Neovascularity in patellar tendinopathy
MSK ultrasound imaging is the imaging modality of choice for the diagnosis of patellar tendinopathy, due to clear visualisation of the tendon pathology and the availability of Power Doppler to identify abnormal vascularity (neovascularity).
This report describes the case of a patient with chronic patellar tendinopathy who underwent Power Doppler ultrasound imaging before and after an 8-week programme of physiotherapy, with a focus on the change in neovascularity at the follow-up assessment.
This case study demonstrates the value of both greyscale and Doppler ultrasound imaging in the diagnosis of patellar tendinopathy. Follow-up imaging after a period of exercise-based therapy showed slight improvement in tendon echogenicity, and significant reduction in tendon neovascularity, associated with an improvement in the patient’s symptoms. There is a need for further research into the significance of ultrasound findings in patellar tendinopathy.
> From: McCreesh et al., Man Ther 18 (2014) 602-605. All rights reserved to Elsevier Ltd. Click here for the Pubmed summary.
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