Current understanding of the diagnosis and management of the tendinopathy: An update from the lab to the clinical practice

Canosa-Carro, Lorena; Bravo-Aguilar, María; Abuín-Porras, Vanesa; Almazán-Polo, Jaime; García-Pérez-de-Sevilla, Guillermo; Rodríguez-Costa, Isabel; López‐López, Daniel; Navarro‐Flores, Emmanuel; Romero‐Morales, Carlos

doi:10.1016/j.disamonth.2021.101314

Cited by 17 publications

(4 citation statements)

References 252 publications

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“…Most involved tendons include the posterior tibial tendon, the peroneal tendon, the flexor hallucis longus tendon, and the anterior tibial tendon while in athletes Achilles para-tendinopathy and insertional Achilles tendinopathy are commonly seen. Repeated microtrauma due to overuse may lead to inflammatory changes and sometimes the formation of ectopic bone in the tendon [82][83][84]. The diagnosis is mainly clinical with imaging studies being performed mainly to validate the diagnosis.…”

Section: Tendinitismentioning

confidence: 99%

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Singh

Agrawal

Trıpathy

et al. 2023

Nuclear Medicine Communications

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Foot and ankle joints being weight-bearing joints are commonly subjected to wear and tear and are prone to traumatic and other pathologies. Most of these foot and ankle pathologies present with pain. The diagnosis of pathology and localization of pain generators is difficult owing to the complex anatomy of the foot and similar clinical presentation. This makes the management of foot pain clinically challenging. Conventional anatomical imaging modalities are commonly employed for evaluation of any anatomical defect; however, these modalities often fail to describe the functional significance of the anatomical lesions, especially in presence of multiple lesions which is common in ankle and foot; however, hybrid single-photon emission computed tomography/ computed tomography (SPECT/CT) by virtue of its dual modalities, that is, highly sensitive functional imaging and highly specific anatomical imaging can serve as a problem-solving tool in patient management. This review attempts to describe the role of hybrid SPECT/CT in overcoming the limitation of conventional imaging and describes its potential application in the management of foot and ankle pain.

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Section: Tendinitismentioning

confidence: 99%

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Singh

Agrawal

Trıpathy

et al. 2023

Nuclear Medicine Communications

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“…Tendinopathy prevalence has been shown to be higher in athletes due to frequent jumping, landing, running and change of direction movements (Zwerver et al, 2011 ). Collectively, tendinopathies can account for up to 30% of all musculoskeletal conditions requiring medical attention, with up to 22% of elite athletes having patellar tendinopathy at least once during their sporting careers (Lian et al, 2005 ; Skjong et al, 2012 ; Canosa-Carro et al, 2022 ). Complete and partial tendon ruptures are also common in both athletes and the general population with the Achilles tendon having the highest prevalence of ruptures (Nyyssonen et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Blood Flow Restriction Resistance Training in Tendon Rehabilitation: A Scoping Review on Intervention Parameters, Physiological Effects, and Outcomes

Burton

McCormack

2022

Front. Sports Act. Living

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ObjectiveTo identify current evidence on blood flow restriction training (BFRT) in tendon injuries and healthy tendons, evaluating physiological tendon effects, intervention parameters, and outcomes.MethodsThis scoping review was reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Databases searched included MEDLINE, CINAHL, AMED, EMBase, SPORTDiscus, Cochrane library (Controlled trials, Systematic reviews), and five trial registries. Two independent reviewers screened studies at title/abstract and full text. Following screening, data was extracted and charted, and presented as figures and tables alongside a narrative synthesis. Any study design conducted on adults, investigating the effects of BFRT on healthy tendons or tendon pathology were included. Data were extracted on physiological tendon effects, intervention parameters and outcomes with BFRT.ResultsThirteen studies were included, three on tendinopathy, two on tendon ruptures, and eight on healthy Achilles, patellar, and supraspinatus tendons. A variety of outcomes were assessed, including pain, function, strength, and tendon morphological and mechanical properties, particularly changes in tendon thickness. BFRT intervention parameters were heterogeneously prescribed.ConclusionDespite a dearth of studies to date on the effects of BFRT on healthy tendons and in tendon pathologies, preliminary evidence for beneficial effects of BFRT on tendons and clinical outcomes is encouraging. As BFRT is a relatively novel method, definitive conclusions, and recommendations on BFRT in tendon rehabilitation cannot be made at present, which should be addressed in future research, due to the potential therapeutic benefits highlighted in this review.

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“…Muscle strength can be influenced by several factors such as neural activation [ 11 ] and the morphology and mechanical properties of the muscle and tendon [ 12 ]. Acute hamstring injury with evident structural damage is accompanied by edema and fluid concentration, which gradually leads to the formation of a scar in the injured area [ 13 , 14 , 15 , 16 ]. Further, a recent metanalysis concluded that there is moderate evidence that individuals with a previous strain show a lower activation of the injured muscle during eccentric contractions compared to the uninjured limb [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Is Muscle Architecture Different in Athletes with a Previous Hamstring Strain? A Systematic Review and Meta-Analysis

Kellis

Sahinis

2022

JFMK

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Hamstring strains are a frequent injury in sports and are characterized by a high recurrence rate. The aim of this review was to examine the muscle and tendon architecture in individuals with hamstring injury. A systematic literature search in four databases yielded eleven studies on architecture following injury. Differences in the fascicle length (FL), pennation angle (PA) and muscle size measures (volume, thickness and physiological cross-sectional area) at rest were not significantly different between the previously injured limb and the contralateral limb (p > 0.05). There was moderate evidence that biceps femoris long head (BFlh) FL shortening was greater during contraction in the injured compared to the contralateral limb. The BFlh FL was smaller in athletes with a previous injury compared to uninjured individuals (p = 0.0015) but no differences in the FL and PA of other muscles as well as in the aponeurosis/tendon size were observed (p > 0.05). An examination of the FL of both leg muscles in individuals with a previous hamstring strain may be necessary before and after return to sport. Exercises that promote fascicle lengthening of both injured and uninjured leg muscles may be beneficial for athletes who recover from a hamstring injury.

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Current understanding of the diagnosis and management of the tendinopathy: An update from the lab to the clinical practice

Cited by 17 publications

References 252 publications

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Emerging role of bone scintigraphy single-photon emission computed tomography/computed tomography in foot pain management

Blood Flow Restriction Resistance Training in Tendon Rehabilitation: A Scoping Review on Intervention Parameters, Physiological Effects, and Outcomes

Is Muscle Architecture Different in Athletes with a Previous Hamstring Strain? A Systematic Review and Meta-Analysis

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