Semin Musculoskelet Radiol 2013; 17(01): 056-059
DOI: 10.1055/s-0033-1333915
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Patellar Tendon

Theodore T. Miller
1   Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
13. März 2013 (online)

Abstract

The patellar tendon is well suited to sonographic evaluation because it is large and superficial and thus easily demonstrated. Sonography is a focused examination, concentrating on the area of pain and clinical suspicion. Its advantages over MR imaging are the speed of performance, better spatial resolution, capability of dynamic evaluation, and real-time guidance for percutaneous procedures. In addition, the advent of extended field-of-view imaging allows the demonstration of the entire length or cross section of an area of interest, matching MR imaging's ability to display a large anatomical region. This article reviews the sonographic appearances of disorders of the patellar tendon.

 
  • References

  • 1 Andrikoula S, Tokis A, Vasiliadis HS, Georgoulis A. The extensor mechanism of the knee joint: an anatomical study. Knee Surg Sports Traumatol Arthrosc 2006; 14 (3) 214-220
  • 2 Lian OB, Engebretsen L, Bahr R. Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med 2005; 33 (4) 561-567
  • 3 Sarimo J, Sarin J, Orava S , et al. Distal patellar tendinosis: an unusual form of jumper's knee. Knee Surg Sports Traumatol Arthrosc 2007; 15 (1) 54-57
  • 4 Khan KM, Bonar F, Desmond PM , et al; Victorian Institute of Sport Tendon Study Group. Patellar tendinosis (jumper's knee): findings at histopathologic examination, US, and MR imaging. Radiology 1996; 200 (3) 821-827
  • 5 Gisslén K, Alfredson H. Neovascularisation and pain in jumper's knee: a prospective clinical and sonographic study in elite junior volleyball players. Br J Sports Med 2005; 39 (7) 423-428; discussion 423–428
  • 6 Gisslèn K, Gyulai C, Söderman K, Alfredson H. High prevalence of jumper's knee and sonographic changes in Swedish elite junior volleyball players compared to matched controls. Br J Sports Med 2005; 39 (5) 298-301
  • 7 Lian O, Holen KJ, Engebretsen L, Bahr R. Relationship between symptoms of jumper's knee and the ultrasound characteristics of the patellar tendon among high level male volleyball players. Scand J Med Sci Sports 1996; 6 (5) 291-296
  • 8 Cook JL, Khan KM, Kiss ZS, Griffiths L. Patellar tendinopathy in junior basketball players: a controlled clinical and ultrasonographic study of 268 patellar tendons in players aged 14-18 years. Scand J Med Sci Sports 2000; 10 (4) 216-220
  • 9 Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Prospective imaging study of asymptomatic patellar tendinopathy in elite junior basketball players. J Ultrasound Med 2000; 19 (7) 473-479
  • 10 Khan KM, Cook JL, Kiss ZS , et al. Patellar tendon ultrasonography and jumper's knee in female basketball players: a longitudinal study. Clin J Sport Med 1997; 7 (3) 199-206
  • 11 Gisslén K, Gyulai C, Nordström P, Alfredson H. Normal clinical and ultrasound findings indicate a low risk to sustain jumper's knee patellar tendinopathy: a longitudinal study on Swedish elite junior volleyball players. Br J Sports Med 2007; 41 (4) 253-258
  • 12 Cook JL, Malliaras P, De Luca J, Ptasznik R, Morris ME, Goldie P. Neovascularization and pain in abnormal patellar tendons of active jumping athletes. Clin J Sport Med 2004; 14 (5) 296-299
  • 13 Cook JL, Malliaras P, De Luca J, Ptasznik R, Morris M. Vascularity and pain in the patellar tendon of adult jumping athletes: a 5 month longitudinal study. Br J Sports Med 2005; 39 (7) 458-461; discussion 458–461
  • 14 Koenig MJ, Torp-Pedersen ST, Christensen R , et al. Effect of knee position on ultrasound Doppler findings in patients with patellar tendon hyperaemia (jumper's knee). Ultraschall Med 2007; 28 (5) 479-483
  • 15 Gemignani M, Busoni F, Tonerini M, Scaglione M. The patellar tendinopathy in athletes: a sonographic grading correlated to prognosis and therapy. Emerg Radiol 2008; 15 (6) 399-404
  • 16 Demirag B, Ozturk C, Yazici Z, Sarisozen B. The pathophysiology of Osgood-Schlatter disease: a magnetic resonance investigation. J Pediatr Orthop B 2004; 13 (6) 379-382
  • 17 Rosenberg ZS, Kawelblum M, Cheung YY, Beltran J, Lehman WB, Grant AD. Osgood-Schlatter lesion: fracture or tendinitis? Scintigraphic, CT, and MR imaging features. Radiology 1992; 185 (3) 853-858
  • 18 Sailly M, Whiteley R, Johnson A. Doppler ultrasound and tibial tuberosity maturation status predicts pain in adolescent male athletes with Osgood-Schlatter's disease: a case series with comparison group and clinical interpretation. Br J Sports Med 2013; 47 (2) 93-97
  • 19 Jousse-Joulin S, Breton S, Cangemi C , et al. Ultrasonography for detecting enthesitis in juvenile idiopathic arthritis. Arthritis Care Res 2011; 63: 849-855
  • 20 Alcalde M, Acebes JC, Cruz M, González-Hombrado L, Herrero-Beaumont G, Sánchez-Pernaute O. A sonographic enthesitic index of lower limbs is a valuable tool in the assessment of ankylosing spondylitis. Ann Rheum Dis 2007; 66 (8) 1015-1019
  • 21 Bandinelli F, Milla M, Genise S , et al. Ultrasound discloses entheseal involvement in inactive and low active inflammatory bowel disease without clinical signs and symptoms of spondyloarthropathy. Rheumatology (Oxford) 2011; 50 (7) 1275-1279
  • 22 Gisondi P, Tinazzi I, El-Dalati G , et al. Lower limb enthesopathy in patients with psoriasis without clinical signs of arthropathy: a hospital-based case-control study. Ann Rheum Dis 2008; 67 (1) 26-30
  • 23 Queiro R, Alonso S, Alperi M , et al. Entheseal ultrasound abnormalities in patients with SAPHO syndrome. Clin Rheumatol 2012; 31 (6) 913-919
  • 24 de Miguel E, Cobo T, Muñoz-Fernández S , et al. Validity of enthesis ultrasound assessment in spondyloarthropathy. Ann Rheum Dis 2009; 68 (2) 169-174
  • 25 de Miguel E, Muñoz-Fernández S, Castillo C, Cobo-Ibáñez T, Martín-Mola E. Diagnostic accuracy of enthesis ultrasound in the diagnosis of early spondyloarthritis. Ann Rheum Dis 2011; 70 (3) 434-439