pathology: quadriceps tendinopathy

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quadriceps tendinopathy

Definition

Insertional tendinopathy of the quadriceps as overuse syndrome

Cause

  1. Overuse

Predisposing

  1. Runners, jumpers, sports with frequent changes of direction or stop and go, generally more frequent use of high muscle performance in eccentric contraction
  2. Skiers at the start of the season
  3. Cycling with the saddle set too low

Diagnosis

  1. Sono
  2. MRI: thickening of the tendon and peritendinous edema, signs of degeneration

Symptoms

  1. Load-dependent pain in the insertion area of the quadriceps tendon
  2. Pressure soreness
  3. Possibly local swelling

Complications

  1. Rupture of the quadriceps tendon

Therapy

  1. Cryotherapy
  2. Electrotherapy
  3. PT: Massage with cross-frictions
  4. Ultrasound therapy
  5. Training break or modification of the load/temporary change of sport
  6. Taping
  7. Infiltration of platelet-rich plasma
  8. Working through muscular imbalances, strengthening the antagonists
  9. Gentle muscle building, especially with eccentric contraction
  10. In the event of a tear: surgery, then 6 weeks immobilization in an extended position, followed by exercise therapy