The Royal London Hospital Test for the clinical diagnosis of patellar tendinopathy

Maffulli, Nicola

doi:10.11138/mltj/2017.7.2.315

Cited by 32 publications

(12 citation statements)

References 23 publications

(30 reference statements)

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“…At clinical examination, patients commonly report pain 2 to 6 cm above the insertion of the tendon into the calcaneus [ 47 ]. Commonly used and reliable clinical diagnostic tests for Achilles tendinopathy are palpation of the area to ascertain whether pain is elicited, the painful arc sign, and the Royal London Hospital test [ 48 ].…”

Section: Achilles Tendinopathymentioning

confidence: 99%

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Management of Achilles and patellar tendinopathy: what we know, what we can do

Aicale

Oliviero

Maffulli

2020

Journal of Foot and Ankle Research

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Tendinopathies are challenging conditions frequent in athletes and in middle-aged overweight patients with no history of increased physical activity. The term “tendinopathy” refers to a clinical condition characterised by pain, swelling, and functional limitations of tendons and nearby structures, the effect of chronic failure of healing response. Tendinopathies give rise to significant morbidity, and, at present, only limited scientifically proven management modalities exist. Achilles and patellar tendons are among the most vulnerable tendons, and among the most frequent lower extremity overuse injuries. Achilles and patellar tendinopathies can be managed primarily conservatively, obtaining good results and clinical outcomes, but, when this approach fails, surgery should be considered. Several surgical procedures have been described for both conditions, and, if performed well, they lead to a relatively high rate of success with few complications. The purpose of this narrative review is to critically examine the recent available scientific literature to provide evidence-based opinions on these two common and troublesome conditions.

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Section: Achilles Tendinopathymentioning

confidence: 99%

“…Both tests should be performed to formulate a clinical diagnosis of PT. Imaging assessment should be performed as a confirmatory test [ 48 ]. PT imaging does not confirm the pain; indeed, intratendinous abnormalities may be observed using US in asymptomatic individuals [ 95 ].…”

Section: Patellar Tendinopathymentioning

confidence: 99%

Management of Achilles and patellar tendinopathy: what we know, what we can do

Aicale

Oliviero

Maffulli

2020

Journal of Foot and Ankle Research

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“…The diagnosis was based on both clinical tests and ultrasonographic findings. Two clinical tests were used: the Royal London test 14 and the single-leg decline squat, 15 which were carried out by one of the researchers who was blinded to the athletes' biomechanical variable measurements and ultrasound imaging results.…”

Section: Diagnosis and Grouping Of Participantsmentioning

confidence: 99%

“…O diagnóstico foi baseado nos resultados de testes clínicos e ultrassonográficos. Dois testes clínicos foram utilizados: o teste da Royal London 14 e o de agachamento unipodal declinado 15 , que foram realizados por um dos pesquisadores, de quem foram ocultadas as medidas biomecânicas variáveis e imagens de ultrassonografia dos atletas.…”

Section: Diagnóstico E Agrupamento Dos Participantesunclassified

Variáveis biomecânicas dos membros inferiores são indicadores do padrão de apresentação da tendinopatia patelar em atletas de elite africanos de basquetebol e voleibol

Okeke¹

2019

Rev Bras Ortop

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Objective The present study determined the pattern of presentation and severity of patellar tendinopathy (PT) and its relationship with selected biomechanical variables in elite athletes. Methods The study involved 98 elite Nigerian basketball and volleyball players aged between 18 and 35 years. Clinical tests and ultrasound imaging were used to divide the participants into symptomatic and asymptomatic groups. Standard procedures were used to assess the quadriceps angle (Q-angle), tibial torsion, ankle dorsiflexion, hamstring flexibility, and foot posture. The Victorian Institute of Sport Assessment Questionnaire, Patellar Tendon (VISA-P) was used to assess the severity of the symptoms. The statistical analysis was performed using analysis of variance (ANOVA), and a post hoc analysis and Pearson correlation with significance level set at p < 0.05 were also performed. Results Significantly lower sit-and-reach scores ( p = 0.01), increased foot posture index score ( p = 0.01) and reduced ankle dorsiflexion range ( p = 0.03) were found in participants of both sexes with symptomatic PT. Higher Q-angles ( p = 0.02) in males and tibial torsion angles ( p = 0.001) in females were also found in the symptomatic PT groups. Symptom severity was significantly higher in the group with clinical symptoms only ( p = 0.042), and it was significantly correlated with hamstring flexibility in both males (r = -0.618) and females (r = -0.664). Conclusion Reduced hamstring flexibility, increased foot pronation and reduced ankle dorsiflexion range were significant in participants with symptomatic PT.

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“…When the illness state is slight, knee movement is normal, only with weakness and pain. With the illness state aggravating, patients feel difficult to go up and downstairs, and often keep knee joint in the flexed position because of straightening pain [31].…”

Section: Clinical Manifestation (Includes Symptom Sign Laboratormentioning

confidence: 99%

The Diagnosis and Therapy of Degenerative Knee Joint Disease: Expert Consensus from the Chinese Pain Medicine Panel

Huang

Liu

Liang

et al. 2018

Pain Research and Management

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At present, there are many constantly updated guidelines and consensuses on the diagnosis and treatment of osteoarthritis both at home and abroad. The recommendations established using methods of evidence-based medicine has experienced strict research on controlling bias and promoting reproduction rate. As a result, the previous evidence was reevaluated, and a lot of changes were provoked in the diagnosis and treatment concept of osteoarthritis. However, several methods not recommended by foreign guidelines are still in use in the current clinical practice in China. On the one hand, Chinese experts have not reached extensive consensus on whether it is necessary to make changes according to foreign guidelines. On the other hand, almost all the current relevant guidelines are on osteoarthritis, but the lesions around knee joints which, as a whole, bear the largest weight in human body, cannot be ignored. For this purpose, Chinese Association for the Study of Pain (CASP) organized some leading experts to formulate this Chinese Pain Specialist Consensus on the diagnosis and treatment of degenerative knee osteoarthritis (DKOA) in combination with the guidelines in foreign countries and the expert experience of clinical practice in China. The consensus, which includes the definition, pathophysiology, epidemiology, clinical manifestation, diagnostic criteria, and treatments of DKOA, is intended to be used by first-line doctors, including pain physicians to manage patients with DKOA.

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The Royal London Hospital Test for the clinical diagnosis of patellar tendinopathy

Cited by 32 publications

References 23 publications

Management of Achilles and patellar tendinopathy: what we know, what we can do

Management of Achilles and patellar tendinopathy: what we know, what we can do

Variáveis biomecânicas dos membros inferiores são indicadores do padrão de apresentação da tendinopatia patelar em atletas de elite africanos de basquetebol e voleibol

The Diagnosis and Therapy of Degenerative Knee Joint Disease: Expert Consensus from the Chinese Pain Medicine Panel

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