TY  - JOUR
A1  - Cassel, Michael
A1  - Risch, Lucie
A1  - Intziegianni, Konstantina
A1  - Mueller, Juliane
A1  - Stoll, Josefine
A1  - Brecht, Pia
A1  - Mayer, Frank
T1  - Incidence of achilles and patellar tendinopathy in adolescent elite athletes
JF  - International journal of sports medicine
N2  - The study investigated the incidence of Achilles and patellar tendinopathy in adolescent elite athletes and non-athletic controls. Furthermore, predictive and associated factors for tendinopathy development were analyzed. The prospective study consisted of two measurement days (M1/M2) with an interval of 3.2 +/- 0.9 years. 157 athletes (12.1 +/- 0.7 years) and 25 controls (13.3 +/- 0.6 years) without Achilles/patellar tendinopathy were included at Ml. Clinical and ultrasound examinations of both Achilles (AT) and patellar tendons (PT) were performed. Main outcome measures were incidence tendinopathy and structural intratendinous alterations (hypo-/hyperechogenicity, vascularization) at M2 [%]. Incidence of Achilles tendinopathy was 1% in athletes and 0% in controls. Patellar tendinopathy was more frequent in athletes (13 %)than in controls (4%). Incidence of intratendinous alterations in ATs was 1-2% in athletes and 0 % in controls, whereas in PTs it was 4-6 % in both groups (p >0.05). Intratendinous alterations at M2 were associated with patellar tendinopathy in athletes (p <= 0.01). Intratendinous alterations at M1, anthropometric data, training amount, sports or sex did not predict tendinopathy development (p>0.05). Incidence often dinopathy and intratendinous alterations in adolescent athletes is low in ATs and more common in PTs. Development of intratendinous alterations in PT is associated with tend in opathy. However, predictive factors could not be identified.
KW  - epidemiology
KW  - young athletes
KW  - sonography
KW  - vascularization
KW  - hypoechogenicities
Y1  - 2018
U6  - https://doi.org/10.1055/a-0633-9098
SN  - 0172-4622
SN  - 1439-3964
VL  - 39
IS  - 9
SP  - 726
EP  - 732
PB  - Thieme
CY  - Stuttgart
ER  -