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Patellar tendinopathy in master track and field athletes: influence of impact profile, weight, height, age and gender

  • Sports Medicine
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Patellar tendinopathy causes significant morbidity in professional and recreational athletes. Despite the relevance of the problem, its causative factors remain poorly understood. The purpose of this cross-sectional study is to evaluate the influence of age, gender, weight, height and impact profile on developing patellar tendinopathy in master track and field athletes.

Methods

During the European Veterans Athletics Championships in Poznań in July 2006, 174 athletes (103 men and 71 women; mean age: 53.8 (SD 11.4) years, range 35–82 years) were evaluated with the VISA-P questionnaire. A fully trained orthopaedic surgeon made a diagnosis of patellar tendinopathy according to clinical criteria.

Results

There was no effect of gender upon the presence of patellar tendinopathy (n.s.). No significant track and field specialty effect upon the frequency of patellar tendinopathy was found on the VISA-P questionnaire scores. There was no effect of track and field specialty on the VISA-P score. No evidence of a statistically significant association was found between age and VISA-P score (n.s.). There was no statistically significant difference in either prevalence of patellar tendinopathy or VISA-P score between high-impact and low-impact athletes (n.s.).

Conclusion

In master track and field athletes, impact profile, weight, height, age and gender did not exert any influence on developing patellar tendinopathy.

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References

  1. Ames PR, Longo UG, Denaro V, Maffulli N (2008) Achilles tendon problems: not just an orthopaedic issue. Disabil Rehabil 30:1646–1650

    Article  PubMed  Google Scholar 

  2. Cook JL, Khan KM, Harcourt PR, Kiss ZS, Fehrmann MW, Griffiths L, Wark JD (1998) Patellar tendon ultrasonography in asymptomatic active athletes reveals hypoechoic regions: a study of 320 tendons. Victorian Institute of Sport Tendon Study Group. Clin J Sport Med 8:73–77

    Article  CAS  PubMed  Google Scholar 

  3. Cook JL, Khan KM, Kiss ZS, Griffiths L (2000) Patellar tendinopathy in junior basketball players: a controlled clinical and ultrasonographic study of 268 patellar tendons in players aged 14–18 years. Scan J Med Sci Sports 10:216–220

    Article  CAS  Google Scholar 

  4. Crisp T, Khan F, Padhiar N, Morrissey D, King J, Jalan R, Maffulli N, Frcr OC (2008) High volume ultrasound guided injections at the interface between the patellar tendon and Hoffa’s body are effective in chronic patellar tendinopathy: a pilot study. Disabil Rehabil 30:1625–1634

    Article  PubMed  Google Scholar 

  5. Denaro V, Ruzzini L, Longo UG, Franceschi F, De Paola B, Cittadini A, Maffulli N, Sgambato A (2010) Effect of dihydrotestosterone on cultured human tenocytes from intact supraspinatus tendon. Knee Surg Sports Traumatol Arthrosc 18:971–976

    Article  PubMed  Google Scholar 

  6. Frohm A, Saartok T, Edman G, Renstrom P (2004) Psychometric properties of a Swedish translation of the VISA-P outcome score for patellar tendinopathy. BMC Musculoskelet Disord 5:49

    Article  PubMed  Google Scholar 

  7. Gaida JE, Alfredson L, Kiss ZS, Wilson AM, Alfredson H, Cook JL (2009) Dyslipidemia in Achilles tendinopathy is characteristic of insulin resistance. Med Sci Sports Exerc 41:1194–1197

    Article  CAS  PubMed  Google Scholar 

  8. Gaida JE, Ashe MC, Bass SL, Cook JL (2009) Is adiposity an under-recognized risk factor for tendinopathy? A systematic review. Arthritis Rheum 61:840–849

    Article  PubMed  Google Scholar 

  9. Garau G, Rittweger J, Mallarias P, Longo UG, Maffulli N (2008) Traumatic patellar tendinopathy. Disabil Rehabil 30:1616–1620

    Article  PubMed  Google Scholar 

  10. Khan KM, Maffulli N, Coleman BD, Cook JL, Taunton JE (1998) Patellar tendinopathy: some aspects of basic science and clinical management. Br J Sports Med 32:346–355

    Article  CAS  PubMed  Google Scholar 

  11. Lippi G, Longo UG, Maffulli N (2010) Genetics and sports. Br Med Bull 93:27–47

    Article  PubMed  Google Scholar 

  12. Longo UG, Fazio V, Poeta ML, Rabitti C, Franceschi F, Maffulli N, Denaro V (2010) Bilateral consecutive rupture of the quadriceps tendon in a man with BstUI polymorphism of the COL5A1 gene. Knee Surg Sports Traumatol Arthrosc 18:514–518

    Article  PubMed  Google Scholar 

  13. Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Denaro V (2008) Histopathology of the supraspinatus tendon in rotator cuff tears. Am J Sports Med 36:533–538

    Article  PubMed  Google Scholar 

  14. Longo UG, Franceschi F, Ruzzini L, Rabitti C, Morini S, Maffulli N, Forriol F, Denaro V (2007) Light microscopic histology of supraspinatus tendon ruptures. Knee Surg Sports Traumatol Arthrosc 15:1390–1394

    Article  PubMed  Google Scholar 

  15. Longo UG, Franceschi F, Ruzzini L, Spiezia F, Maffulli N, Denaro V (2009) Higher fasting plasma glucose levels within the normoglycaemic range and rotator cuff tears. Br J Sports Med 43:284–287

    Article  CAS  PubMed  Google Scholar 

  16. Longo UG, Franceschi F, Spiezia F, Forriol F, Maffulli N, Denaro V (2009) Triglycerides and total serum cholesterol in rotator cuff tears: do they matter?. Br J Sports Med PMID: 19357120

