tendon – SEMS-journal

sports injury shoulder & elbow tendon tendon

Mehr als ein Tennisarm: Ellenbogenpathologien für Sportmediziner

Elbow pathologies, aside from lateral epicondylitis, are relatively rare and often underestimated due to their infrequency. However, in sports medicine, the high stress placed on the elbow frequently results in discomfort arising from overuse, trauma, or degenerative changes, with the boundaries between these often being fluid.

sports injury knee ligament tendon

Knieschmerzen bei Sportler:innen – Differentialdiagnosen je nach Lokalisation

Pain and discomfort in the knee joint are common reasons for consultations in daily routine. The reasons are diverse and can be of traumatic or chronic origin. Identifying the reason for knee pain may be challenging. Using a “knee-map” may help to diagnose possible pathologies. Consequently, treatment depends on the final diagnosis. When a traumatic effusion is present, a relevant intra-articular damage should be considered.

sports injury shoulder & elbow tendon sports physiotherapy

Tennis and golf elbow

“Tennis and golfer’s elbow” are common pathologies due to overload of forearm extensors and flexors, and actually occur mostly outside tennis and golf sports. Several differential diagnoses of medial and lateral epicondylitis have to be excluded as there are a number of other conditions with similar clinical symptoms. The high rate of spontaneous recovery has to be considered in treatment. Evidence based conservative treatment comprises excentric physiotherapy, local injections, and physical methods. Surgery is reserved for patients with persistence of symptoms for more than one year despite non-surgical treatment.

sports injury knee tendon sports physiotherapy

Tendon problems around the knee

The knee joint is affected in up to 30% of all sport injuries. A minor precentage of it are tendon injuries. For acute tendon injuries, quadriceps tendon rupture and patellar tendon rupture are most frequent. Beside that, ruptures of distal hamstring tendons or the popliteus tendon may occur. For chronic tendon injuries in sports, the jumpers knee and the runners knee are most frequent. Also insertional enthesopathy of the quadriceps tendon, of the iliotibial band, of the hamstring tendons may occur, furthermore a tendinitis or bursitis at the pes anserinus. These injuries are explained in this article focussing on symptoms, diagnostics and therapy.

sports injury foot & ankle tendon sports physiotherapy

Rare tendon pathologies at the foot level

While lesions of the achilles tendon and posterior tibial tendon are common and well known, lesions of other ankle bridging tendons are rare and literature is sparse. However, many of these lesions are equally relevant in terms of maintaining the complex functionality of the foot. Such pathologies include tendinitis, tenosynovitis as well as partial and complete tears. If the continuity of the affected tendon is maintained, conservative treatment is appropriate. In cases of ruptures, operative therapy is often needed. Depending on the defect size and retraction of the tendon, auto- or allograft have to be used.

exercise physiology sports injury tendon

Tendons – Morphology, biology and biomechanics

The tendon has to be seen functionally within the muscle-tendon-unit. The tendon has to transmit the force that is produced by the muscle, but acts also as a spring that stores energy. The tendon itself consists of three parts: the tendon-bone insertion, the mid-portion area, and the muscle-tendon junction. The biomechanical properties belong primarily on type I collagen, that degenerates in case of tendinopathy.

sports injury foot & ankle knee tendon sports medicine sports physiotherapy tendon

Use of Platelet-rich Plasma for the Treatment of Patellar and Achilles Tendinopathies

The purpose of this study was to retrospectively evaluate the effectiveness of Platelet-Rich Plasma Injection (PRP) for Achilles and patellar tendinopathy refractory to conventional conservative treatments. For this, we compared the data from 34 patients treated with one or two injections of PRP. Pain, functional ability, athletic recovery and satisfaction of patients were evaluated.

sports and society sports and technology monitoring sports injury knee tendon

Effectiveness of an online tailored intervention on determinants and behaviour to prevent running related sports injuries: a randomised controlled trial

Objective. Sports injuries are one of the most common injuries in the modern Western society. In line with the increased interest in eHealth, a tailor-based online injury prevention intervention was developed to influence determinants and actual sports injury preventive behaviour. An effect study was carried out among runners. Methods. Runners between 18 and 35 years were randomly assigned to the intervention (n=109) or control group (n=105). Participants in the intervention group were invited to visit the website for 30 minutes. Those in the control group were invited to read magazines that did not contain information about running, injuries or other sport related issues for 30 minutes.