee (patellar tendinosis). Victorian Institute of Sport Tendon Study Group. J Sci Med Sport. 1998;1:22-8.
27. Cook JL, Khan KM, Kiss ZS, Griffiths L. Patellar tendinopathy in junior basketball players: a controlled clinical and ultrasonographic study of 268 patellar tendons in players aged 14-18 years. Scand J Med Sci Sports. 2000;10:216-20.
28. Visnes H, Hoksrud A, Cook J, Bahr R. No effect of eccentric training on jumper's knee in volleyball players during the competitive season: a randomized clinical trial. Clin J Sport Med. 2005;15:227-34.
29. Karlsson J, Lundin O, Lossing IW, Peterson L. Partial rupture of the patellar ligament. Results after operative treatment. Am J Sports Med. 1991;19:403-8.
30. Karlsson J, Kalebo P, Goksor LA, Thomee R, Sward L. Partial rupture of the patellar ligament. Am J Sports Med. 1992;20:390-5.
31. Griffiths GP, Selesnick FH. Operative treatment and arthroscopic findings in chronic patellar tendinitis. Arthroscopy. 1998;14:836-9.
32. Raatikainen T, Karpakka J, Puranen J, Orava S. Operative treatment of partial rupture of the patellar ligament. A study of 138 cases. Int J Sports Med. 1994;15:46-9.
33. Coleman BD, Khan KM, Kiss ZS, Bartlett J, Young DA, Wark JD. Open and arthroscopic patellar tenotomy for chronic patellar tendinopathy. A retrospective outcome study. Victorian Institute of Sport Tendon Study Group. Am J Sports Med. 2000;28:183-90.
34. Ohberg L, Lorentzon R, Alfredson H, Maffulli N. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. 2004;38:8-11.