Neovascularity in patellar tendinopathy and the response to eccentric training: a case report using Power Doppler ultrasound.

Abstract:

:This report describes the case of an amateur soccer player with chronic patellar tendinopathy who underwent ultrasound imaging before and after engaging in an 8-week programme of eccentric exercise. On initial assessment, greyscale ultrasound imaging demonstrated tendon thickening and reduced echogenicity, while Power Doppler imaging demonstrated a large amount of neovascularity. After 8 weeks of an eccentric loading programme, the patient reported significantly improved symptoms and functional scores, while follow-up imaging demonstrated improvement in the echo appearance of the tendon and complete resolution of the neovascularity. The association between neovascularity and symptoms in tendinopathy research is conflicting, with a paucity of research in the area of patellar tendinopathy. While further research is needed to clarify the significance of greyscale and Power Doppler ultrasound changes in relation to symptoms in patellar tendinopathy, ultrasound imaging was shown to be a useful adjunct to diagnosis and outcome assessment in this case.

journal_name

Man Ther

journal_title

Manual therapy

authors

McCreesh KM,Riley SJ,Crotty JM

doi

10.1016/j.math.2012.09.001

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

602-5

issue

6

eissn

1356-689X

issn

1532-2769

pii

S1356-689X(12)00193-2

journal_volume

18

pub_type

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