For citation purposes: Abat F, Sanchez-Iba?ez JM. Patellar tendinopathy: a critical review of current therapeutic options. OA Sports Medicine 2014 Jan 18;2(1):2.

Critical review

 
Treatment Techniques

Patellar tendinopathy: a critical review of current therapeutic options

F Abat, JM Sanchez-Ibañez
 

Authors affiliations

(1) Sports Orthopedics Department, Cerede Sports Medicine Clinic, Barcelona, Spain

(2) Rehabilitation Department, Cerede Sports Medicine Clinic, Barcelona, Spain

* Corresponding author Email: drabat@cerede.es

Abstract

Introduction

The treatment of patellar tendinopathy remains a subject of ongoing debate in the field of sports medicine. It was initially thought that the tendon injury produced was characterised as an inflammatory process, but this thinking has evolved to reasoning it as a cellular degenerative process so as to explain the poor evolution that tendon injuries generally show. Traditionally, conservative treatment by means of eccentric exercise was advocated, going on to surgery when good results were not obtained. The use of minimally invasive techniques has grown in popularity over recent years. Currently, there is a significant therapeutic arsenal at our disposal in clinical practice that ranges from the use of shock waves, growth factors, sclerosis of neovessels using polidocanol or techniques such as intratissue percutaneous electrolysis (EPI®). Despite the abundance of literature on the treatment of tendinopathy, there are few studies of high scientific evidence. Thus, the choice of a therapeutic method as a gold standard remains a point of debate. This present critical review, focused on the treatment of patellar tendinopathy, aims to shine a light on the different studies of each of these treatment options by analysing each ones level of scientific evidence.

Licensee OA Publishing London 2014. Creative Commons Attribution License (CC-BY)
Keywords