The Relationship between the Anteroposterior Diameter of the Patellar Tendon, Pain and Functionality in Volleyball Players – An Observational StudyArticle in several languages: English | español
16 April 2019 (eFirst)
Objective To determine whether the anteroposterior (AP) diameter of the patellar tendon in volleyball players is associated with a greater sensation of pain and decreased functionality.
Material and Methods A descriptive, observational, cross-sectional study conducted on volleyball players. The scores on the Victorian Institute of Sport Assessment–Patella (VISA-P) scale were registered, together with the visual analogue scale (VAS) and the AP diameter of the patellar tendon, at 5 and at 10 mm distal to the inferior pole of the patella. The demographic, anthropometric and playing characteristics were registered and multiple linear regression models were constructed in order to analyze the relationship between the study variables.
Results The final sample comprised 112 players. The AP diameter was greater in men and showed a positive significant association with the score on the VAS scale and a negative significant association with the VISA-P for both tendons after adjusting for the remaining variables.
Conclusions The measurement of the AP diameter of the patellar tendon may be useful for the prevention of sports injuries in volleyball players as a greater tendon diameter is significantly associated with increased perceived pain and decreased functionality. Future studies should include a biomechanical analysis of jump and reception techniques.
- 1 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 [Internet] 2005; 33 (04) 561-567 Retrieved March 19, 2016
- 2 Zwerver J, Bredeweg SW, van den Akker-Scheek I. Prevalence of Jumper's knee among nonelite athletes from different sports: a cross-sectional survey. Am J Sports Med [Internet] 2011; 39 (09) 1984-1988 Retrieved February 7, 2016
- 3 Ferretti A. Epidemiology of jumper's knee. Sports Med [Internet] 1986; 3 (04) 289-295 Retrieved March 20, 2016
- 4 Malliaras P, Cook JL, Kent PM. Anthropometric risk factors for patellar tendon injury among volleyball players. Br J Sports Med [Internet] 2007; 41 (04) 259-263 , discussion 263 Retrieved February 22, 2016
- 5 Rubio Gimeno S, Chamorro M. Lesiones en el deporte. Arbor Cienc Pensam Cult. 2000; 165 (650) 203-225
- 6 Cassel M, Baur H, Hirschmüller A, Carlsohn A, Fröhlich K, Mayer F. Prevalence of Achilles and patellar tendinopathy and their association to intratendinous changes in adolescent athletes. Scand J Med Sci Sports [Internet] 2015; 25 (03) e310-e318 Retrieved June 24, 2016
- 7 Schafle MD, Requa RK, Patton WL, Garrick JG. Injuries in the 1987 national amateur volleyball tournament. Am J Sports Med 1990; 18 (06) 624-631
- 8 Briner Jr WW, Benjamin HJ. Volleyball injuries: managing acute and overuse disorders. Phys Sportsmed 1999; 27 (03) 48-60
- 9 Blazina ME, Kerlan RK, Jobe FW, Carter VS, Carlson GJ. Jumper's knee. Orthop Clin North Am [Internet] 1973; 4 (03) 665-678 Retrieved March 16, 2016
- 10 Cook JL, Khan KM, Harcourt PR, Grant M, Young DA, Bonar SF. ; The Victorian Institute of Sport Tendon Study Group. A cross sectional study of 100 athletes with jumper's knee managed conservatively and surgically. Br J Sports Med [Internet] 1997; 31 (04) 332-336 retrieved September 25, 2016
- 11 Hägglund M, Zwerver J, Ekstrand J. Epidemiology of patellar tendinopathy in elite male soccer players. Am J Sports Med 2011; 39 (09) 1906-1911
- 12 Carr JC, Hanly S, Griffin J, Gibney R. Sonography of the patellar tendon and adjacent structures in pediatric and adult patients. AJR Am J Roentgenol [Internet] 2001; 176 (06) 1535-1539 Retrieved March 19, 2016
- 13 Grassi W, Filippucci E, Farina A, Cervini C. Sonographic imaging of tendons. Arthritis Rheum [Internet] 2000; 43 (05) 969-976 Retrieved November 13, 2016
- 14 Malliaras P, Cook J. Changes in anteroposterior patellar tendon diameter support a continuum of pathological changes. Br J Sports Med 2011; 45 (13) 1048-1051
- 15 Visnes H, Tegnander A, Bahr R. Ultrasound characteristics of the patellar and quadriceps tendons among young elite athletes. Scand J Med Sci Sports 2015; 25 (02) 205-215
- 16 Zhang ZJ, Ng GY, Lee WC, Fu SN. Changes in morphological and elastic properties of patellar tendon in athletes with unilateral patellar tendinopathy and their relationships with pain and functional disability. PLoS One [Internet] 2014; 9 (10) e1083-37 Retrieved March 19, 2016
- 17 Malliaras P, Purdam C, Maffulli N, Cook J. Temporal sequence of greyscale ultrasound changes and their relationship with neovascularity and pain in the patellar tendon. Br J Sports Med 2010; 44 (13) 944-947
- 18 Kulig K, Landel R, Chang Y-J. , et al. Patellar tendon morphology in volleyball athletes with and without patellar tendinopathy. Scand J Med Sci Sports 2013; 23 (02) e81-e88
- 19 Hernandez-Sanchez S, Hidalgo MD, Gomez A. Cross-cultural adaptation of VISA-P score for patellar tendinopathy in Spanish population. J Orthop Sports Phys Ther [Internet] 2011; 41 (08) 581-591 Retrieved March 19, 2016
- 20 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 (04) 216-220
- 21 Black J, Cook J, Kiss ZS, Smith M. Intertester reliability of sonography in patellar tendinopathy. J Ultrasound Med [Internet] 2004; 23 (05) 671-675 Retrieved March 16, 2016
- 22 Skou ST, Aalkjaer JM. Ultrasonographic measurement of patellar tendon thickness--a study of intra- and interobserver reliability. Clin Imaging 2013; 37 (05) 934-937