The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage
Abstract This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited...
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| Published in | Journal of science and medicine in sport Vol. 13; no. 1; pp. 20 - 23 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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Australia
Elsevier Ltd
01.01.2010
Elsevier Limited |
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| Abstract | Abstract This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited from a tennis school and local tennis clubs. All subjects had bilateral ultrasound imaging of the patellar tendon attachment to the tibia. Standard anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorised into three stages: cartilage attachment, insertional cartilage and mature attachment. Cartilage attachment was more prevalent in boys (32%) and extended further into puberty (until Tanner stage 4) compared to girls (6% and Tanner stage 1). Tendons with Osgood–Schlatter Disease symptoms ( n = 3) did not have a cartilage attachment. Imaging appearance commonly seen in young active athletes, consistent with a clinical diagnosis of OSD, was more common in boys and in the pre- and peri-pubertal stages. |
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| AbstractList | This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited from a tennis school and local tennis clubs. All subjects had bilateral ultrasound imaging of the patellar tendon attachment to the tibia. Standard anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorised into three stages: cartilage attachment, insertional cartilage and mature attachment. Cartilage attachment was more prevalent in boys (32%) and extended further into puberty (until Tanner stage 4) compared to girls (6% and Tanner stage 1). Tendons with Osgood-Schlatter Disease symptoms (n=3) did not have a cartilage attachment. Imaging appearance commonly seen in young active athletes, consistent with a clinical diagnosis of OSD, was more common in boys and in the pre- and peri-pubertal stages. Abstract This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited from a tennis school and local tennis clubs. All subjects had bilateral ultrasound imaging of the patellar tendon attachment to the tibia. Standard anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorised into three stages: cartilage attachment, insertional cartilage and mature attachment. Cartilage attachment was more prevalent in boys (32%) and extended further into puberty (until Tanner stage 4) compared to girls (6% and Tanner stage 1). Tendons with Osgood–Schlatter Disease symptoms ( n = 3) did not have a cartilage attachment. Imaging appearance commonly seen in young active athletes, consistent with a clinical diagnosis of OSD, was more common in boys and in the pre- and peri-pubertal stages. This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited from a tennis school and local tennis clubs. All subjects had bilateral ultrasound imaging of the patellar tendon attachment to the tibia. Standard anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorised into three stages: cartilage attachment, insertional cartilage and mature attachment. Cartilage attachment was more prevalent in boys (32%) and extended further into puberty (until Tanner stage 4) compared to girls (6% and Tanner stage 1). Tendons with Osgood–Schlatter Disease symptoms ( n = 3) did not have a cartilage attachment. Imaging appearance commonly seen in young active athletes, consistent with a clinical diagnosis of OSD, was more common in boys and in the pre- and peri-pubertal stages. This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of different ages and pubertal status. Forty-four competitive young players, who had been playing tennis at least for 2 years, were recruited from a tennis school and local tennis clubs. All subjects had bilateral ultrasound imaging of the patellar tendon attachment to the tibia. Standard anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorised into three stages: cartilage attachment, insertional cartilage and mature attachment. Cartilage attachment was more prevalent in boys (32%) and extended further into puberty (until Tanner stage 4) compared to girls (6% and Tanner stage 1). Tendons with Osgood-Schlatter Disease symptoms (n = 3) did not have a cartilage attachment. Imaging appearance commonly seen in young active athletes, consistent with a clinical diagnosis of OSD, was more common in boys and in the pre- and peri-pubertal stages. [PUBLICATION ABSTRACT] |
