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Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials

Injection treatment is one of the most widely used methods for the conservative management of patellar tendinopathy. The objective of this systematic review was to synthesise data from randomised control trails on the effectiveness of various injections used in the management of patellar tendinopath...

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Autores principales: Nuhmani, Shibili, Ahsan, Mohammad, Bari, Mohd Arshad, Malhotra, Deepak, Al Muslem, Wafa Hashem, Alsaadi, Saad Mohammed, Muaidi, Qassim Ibrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999520/
https://www.ncbi.nlm.nih.gov/pubmed/35407614
http://dx.doi.org/10.3390/jcm11072006
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author Nuhmani, Shibili
Ahsan, Mohammad
Bari, Mohd Arshad
Malhotra, Deepak
Al Muslem, Wafa Hashem
Alsaadi, Saad Mohammed
Muaidi, Qassim Ibrahim
author_facet Nuhmani, Shibili
Ahsan, Mohammad
Bari, Mohd Arshad
Malhotra, Deepak
Al Muslem, Wafa Hashem
Alsaadi, Saad Mohammed
Muaidi, Qassim Ibrahim
author_sort Nuhmani, Shibili
collection PubMed
description Injection treatment is one of the most widely used methods for the conservative management of patellar tendinopathy. The objective of this systematic review was to synthesise data from randomised control trails on the effectiveness of various injections used in the management of patellar tendinopathy. An electronic search was conducted in the Web of Science, Scopus, PubMed, and SPORTDiscus databases. To be included in the current systematic review, the study had to be an RCT conducted on human participants that investigated the effect of at least one injection treatment on the management of patellar tendinopathy. Selected studies were required to report either patient-reported outcomes or biological and clinical markers of the tendon healing. The methodological quality of the studies was appraised using the revised Cochrane risk of bias tool for RCTs (RoB 2.0). Nine RCTs on seven types of injections were included in this review, with an overall positive outcome. Pain intensity was measured in all the studies. The VISA P score was the most used outcome measure (n = 8). A wide variety of interventions were compared with injection therapy, including eccentric training, extracorporeal shockwave, and arthroscopy. It can be concluded that the injection treatments can produce promising results in the management of patellar tendinopathy. However, because of the limited number of studies and the disparities in the study populations and protocols, it is not possible to make a firm conclusion on the efficacy of these injection methods, and these results should be inferred with care.
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spelling pubmed-89995202022-04-12 Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials Nuhmani, Shibili Ahsan, Mohammad Bari, Mohd Arshad Malhotra, Deepak Al Muslem, Wafa Hashem Alsaadi, Saad Mohammed Muaidi, Qassim Ibrahim J Clin Med Review Injection treatment is one of the most widely used methods for the conservative management of patellar tendinopathy. The objective of this systematic review was to synthesise data from randomised control trails on the effectiveness of various injections used in the management of patellar tendinopathy. An electronic search was conducted in the Web of Science, Scopus, PubMed, and SPORTDiscus databases. To be included in the current systematic review, the study had to be an RCT conducted on human participants that investigated the effect of at least one injection treatment on the management of patellar tendinopathy. Selected studies were required to report either patient-reported outcomes or biological and clinical markers of the tendon healing. The methodological quality of the studies was appraised using the revised Cochrane risk of bias tool for RCTs (RoB 2.0). Nine RCTs on seven types of injections were included in this review, with an overall positive outcome. Pain intensity was measured in all the studies. The VISA P score was the most used outcome measure (n = 8). A wide variety of interventions were compared with injection therapy, including eccentric training, extracorporeal shockwave, and arthroscopy. It can be concluded that the injection treatments can produce promising results in the management of patellar tendinopathy. However, because of the limited number of studies and the disparities in the study populations and protocols, it is not possible to make a firm conclusion on the efficacy of these injection methods, and these results should be inferred with care. MDPI 2022-04-03 /pmc/articles/PMC8999520/ /pubmed/35407614 http://dx.doi.org/10.3390/jcm11072006 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Nuhmani, Shibili
Ahsan, Mohammad
Bari, Mohd Arshad
Malhotra, Deepak
Al Muslem, Wafa Hashem
Alsaadi, Saad Mohammed
Muaidi, Qassim Ibrahim
Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title_full Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title_fullStr Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title_full_unstemmed Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title_short Patellar Tendinopathy—Does Injection Therapy Have a Role? A Systematic Review of Randomised Control Trials
title_sort patellar tendinopathy—does injection therapy have a role? a systematic review of randomised control trials
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8999520/
https://www.ncbi.nlm.nih.gov/pubmed/35407614
http://dx.doi.org/10.3390/jcm11072006
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