Therapeutic interventions in children and adolescents with patellar tendon related pain: a systematic review

BMJ Open Sport & Exercise Medicine
George CairnsBenjamin John Floyd Dean

Abstract

Evaluate effectiveness and harms of interventions for patellar tendon related pain in children and adolescents. Systematic review and meta-analysis. Medline via Pubmed, Embase via OVID, CINAHL via Ebsco, SportDiscus up until 24 November 2017 were searched. Inclusion criteria were (1) controlled or randomised controlled clinical trials (RCTs), (2) participants with diagnosis of patellar tendon related disorder, (3) participants≤18 years of age at enrolment and (4) published in a peer-reviewed English or Scandinavian language journal. Of 530 studies identified, eight were included after screening, with three included in data synthesis. To be included in data synthesis, we required studies to have included (and have data available for) a minimum of 10 participants under 18 years. All studies were rated as being at high risk of bias. For adolescents with patellar tendinopathy, one RCT compared eccentric exercises to usual care and found no difference between groups. In adolescents with Osgood-Schlatter disease (OSD), injection of local anaesthetic with dextrose proved superior to either usual care or local anaesthetic alone (three armed RCTs). In a retrospective case controlled study in adolescents with OSD, surgery provided no ben...Continue Reading

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Citations

Jun 3, 2020·Scandinavian Journal of Medicine & Science in Sports·Alyssa IrbyAdam B Rosen
Jan 2, 2020·British Journal of Sports Medicine·Sinead Holden, Michael Skovdal Rathleff
Jun 21, 2020·Scandinavian Journal of Medicine & Science in Sports·Kristian Damgaard LyngSinead Holden
Jun 20, 2019·International Journal of Environmental Research and Public Health·Maiko OhtakaHideya Kodama
Nov 9, 2019·Orthopaedic Journal of Sports Medicine·Clara GuldhammerSinead Holden
Apr 15, 2020·Orthopaedic Journal of Sports Medicine·Michael S RathleffKristian Thorborg
Mar 22, 2021·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Cornelia NeuhausOliver Faude

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