| Author | Coombs, Peter Bass, Shona L Ducher, Gaele Black, Jeni Lammers, Greg Cook, Jill Ptazsnik, Ron |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19428294$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0074-7696(00)96003-0 10.1007/s00256-002-0486-z 10.1002/jcu.20042 10.1007/s004020100285 10.1016/0899-7071(93)90054-Q 10.1097/MOP.0b013e328013dbea 10.1097/01202412-200411000-00006 10.1097/00005768-200204000-00020 10.1097/01241398-199107000-00023 |
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| Copyright | Sports Medicine Australia 2009 Sports Medicine Australia Copyright (c) 2009 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved. Copyright Copyright Agency Limited (Distributor) Jan 2010 |
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| Keywords | Puberty Tennis Growth spurt Patellar tendon Osgood–Schlatter disease Ultrasonography |
| Language | English |
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| References | Lanning, Heikkinen (bib4) 1991; 11 Mirwald, Baxter-Jones, Bailey (bib7) 2002; 34 Gholve, Scher, Khakharia (bib1) 2007; 19 Hirano, Fukubayashi, Ishii (bib3) 2002; 31 Tanner (bib6) 1962 Demirag, Ozturk, Yazici (bib2) 2004; 13 Bloom, Gomori, Milgrom (bib5) 1993; 17 Grechenig, Mayr, Peicha (bib8) 2004; 32 Blankstein, Cohen, Heim (bib10) 2001; 121 Benjamin, Ralphs (bib9) 2000; 196 Lanning (10.1016/j.jsams.2009.03.003_bib4) 1991; 11 Tanner (10.1016/j.jsams.2009.03.003_bib6) 1962 Gholve (10.1016/j.jsams.2009.03.003_bib1) 2007; 19 Benjamin (10.1016/j.jsams.2009.03.003_bib9) 2000; 196 Grechenig (10.1016/j.jsams.2009.03.003_bib8) 2004; 32 Hirano (10.1016/j.jsams.2009.03.003_bib3) 2002; 31 Mirwald (10.1016/j.jsams.2009.03.003_bib7) 2002; 34 Demirag (10.1016/j.jsams.2009.03.003_bib2) 2004; 13 Bloom (10.1016/j.jsams.2009.03.003_bib5) 1993; 17 Blankstein (10.1016/j.jsams.2009.03.003_bib10) 2001; 121 |
| References_xml | – volume: 17 start-page: 137 year: 1993 end-page: 141 ident: bib5 article-title: Ossicles anterior to the proximal tibia publication-title: Clin Imaging contributor: fullname: Milgrom – volume: 32 start-page: 338 year: 2004 end-page: 343 ident: bib8 article-title: Sonoanatomy of the Achilles tendon insertion in children publication-title: J Clin Ultrasound contributor: fullname: Peicha – volume: 196 start-page: 85 year: 2000 end-page: 130 ident: bib9 article-title: The cell and developmental biology of tendons and ligaments publication-title: Int Rev Cytol contributor: fullname: Ralphs – volume: 121 start-page: 536 year: 2001 end-page: 539 ident: bib10 article-title: Ultrasonography as a diagnostic modality in Osgood–Schlatter disease. A clinical study and review of the literature publication-title: Arch Orthop Trauma Surg contributor: fullname: Heim – volume: 19 start-page: 44 year: 2007 end-page: 50 ident: bib1 article-title: Osgood Schlatter syndrome publication-title: Curr Opin Pediatr contributor: fullname: Khakharia – volume: 31 start-page: 334 year: 2002 end-page: 342 ident: bib3 article-title: Magnetic resonance imaging of Osgood–Schlatter disease: the course of the disease publication-title: Skeletal Radiol contributor: fullname: Ishii – volume: 13 start-page: 379 year: 2004 end-page: 382 ident: bib2 article-title: The pathophysiology of Osgood–Schlatter disease: a magnetic resonance investigation publication-title: J Pediatr Orthop B contributor: fullname: Yazici – volume: 11 start-page: 538 year: 1991 