The Orthobullets Podcast

Knee & Sports | Patellar Tendinitis

Jul 8, 2025
Dive into the world of patellar tendonitis, a common issue for jumping athletes! Discover key risk factors and the degenerative nature of the condition. Learn about effective diagnostic methods and a variety of non-operative treatment options. The discussion also covers surgical alternatives when necessary. Case studies shed light on the importance of conservative management strategies in sports rehabilitation, showcasing research that emphasizes prevention and treatment tailored for athletes.
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INSIGHT

Key Risk Factors and Epidemiology

  • Patellar tendinitis mainly affects jumping athletes, especially males and younger individuals.
  • Poor quadriceps and hamstring flexibility are key risk factors for developing patellar tendinitis.
INSIGHT

Degenerative Nature of Tendonitis

  • Patellar tendinitis results from repetitive eccentric contraction causing microtears and degeneration.
  • The pathology is degenerative, not inflammatory, which influences treatment approaches.
ADVICE

Non-Operative Treatment Guidelines

  • Manage patellar tendinitis first with rest, ice, activity modification, and physical therapy focusing on stretching and eccentric exercises.
  • Avoid cortisone injections due to the significant risk of patellar tendon rupture.
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