El continuum de la patología de tendón: concepto actual e implicaciones clínicas

Cook, Jill; Rio, Eboni; Purdam, Craig; Girdwood, Michael; Ortega-Cebrián, Silvia; Docking, Sean

doi:10.1016/j.apunts.2017.05.002

Cited by 3 publications

(3 citation statements)

References 61 publications

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“…Notwithstanding, recent studies have demonstrated patellar tendinopathy to be a multifactorial, multi-etiological pathology that is not solely susceptible to being aggravated by jumping mechanisms [4]. Clinical features of patellar tendinopathy include localized pain in the tendon along with decreased athletic performance [5,6]. This concomitance can be explained by patellar tendon sensitivity to load changes, whether short-term or long-term load [7], which in turn usually present structural alterations in the tendon.…”

Section: Introductionmentioning

confidence: 99%

“…When load is excessive, the tissue recovery process does not take effect, anchors are lost between tenocytes, and disruption of tenocyte communication occurs [7,8]. The physiopathological processes of tendinopathy have been widely described; an onset of tendon structure changes in the form of misalignment of collagen fibers and loss of continuity produces tendon degeneration, which can be symptomatic or asymptomatic [6].…”

Section: Introductionmentioning

confidence: 99%

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Patellar Tendon Structural Adaptations Occur during Pre-Season and First Competitive Cycle in Male Professional Handball Players

Ortega-Cebrián

Navarro

Seda

et al. 2021

IJERPH

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Background: While there is evidence that tendon adapts to training load, structural alterations in the patellar tendon in response to training loads are still unclear. The aim of this study is to identify changes in patellar tendon structure throughout pre-season and after finalizing the first competitive cycle. Methods: Nineteen professional handball players participated in the aforesaid cross-sectional study, in which patellar tendon scan and counter movement jump (CMJ) performance were conducted. Measurements were taken on the first and last day of pre-season training, and at the end of the first competitive cycle. Results: The results revealed that variation on the tendon structure occurred, mainly at the end of pre-season training; for injured tendons this occurred at the proximal (Right p = 0.02), distal (Right p = 0.01), and (Left p = 0.02) tendon, while changes in healthy tendons occurred at the mid (Left p = 0.01) and distal tendon (Right p = 0.01). At the end of the first competitive cycle, changes were observed in the distal injured tendon (p = 0.02). Conclusion: Patellar tendon shows greater structural change after completing pre-season training than at the end of the first competitive cycle, from which it may be inferred that gradual loading during pre-season training allows the tendon to adapt and potentially decrease the onset of patellar tendinopathy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patellar Tendon Structural Adaptations Occur during Pre-Season and First Competitive Cycle in Male Professional Handball Players

Ortega-Cebrián

Navarro

Seda

et al. 2021

IJERPH

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“…La tendinopatía degenerativa está ampliamente descrita en la literatura como una progresión de la desorganización de la matriz de colágeno, cambios en las células y aparición de neovascularización (Cook et al, 2017). Aparecen áreas de muerte celular por apoptosis, trauma o fallo de los tenocitos Yang, Lu, & Qu, 2018).…”

Section: Introductionunclassified

La electrólisis percutánea y su eficacia en el tratamiento de tendinopatías en la extremidad inferior. Revisión sistemática

Arévalo

Allaica

García

et al. 2019

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En los últimos años, la concepción que se tenía de las tendinopatías ha tolerado grandes cambios. La separación de las teorías que declaran a las tendinopatías como trastornos inflamatorios, a teorías que aluden una fisiopatología de carácter continúo basado en cambios degenerativos, propició la aparición de técnicas de fisioterapia invasiva como la electrólisis percutánea, que buscan romper con este proceso de degeneración, permitiendo la recuperación del tejido. El objetivo general de esta revisión sistemática es, estudiar la eficacia y evidencia científica de la técnica del electrólisis percutánea aplicada al tratamiento de tendinopatías en la extremidad inferior, para comparar los resultados obtenidos. Para lo cual, se realizó una búsqueda sistemática de estudios en 6 bases de datos, empleando las palabras clave: patellar tendinopathy unido con electrolysis, treatment, physical therapy y rehabilitation, lo cual ofreció 28 artículos, de los cuales, 8 se emplearon en la revisión, concretamente, 5 estudios de series de casos y 2 estudios prospectivos en ratas y 1 caso clínico. La electrólisis percutánea, mostró una mejora funcional y en la sensación dolorosa, al ser combinada con terapias de ejercicios excéntricos. El tratamiento terapéutico de las tendinopatías en la extremidad inferior mediante electrólisis percutánea, brinda resultados muy promisorios, sin embargo, para establecer la consecuencia de estos resultados, requiere del aporte de una cantidad sustancialmente mayor de estudios con una metodología más sofisticada, que sustenten su evidencia científica.

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Ultrasound compression elastography: possibilities for early diagnosing in case of dystrophic lesions of the long dorsal sacroiliac ligament with low back pain

Назаренко

Yurkovskiy

2023

jour

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Objective. Evaluate the possibility of using ultrasound compression elastography for detecting early dystrophic changes in the long dorsal sacroiliac ligaments in case of pain in the lower backMaterials. To achieve this goal, we compared the data of compression elastography of the long dorsal sacroiliac ligament in 36 patients aged 46.0 years [23; 54] with lower back pain (experimental group) and 30 patients aged 36.5 years [29; 48] without lower back pain (control group).Results. The results of the evaluation of diagnostic significance of ultrasound compression elastography were as follows: AUC ‒ 0.81 (95% CI (0.63; 0.93)), p=0.0001; Juden index ‒ 0.64, sensitivity ‒ 90% (95% CI (0.69; 0.99)), p=0.0001; specificity ‒ 74% (95% CI (0.56; 0.99)), p=0.0001.Conclusion. Compression elastography enables to detect areas of long dorsal sacroiliac ligament structure disorganization in cases where standard B-mode can’t reveal changes in the structure of this ligament. For the long dorsal sacroiliac ligament, ultrasound compression elastography has comparable sensitivity (90%) to shear wave elastography, but lower specificity (74%) and prognostic value (81%), allowing a fairly confident diagnosis of early degenerative changes in the long dorsal sacroiliac ligament.

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El continuum de la patología de tendón: concepto actual e implicaciones clínicas

Cited by 3 publications

References 61 publications

Patellar Tendon Structural Adaptations Occur during Pre-Season and First Competitive Cycle in Male Professional Handball Players

Patellar Tendon Structural Adaptations Occur during Pre-Season and First Competitive Cycle in Male Professional Handball Players

La electrólisis percutánea y su eficacia en el tratamiento de tendinopatías en la extremidad inferior. Revisión sistemática

Ultrasound compression elastography: possibilities for early diagnosing in case of dystrophic lesions of the long dorsal sacroiliac ligament with low back pain

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