If you’re looking for a brand that has it all, look no further than Easy. Doing exactly what the name says, this is a brand that’ll help you fill your wardrobe with minimal effort. So, if you’re looking for new seasonal must-haves or you just want a full wardrobe refresh, you needn’t look anywhere else. Cover all bases Managing patellar tendinopathy is a job for physicians trained in the care of musculoskeletal conditions along with other members of the interprofessional healthcare team. Sports medicine physicians, physiatrists, and rheumatologists provide the first line of care. Orthopedic surgeons are consulted for refractory cases or when the knee extensor tendons are partially or completely torn. An interprofessional team of professionals from multiple disciplines, including athletic trainers, physical therapists, sports biomechanists, and sports psychologists, is needed since the condition commonly affects athletes. The orthopedic specialty nurse is often responsible for coordinating care and follow-up and reporting concerns to the clinician. All professionals on the care team must keep accurate, updated records and openly communicate with other team members as needed. A thorough examination of the entire lower extremity is needed to identify relevant deficits at the hip, knee, and ankle/foot region. Often malalignment of the foot, heel, or tibia can place excess stress on the knee extensor tendons increasing the risk of tendinopathy. [14] Curwin S. (1994) The aetiology and treatment of tendinitis. In: Harries M, Williams C, Stanish WD, Micheli LJ, eds. Oxford Textbook of Sports Medicine. Oxford: Oxford University Press. Alfredson H, Pietila T, Jonsson P, Lorentzon R. (1998) Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 26:360–366.

Popp JE, Yu JS, Kaeding CC. (1997) Recalcitrant patellar tendinitis. magnetic resonance imaging, histologic evaluation and surgical treatment. Am J Sports Med. 25(2):218–222. Lian O, Holen KJ, Engebrestson L, Bahr R. (1996) Relationship between symptoms of jumper’s knee and the ultrasound characteristics of the patellar tendon among high level male volleyball players. Scand J Med Sci Sports. 6:291–296. Multiple theories have been proposed for the pathogenesis of patellar tendinopathy, mechanical, vascular, and impingement related. However, the chronic overload theory is the most commonly reported. Repetitive overload on the knee extensor tendons will cause it to weaken progressively, eventually leading to failure. Microscopic failure occurs within the tendon at high loads and eventually leads to alterations at the cellular level, which undermine its mechanical properties. Tendon micro-trauma may cause individual fibril degeneration due to stress across the tendon. As the fibril degeneration becomes ongoing, chronic tendinopathy will ensue. [10] Raatikainen T, Karpakka J, Puranen J, Orava S (1994) Operative treatment of partial rupture of the patellar ligament. A study of 138 cases. Int J Sports Med 15(1):46–49Most cases of patellar tendinopathy will resolve with nonoperative management. [10]Nevertheless, mild to moderate pain may persist for 15 years in adult athletes with patellar tendinopathy but does not appear to limit leisure-time physical activity. [35] Kannus P. (1997) Tendons—a source of major concern in competitive and recreational athletes. Scand J Med Sci Sports. 7:53–54 Alternative medical treatments have been studied at different levels of evidence, demonstrating mixed and inconclusive results. Acceptable outcomes have been obtained from surgical interventions in refractory cases. Khan KM, Cook JL, Kiss ZS, Visentini P, Fehrmann M, P Harcourt, et al. (1997) Patellar tendon ultrasonography and jumper’s knee in elite female basketball players: a longitudinal study. Clin J Sport Med. 7:199–206. Lian Ø, Refsnes PE, Engebretsen L, Bahr R (2003) Performance characteristics of volleyball players with patellar tendinopathy. Am J Sports Med 31(3):408–413

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