Patellar Tendinopathy

Abstract

Patellar tendon tendinopathies have always been an important and recurring issue in many sports. Even in the case of the patellar tendon, the first hypothesis of inflammatory pathogenesis has been replaced by the degenerative theory, and the term “tendinitis” was soon replaced with that of “tendinopathy.” In addition to the hypothesis inflammatory, over the years, several theories have been formulated in the context of its pathogenesis. Conservative treatment proposed by various authors and that is possible to find retrievable in the literature ranges from functional rest, the use of nonsteroidal anti-inflammatory drugs, modification of training techniques, stretching, and eccentric training. However, a not insignificant number of athletes demonstrate nonresponsiveness in respect of conservative therapies, and in front of a long period of persistence of symptoms, a surgical solution must be considered.