Differential forces within the proximal patellar tendon as an explanation for the characteristic lesion of patellar tendinopathy: An in vivo descriptive experimental study

American Journal of Sports Medicine

Volumn 36, Issue 11, 2008, Pages 2119-2127

  Dillon, Edwin Mark ^a,c   Erasmus, Pieter J ^a   Müller, Jacobus H ^a   Scheffer, Cornie ^a   De Villiers, Richard V P ^b  

^a STELLENBOSCH UNIVERSITY   (South Africa)

^b Stellenbosch Medi Clinic   (South Africa)

^c Knee Clinic   (South Africa)

Author keywords

Optic fiber; Patella; Tendinopathy; Tendon forces

Indexed keywords

ADULT; ARTICLE; EXERCISE; GONIOMETRY; HUMAN; MALE; MUSCLE CONTRACTION; NORMAL HUMAN; OPTIC NERVE FIBER; PATELLA TENDON; PRIORITY JOURNAL; QUADRICEPS FEMORIS MUSCLE; TENDINITIS;

ADULT; BIOMECHANICS; HUMANS; MALE; MOTOR ACTIVITY; PATELLAR LIGAMENT; STRESS, MECHANICAL; TENDINOPATHY; YOUNG ADULT;

EID: 55149104209     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546508319311     Document Type: Article

References (28)

1. Alfredson H., Forsgren S., Thorsen K., Lorentzon R. In vivo microdialysis and immunohistochemical analysis of tendon tissue demonstrated high amounts of free glutamate and glutamate NMDAR1 receptors but no signs of inflammation in jumper's knee. J Orthop Res. 2001 ; 19: 881-886.
2. Almekinders LC, Vellema JH, Weinhold PS Strain patterns in the patellar tendons and the implications for patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2002 ; 10: 2-5.
3. Arndt AN, Komi PV, Brüggemann GP, Lukkariniemi J. Individual muscle contributions to the in vivo Achilles' tendon force. Clin Biomech (Bristol, Avon). 1998 ; 13: 532-541.
4. Basso O., Amis AA, Race A., Johnson DP Patellar tendon fiber strains: their differential responses to quadriceps tension. Clin Orthop Relat Res. 2002 ; 400: 246-253.
5. Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson GJ Jumper's knee. Orthop Clin North Am. 1973 ; 4: 665-678.
6. Cook JL, Khan KM, Harcourt PR, et al. Patellar tendon ultrasonography in asymptomatic active athletes reveals hypoechoic regions: a study of 320 tendons. Clin J Sport Med. 1998 ; 8: 73-77.
7. Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Prospective imaging study of patellar tendinopathy in elite junior basketball players. J Ultrasound Med. 2000 ; 19: 473-479.
8. El-Khourny GY, Wira RL, Berbaum KS, Pope TL Jr, Monu JU MR imaging of patellar tendinitis. Radiology. 1992 ; 184: 849-854.
9. Erdemir A., Hamel AJ, Piazza SJ, Sharkey NA Fiberoptic measurement of tendon forces is influenced by skin movement artifact. J Biomech. 2003 ; 36: 449-455.
10. Ferretti A. Epidemiology of jumper's knee. Sports Med. 1986 ; 3: 289-295.
11. Finni T., Komi PV, Lepola V. In vivo human triceps surae and quadriceps femoris muscle function in a squat jump and counter movement jump. Eur J Appl Physiol. 2000 ; 83: 416-426.
12. Finni T., Komi PV, Lukkariniemi J. Achilles' tendon loading during walking: application of a novel optic fiber technique. Eur J Appl Physiol Occup Physiol. 1998 ; 77: 289-291.
13. Hamilton B., Purdam C. Patellar tendinosis as an adaptive process: a new hypothesis. Br J Sports Med. 2004 ; 38: 758-761.
14. Haraldsson BT, Aagaard P., Krogsgaard M., Alkjaer M., Kjaer M., Magnusson SP Region-specific mechanical properties of the human patellar tendon. J Appl Physiol. 2005 ; 98: 1006-1012.
15. Johnson DP, Wakely CJ, Watt I. Magnetic resonance imaging of patellar tendonitis. J Bone Joint Surg Br. 1996 ; 78: 452-457.
16. Khan KM, Cook JL, Bonar F., Harcourt P., Astrom M. Histopathology of common tendinopathies: update and implications for clinical management. Sports Med. 1999 ; 27 (6). 393-408.
17. Khan KM, Visentini PJ, Kiss ZS, et al. Correlation of ultrasound and magnetic resonance imaging with clinical outcome after open patellar tenotomy: prospective and retrospective studies. Clin J Sport Med. 1999 ; 9: 129-137.
18. Kannus P. Etiology and pathophysiology of chronic tendon disorders in sport. Scand J Med Sci Sports. 1997 ; 7: 78-85.
19. King J. Patellar dislocation and lesions of the patella tendon. Br J Sports Med. 2000 ; 34: 467-470.
20. Komi PV, Belli A., Huttunen V., Bonnefoy R., Geysantt A., Lacour JR Optic fiber as a transducer of tendomuscular forces. Eur J Appl Physiol Occup Physiol. 1996 ; 72: 278-280.
21. Lian ø, Engebretsen L., øvrebø RV, Bahr R. Characteristics of the leg extensors in male volleyball players with jumper's knee. Am J Sports Med. 1996 ; 24: 380-385.
22. Müller JH Design, Building and Testing of a Fiber Optic Force Transducer and Its Application in an In Vitro and In Vivo Study Investigating the Biomechanical Properties of the Patella Tendon [MScEng thesis]. Stellenbosch, South Africa: Department of Mechanical and Mechatronic Engineering, Stellenbosch University ; 2007.
23. Popp JE, Yu JS, Kaeding CC Recalcitrant patellar tendinitis: magnetic resonance imaging, histologic evaluation and surgical treatment. Am J Sports Med. 1997 ; 25: 218-222.
24. Ravary B., Pourcelot P., Bortolussi C., Konieczka S., Crevier- Denoix N. Strain and force sensors in human and veterinary tendon and ligament biomechanical studies. Clin Biomech (Bristol, Avon). 2004 ; 19: 433-447.
25. Richards DP, Ajemian SV, Wiley JP, Zernicke RF Knee joint dynamics predict patellar tendinitis in elite volleyball players. Am J Sports Med. 1996 ; 24: 676-683.
26. Schmid MR, Hodler J., Cathrein P., Duewell S., Jacob HA, Romero J. Is impingement the cause of jumper's knee? Dynamic and static MR imaging of patellar tendinitis in an open configuration system. Am J Sports Med. 2002 ; 30: 388-395.
27. Tyler TF, Hershman EB, Nicholas SJ, Berg JH, McHugh MP Evidence of abnormal anteroposterior patellar tilt in patients with patellar tendinitis with use of a new radiographic measurement. Am J Sports Med. 2002 ; 30: 396-401.
28. Witvrou E., Bellemans J., Lysens R., Danneels L., Cambier D. Intrinsic risk factors for the development of patellar tendinitis in an athletic population: a two-year prospective study. Am J Sports Med. 2001 ; 29: 190-195.