  17. Longo UG, Garau G, Denaro V, Maffulli N (2008) Surgical management of tendinopathy of biceps femoris tendon in athletes. Disabil Rehabil 30:1602–1607

    Article  PubMed  Google Scholar 

  18. Longo UG, Lamberti A, Maffulli N, Denaro V (2010) Tendon augmentation grafts: a systematic review. Br Med Bull 94:165–188

    Article  PubMed  Google Scholar 

  19. Longo UG, Oliva F, Denaro V, Maffulli N (2008) Oxygen species and overuse tendinopathy in athletes. Disabil Rehabil 30:1563–1571

    Article  PubMed  Google Scholar 

  20. Longo UG, Rittweger J, Garau G, Radonic B, Gutwasser C, Gilliver SF, Kusy K, Zielinski J, Felsenberg D, Maffulli N (2009) No influence of age, gender, weight, height, and impact profile in achilles tendinopathy in masters track and field athletes. Am J Sports Med 37:1400–1405

    Article  PubMed  Google Scholar 

  21. Longo UG, Ronga M, Maffulli N (2009) Achilles tendinopathy. Sports Med Arthrosc 17:112–126

    Article  PubMed  Google Scholar 

  22. Longo UG, Ronga M, Maffulli N (2009) Acute ruptures of the achilles tendon. Sports Med Arthrosc 17:127–138

    Article  PubMed  Google Scholar 

  23. Maffulli N, Barrass V, Ewen SW (2000) Light microscopic histology of achilles tendon ruptures. A comparison with unruptured tendons. Am J Sports Med 28:857–863

    CAS  PubMed  Google Scholar 

  24. Maffulli N, Kader D (2002) Tendinopathy of tendo achillis. J Bone Joint Surg Br 84:1–8

    Article  PubMed  Google Scholar 

  25. Maffulli N, Longo UG, Gougoulias N, Caine D, Denaro V (2010) Sport injuries: a review of outcomes. Br Med Bull. doi:10.1093/bmb/ldq1026

  26. Maffulli N, Longo UG, Gougoulias N, Loppini M, Denaro V (2010) Long-term health outcomes of youth sports injuries. Br J Sports Med 44:21–25

    Article  CAS  PubMed  Google Scholar 

  27. Maffulli N, Longo UG, Loppini M, Denaro V (2010) Current treatment options for tendinopathy. Expert Opin Pharmacother 11:2177–2186

    Article  CAS  PubMed  Google Scholar 

  28. Maffulli N, Longo UG, Maffulli GD, Rabitti C, Khanna A, Denaro V (2010) Marked pathological changes proximal and distal to the site of rupture in acute Achilles tendon ruptures. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-010-1193-2

  29. Maffulli N, Longo UG, Spiezia F, Denaro V (2010) Sports injuries in young athletes: long-term outcome and prevention strategies. Phys Sportsmed 38:29–34

    Article  PubMed  Google Scholar 

  30. Maffulli N, Testa V, Capasso G, Oliva F, Panni AS, Longo UG, King JB (2008) Surgery for chronic Achilles tendinopathy produces worse results in women. Disabil Rehabil 30:1714–1720

    Article  PubMed  Google Scholar 

  31. Malliaras P, Cook J, Ptasznik R, Thomas S (2006) Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season. Br J Sports Med 40:272–274

    Article  CAS  PubMed  Google Scholar 

  32. Malliaras PJ, Cook JL, Kent PM (2007) Anthropometric risk factors for patellar tendon injury among volleyball players. Br J Sports Med 41:259–263

    Article  CAS  PubMed  Google Scholar 

  33. Pollock ML, Foster C, Knapp D, Rod JL, Schmidt DH (1987) Effect of age and training on aerobic capacity and body composition of master athletes. J Appl Physiol 62:725–731

    CAS  PubMed  Google Scholar 

  34. Rogers MA, King DS, Hagberg JM, Ehsani AA, Holloszy JO (1990) Effect of 10 days of physical inactivity on glucose tolerance in master athletes. J Appl Physiol 68:1833–1837

    CAS  PubMed  Google Scholar 

  35. Seals DR, Hagberg JM, Hurley BF, Ehsani AA, Holloszy JO (1984) Effects of endurance training on glucose tolerance and plasma lipid levels in older men and women. Jama 252:645–649

    Article  CAS  PubMed  Google Scholar 

  36. Visentini PJ, Khan KM, Cook JL, Kiss ZS, Harcourt PR, Wark JD (1998) 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 1:22–28

    Article  CAS  PubMed  Google Scholar 

  37. Wilks DC, Winwood K, Gilliver SF, Kwiet A, Chatfield M, Michaelis I, Sun LW, Ferretti JL, Sargeant AJ, Felsenberg D, Rittweger J (2009) Bone mass and geometry of the tibia and the radius of master sprinters, middle and long distance runners, race-walkers and sedentary control participants: a pQCT study. Bone 45:91–97

    Article  CAS  PubMed  Google Scholar 

  38. Zwerver J, Kramer T, van den Akker-Scheek I (2009) Validity and reliability of the Dutch translation of the VISA-P questionnaire for patellar tendinopathy. BMC Musculoskelet Disord 10:102

    Article  PubMed  Google Scholar 

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Acknowledgments

Many thanks to Arndt Boshof for his valuable support during the study. This study was organized with internal funding from our Universities.

Conflict of interest

None declared.

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Correspondence to Nicola Maffulli.

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Longo, U.G., Rittweger, J., Garau, G. et al. Patellar tendinopathy in master track and field athletes: influence of impact profile, weight, height, age and gender. Knee Surg Sports Traumatol Arthrosc 19, 508–512 (2011). https://doi.org/10.1007/s00167-010-1314-y

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