This Way Up Mother Established 1973 Unisex Adult Sweater/Jumper

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Smith J, Sellon JL (2014) Comparing PRP injections with ESWT for athletes with chronic patellar tendinopathy. Clin J Sport Med 24(1):88–89 Dejour H, Denjean S, Neyret P (1992) Treatment of old or recurrent ruptures of the patellar ligament by contralateral autograft. Rev Chir Orthop Reparatrice Appar Mot 78(1):58–62

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] Larsen E, Lund PM. (1986) Ruptures of the extensor mechanism of the knee joint: clinical results and patellofemoral articulation. Clin Orthop. 213:150–153. Almekinders LC. (1990) The efficacy of nonsteroidal anti-inflammatory drugs in the treatment of ligament injuries. Sports Med. 9:137–142.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. Magra M, Maffulli N (2005) Matrix metalloproteases: a role in overusetendinopathies. Br J Sports Med 39:789–791 King JB, Perry DJ, Mourad K, Kumar SJ. (1990) Lesions of the patellar ligament. J Bone Joint Surg. 72B:46–48. Khan KM, Bonar F, Desmond PM, Cook JL, Young DA, Visentini PJ, et al. (1996) Patellar tendinosis (jumper’s knee): findings at histopathologic examination, US and MR imaging. Radiology. 200:821–827.

Martens M, Wouters P, Burssens A, Mulier JC. (1982) Patellar tendonitis: pathology and results of treatment. Acta Orthop Scand 53:445–450. Initially, the physical therapist must work with physicians to implement a nonoperative regimen consisting of therapy with isometric or eccentric exercises as the mainstay treatment. In a level 2 study, at 12 weeks, patients undergoing an eccentric exercise program showed significant improvement compared with those undergoing a concentric exercise program. [10]As the treatment progresses, plyometrics and sport-specific training is required to return the athlete to sport at the highest level Burks RT, Edelson RH. (1994) Allograft reconstruction of the patellar ligament: A case report. J Bone Joint Surg. (Am) 76:1077–1079. Niesen-Vertommen SL, Taunton JE, Clement DB, Mosher RE. (1992) The effect of eccentric versus concentric exercise in the management of Achilles tendonitis. Clin J Sport Med. 2:109–113. Karlsson J, Kalebo P, Goksor L-A, Thomee R, Sward L. (1992) Partial rupture of the patellar ligament. Am J Sports Med. 20:390–395.

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Holmich P, Uhrskou P, Ulnits L, Kanstrup IL, Nielsen MB, Bjerg AM, et al. (1999) Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet. 353:439–453. Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti JC (2014) Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database Syst Rev 4, CD010071 Rauh M, Parker R (2009) Patellar and quadriceps tendinopathiesand ruptures. In: DeLee JC (ed) DeLee and Drez’s orthopaedic sports medicine. Saunders, Philadelphia, pp 192–200 Stanish WD, Rubinovich RM, Curwin S (1986) Eccentric exercise in chronic tendinitis. Clin Orthop Relat Res. (208):65–68 Shrier I, Matheson GO, Kohl HW. (1996) Achilles tendonitis: are corticosteroid injections useful or harmful. Clin J Sport Med. 6:245–250.

Coleman BD, Khan KM, Kiss ZS, Bartlett J, Young DA, Wark JD. (2000) Outcomes of open and arthroscopic patellar tenotomy for chronic patellar tendinopathy: a retrospective study. Am J Sports Med. 28:183–190. Takebe K, Hirohata K. (1985) Old rupture of the patellar tendon: A case report. Clin Orthop. 196:253–255.

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Nordin M, Frankel VH. (1989) Biomechanics of the knee. In: Nordin M, Frankel VH, eds. Basic Biomechanics of the Musculoskeletal System. 2nd ed. Philadelphia: Lea & Febiger; 115–134. Most patients with jumper's knee are managed through medical and rehabilitative treatment in the initial stages of the disease. [22]Early recognition and diagnosis of jumper's knee are vital as they can have a progressive course. Although non-steroidal anti-inflammatory drugs were used traditionally, these have recently become less judicious as more physicians have come to realize that the disease is not inflammatory. Hence, NSAIDs may not provide a significant long-term benefit in tendinopathy. [4]Corticosteroid injections are contraindicated as they bear a risk of patellar tendon rupture. Weiler JM. (1992) Medical modifiers of sports injury: the use of nonsteroidal anti-inflammatory drugs (NSAIDs) in sports soft tissue injury. Clin Sports Med. 11(3):625–644. Visentini PJ, Khan KM, Cook JL, Harcourt PR, Kiss ZS, Wark JD, et al. (1998) The VISA score: an index of the severity of jumper’s knee (patellar tendinosis). J Sci Med Sport. 1:22–28. Hägglund M, Zwerver J, Ekstrand J (2011) Epidemiology of patellar tendinopathy in elite male soccer players. Am J Sports Med 39(9):1906–1911, Epub 2011 Jun 3