High-Volume Image-Guided Injection for Recalcitrant Patellar Tendinopathy in Athletes

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
Nicola MaffulliGayle Maffulli

Abstract

To assess the effectiveness of high-volume image-guided injection in the middle term in patients with recalcitrant patellar tendinopathy. Case series study; Level of evidence, 4. All tertiary referrals, public, and private healthcare. Forty-four patients (41 men and 3 women) with diagnosis of recalcitrant patellar tendinopathy were included. Tendon injection of a mixture of 10 mL of 0.5% bupivacaine hydrochloride, 62 500 international units of aprotinin, and 40 mL of normal saline solution. The Victorian Institute of Sport Assessment-patellar tendon (VISA-P), visual analogue scale, and Roles and Maudsley were assessed at baseline and at the last follow-up. The baseline VISA-P score of 46 ± 18.2 (range, 28-75) improved to 75.3 ± 19.2 (range, 68-100) by 15 months (P = 0.003). The mean pain visual analogue scale changed from 91 mm (range, 66-92 mm) before the injection to 28 mm (2-52 mm) (P = 0.01). Of 32 physically active patients, 23 (72%) had returned to sport at the same level practiced before the onset of symptoms. Thirty-five of the 44 patients (80%) rated their condition as good or excellent. High-volume injection at the interface between the deep surface of the patellar tendon and Hoffa body improves in the short-term symp...Continue Reading

References

Sep 1, 1984·The American Journal of Sports Medicine·D W KellyR K Kerlan
Dec 16, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·N MaffulliG Puddu
Oct 8, 1999·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·K M KhanB B Forster
Aug 20, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lars Ohberg, Håkan Alfredson
Oct 26, 2005·British Journal of Sports Medicine·M Magra, N Maffulli
Aug 18, 2006·Journal of Science and Medicine in Sport·Nicholas J Rukin, Nicola Maffulli
Jul 3, 2008·The American Journal of Sports Medicine·Peter MalliarasNicola Maffulli
Jul 9, 2008·Disability and Rehabilitation·Otto ChanTom Crisp
Dec 1, 2009·Journal of Science and Medicine in Sport·Joel HumphreyNicola Maffulli
Nov 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Nicola MaffulliVincenzo Denaro
Jan 17, 2012·Journal of Shoulder and Elbow Surgery·Angelo Del BuonoNicola Maffulli
May 26, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·John P FuriaNicola Maffulli
Nov 6, 2012·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Taku HattaEiji Itoi
Nov 8, 2012·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Nicola MaffulliGayle D Maffulli

❮ Previous
Next ❯

Citations

May 26, 2016·AJR. American Journal of Roentgenology·Christopher J Burke, Ronald S Adler
Jul 30, 2016·Physical Medicine and Rehabilitation Clinics of North America·Evan PeckKentaro Onishi
Sep 21, 2019·The Physician and Sportsmedicine·Shibili Nuhmani
Jun 9, 2020·Expert Opinion on Pharmacotherapy·Rocco AicaleNicola Maffulli
Apr 2, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michele AbateVincenzo Salini
Jan 4, 2017·Sports Medicine and Arthroscopy Review·Nicola MaffulliFrancesco Oliva
May 3, 2019·Scandinavian Journal of Medicine & Science in Sports·Anders P BoesenMorten I Boesen
Jun 6, 2020·Current Reviews in Musculoskeletal Medicine·Daniel Sisk, Michael Fredericson
Oct 11, 2020·Journal of Experimental Orthopaedics·Torsten Grønbech NielsenMartin Lind
Jan 24, 2021·Current Reviews in Musculoskeletal Medicine·Toufic R JildehKelechi R Okoroha
Apr 16, 2021·Orthopaedic Journal of Sports Medicine·Nicola MaffulliFilippo Migliorini

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.