Patellar Tendinopathy is a common musculoskeletal injury that affects recreational and elite athletes. It leads to pain and disability lasting weeks to several months. It is described as an overuse injury caused by microtraumas from extreme acceleration and deceleration during running jumping and cutting.
Acute tendonitis involves an active inflammatory response and may heal within 3-6 weeks if treated appropriately. Chronic tendonitis is referred to as jumper's knee and is considered a tendinosis with no active inflammatory cells. It is a degenerative condition and may take 6 weeks to 3 months to resolve. Overuse and repetitive strain during acute patellar tendonitis leads to the development of chronic patellar tendonitis.
Extrinsic versus Intrinsic Risk factors:
Additional Extrinsic risk factors associated with patellar tendonitis:
-Foot wear, playing surface, and poor training techniques
At risk demographics
-Repetitive ballistic loading
-16-40 years old
-Equal occurrence among genders
Tenderness upon palpation noted at the inferior pole of the patella and or tendon. Swelling is rare upon observation. Pain/symptoms are present or provoked with resisted knee extension, ascending descending stairs, squatting, lunges, or hopping. General pain and stiffness complaints after activity with a feeling of "giving way" or "buckling".
Evaluation of chronic patella tendonitis should include:
Differential diagnosis should include:
Multiple Treatment Protocols:
-Hip flexors, quads, hamstring, gastroc
-Deep transverse friction massage