Cross-sectional Outcome Analysis of Athletes With Chronic Patellar Tendinopathy Treated Surgically and by Extracorporeal Shock Wave Therapy

Clin J Sport Med. 2003 Mar;13(2):79-83. doi: 10.1097/00042752-200303000-00003.

Abstract

Objective: To compare the outcome of chronic patellar tendinopathy treated surgically and by extracorporeal shock wave therapy.

Design: Cross-sectional outcome analysis.

Setting: University Hospital Pellenberg, Leuven, Belgium.

Patients and interventions: Of a total of 27 patients (28 knees) with chronic patellar tendinopathy, 13 were treated surgically, and 14 (15 knees) received extracorporeal shock wave therapy.

Main outcome measurements: Functional outcome questionnaire: Victorian Institute of Sport Assessment score, Visual Analog Scale, and Roles and Maudsley classification.

Results: At an average of 6 months of follow-up, the mean Victorian Institute of Sport Assessment and Visual Analog Scale scores for the extracorporeal shock wave therapy group were 78.8 +/- 28.7 and 9 +/- 2, respectively, which improved to 83.9 +/- 28.6 and 9 +/- 2, respectively, at 22.1 months. The surgery group scored 70.7 +/- 22.2 points on the Victorian Institute of Sport Assessment at an average of 26.3 months of follow-up (p = 0.41 and p = 0.18) and 8 +/- 3 on the Visual Analog Scale (p = 0.14). In the extracorporeal shock wave therapy group, 5 (33%) patients rated their pain status at 22.1 months as excellent, 5 (33%) as good, 2 (13%) as fair, and 2 (13%) as poor. In the surgery group, 4 (33%) evaluated the result as excellent, 3 (25%) as good, 3 (25%) as fair, and 2 as poor (17%).

Conclusions: Extracorporeal shock wave therapy shows a comparable functional outcome to surgery in a cross-sectional analysis of patients with chronic proximal patellar tendinopathy resistant to conservative treatment.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Chronic Disease
  • Cross-Sectional Studies
  • Cumulative Trauma Disorders / surgery
  • Cumulative Trauma Disorders / therapy
  • Female
  • High-Energy Shock Waves / therapeutic use*
  • Humans
  • Knee Injuries / surgery
  • Knee Injuries / therapy*
  • Male
  • Retrospective Studies
  • Tendinopathy / surgery
  • Tendinopathy / therapy*
  • Treatment Outcome