The American journal of sports medicine | 1983 | Ferretti A, Ippolito E, Mariani P, Puddu G
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[Indexed for MEDLINE] 4. J Orthop Res. 2018 Dec;36(12):3105-3112. doi: 10.1002/jor.24120. Epub 2018 Sep 5. Biomechanics of the knee extensor mechanism and its relationship to patella tendinopathy: A review. Dan M(1)(2), Parr W(1), Broe D(1)(2), Cross M(3), Walsh WR(1)(2). Author information: (1)Surgical and Orthopaedic Research Laboratory, Prince of Wales Clinical School University of New South Wales, Sydney 2052, Australia. (2)Prince of Wales Hospital, Barker St, Randwick, New South Wales 2031, Australia. (3)The Stadium Sports Medicine Clinic, Sydney 2012, Australia. The term jumpers knee for patella tendinitis, as coined by Dr. Martin Blazina, is now commonly referred to as tendinopathy. He believed it was associated with patella alta. Since then multiple studies have failed to reliably show an association between patella tendinopathy and associated intrinsic risk factors. There is, unfortunately, a well-established doctrine that the extensor mechanism is simply a pulley. The goal of the review is to examine the biomechanics of the extensor mechanism and apply this to studies investigating intrinsic risk factors for patella tendinopathy. A better understanding of the biomechanics of the extensor mechanism may stimulate the discovery of intrinsic risk factors for developing patella tendinopathy, and subsequent surgical options to address them. Clinical significance: The aim of this review is to direct future research into biomechanical risk factors for developing patella tendinopathy and subsequently, possible treatments. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:3105-3112, 2018. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. DOI: 10.1002/jor.24120
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