end-page: 540 ident: bib4 article-title: Ultrasonic features of the Osgood–Schlatter lesion publication-title: J Pediatr Orthop contributor: fullname: Heikkinen – volume: 34 start-page: 689 year: 2002 end-page: 694 ident: bib7 article-title: An assessment of maturity from anthropometric measurements publication-title: Med Sci Sports Exerc contributor: fullname: Bailey – year: 1962 ident: bib6 article-title: Growth at adolescence contributor: fullname: Tanner – volume: 196 start-page: 85 year: 2000 ident: 10.1016/j.jsams.2009.03.003_bib9 article-title: The cell and developmental biology of tendons and ligaments publication-title: Int Rev Cytol doi: 10.1016/S0074-7696(00)96003-0 contributor: fullname: Benjamin – volume: 31 start-page: 334 issue: 6 year: 2002 ident: 10.1016/j.jsams.2009.03.003_bib3 article-title: Magnetic resonance imaging of Osgood–Schlatter disease: the course of the disease publication-title: Skeletal Radiol doi: 10.1007/s00256-002-0486-z contributor: fullname: Hirano – year: 1962 ident: 10.1016/j.jsams.2009.03.003_bib6 contributor: fullname: Tanner – volume: 32 start-page: 338 issue: 7 year: 2004 ident: 10.1016/j.jsams.2009.03.003_bib8 article-title: Sonoanatomy of the Achilles tendon insertion in children publication-title: J Clin Ultrasound doi: 10.1002/jcu.20042 contributor: fullname: Grechenig – volume: 121 start-page: 536 issue: 9 year: 2001 ident: 10.1016/j.jsams.2009.03.003_bib10 article-title: Ultrasonography as a diagnostic modality in Osgood–Schlatter disease. A clinical study and review of the literature publication-title: Arch Orthop Trauma Surg doi: 10.1007/s004020100285 contributor: fullname: Blankstein – volume: 17 start-page: 137 issue: 2 year: 1993 ident: 10.1016/j.jsams.2009.03.003_bib5 article-title: Ossicles anterior to the proximal tibia publication-title: Clin Imaging doi: 10.1016/0899-7071(93)90054-Q contributor: fullname: Bloom – volume: 19 start-page: 44 issue: 1 year: 2007 ident: 10.1016/j.jsams.2009.03.003_bib1 article-title: Osgood Schlatter syndrome publication-title: Curr Opin Pediatr doi: 10.1097/MOP.0b013e328013dbea contributor: fullname: Gholve – volume: 13 start-page: 379 issue: 6 year: 2004 ident: 10.1016/j.jsams.2009.03.003_bib2 article-title: The pathophysiology of Osgood–Schlatter disease: a magnetic resonance investigation publication-title: J Pediatr Orthop B doi: 10.1097/01202412-200411000-00006 contributor: fullname: Demirag – volume: 34 start-page: 689 issue: 4 year: 2002 ident: 10.1016/j.jsams.2009.03.003_bib7 article-title: An assessment of maturity from anthropometric measurements publication-title: Med Sci Sports Exerc doi: 10.1097/00005768-200204000-00020 contributor: fullname: Mirwald – volume: 11 start-page: 538 issue: 4 year: 1991 ident: 10.1016/j.jsams.2009.03.003_bib4 article-title: Ultrasonic features of the Osgood–Schlatter lesion publication-title: J Pediatr Orthop doi: 10.1097/01241398-199107000-00023 contributor: fullname: Lanning |
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| Snippet | Abstract This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players... This cross-sectional study investigated the imaging appearance of the patellar tendon attachment to the tibia in young male and female tennis players of... |
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| SubjectTerms | Adolescent Age Distribution Analysis of Variance Athletes Australia - epidemiology Child Children & youth Cross-Sectional Studies Female Growth spurt Humans Knee Male Medical imaging Osgood–Schlatter disease Osteochondrosis - diagnostic imaging Osteochondrosis - epidemiology Patellar Ligament - diagnostic imaging Patellar tendon Physical Medicine and Rehabilitation Puberty Sex Distribution Sports Medicine Tendons Tennis Tibia Ultrasonography |
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| Title | The ultrasound appearance of the patellar tendon attachment to the tibia in young athletes is conditional on gender and pubertal stage |
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