HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Almekinders, L. Search for Related Content PubMed PubMed Citation Articles by Almekinders, L.

Tendinitis and other chronic tendinopathies

Department of Orthopaedics, University of North Carolina School of Medicine, Chapel Hill, USA.

Chronic tendon problems are common in orthopaedic patients. Relatively little is known about the etiology of these common problems and the efficacy of available treatments. It is believed that the cause of many injuries is repetitive mechanical trauma followed by an inflammatory response. Other factors, such as age-related degeneration and relative avascularity in the tendon, may play an important etiologic role as well. Histopathologic studies have generally revealed degenerative lesions consistent with tendinosis and/or inflammation of the peritendinous tissues consistent with peritendinitis. Initial treatment should focus on patient counseling and correction of associated mechanical factors, if present. Nonsteroidal anti-inflammatory drugs can give pain relief, but there is no convincing evidence that they alter the natural history. Corticosteroid injections can be used selectively in resistant cases, but recurrences are frequent. Surgery can be very successful when the affected tendon is treated directly.

This article has been cited by other articles:

				C Gaujoux-Viala, M Dougados, and L Gossec Efficacy and safety of steroid injections for shoulder and elbow tendonitis: a meta-analysis of randomised controlled trials Ann Rheum Dis, December 1, 2009; 68(12): 1843 - 1849. [Abstract] [Full Text] [PDF]

				C. Kaeding and T. M. Best Tendinosis: Pathophysiology and Nonoperative Treatment Sports Health: A Multidisciplinary Approach, July 1, 2009; 1(4): 284 - 292. [Abstract] [Full Text] [PDF]

				J. P. Furia High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Chronic Noninsertional Achilles Tendinopathy Am. J. Sports Med., March 1, 2008; 36(3): 502 - 508. [Abstract] [Full Text] [PDF]

				R. E. Bunata, D. S. Brown, and R. Capelo Anatomic Factors Related to the Cause of Tennis Elbow J. Bone Joint Surg. Am., September 1, 2007; 89(9): 1955 - 1963. [Abstract] [Full Text] [PDF]

				A. V September, M. P Schwellnus, M. Collins, and W. Gibson Tendon and ligament injuries: the genetic component * COMMENTARY Br. J. Sports Med., April 1, 2007; 41(4): 241 - 246. [Full Text] [PDF]

				J. P. Furia High-Energy Extracorporeal Shock Wave Therapy as a Treatment for Insertional Achilles Tendinopathy Am. J. Sports Med., May 1, 2006; 34(5): 733 - 740. [Abstract] [Full Text] [PDF]

				J M Robinson, J L Cook, C Purdam, P J Visentini, J Ross, N Maffulli, J E Taunton, and K M Khan The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy Br. J. Sports Med., October 1, 2001; 35(5): 335 - 341. [Abstract] [Full Text] [PDF]

				B. S. KRAUSHAAR and R. P. NIRSCHL Current Concepts Review - Tendinosis of the Elbow (Tennis Elbow). Clinical Features and Findings of Histological, Immunohistochemical, and Electron Microscopy Studies J. Bone Joint Surg. Am., February 1, 1999; 81(2): 259 - 78. [Full Text]