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Sports and exercise-related tendinopathies: a review of selected topical issues by participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012
  1. Alex Scott1,
  2. Sean Docking2,
  3. Bill Vicenzino3,
  4. Håkan Alfredson4,
  5. Johannes Zwerver5,
  6. Kirsten Lundgreen6,
  7. Oliver Finlay7,
  8. Noel Pollock7,
  9. Jill L Cook2,
  10. Angela Fearon1,
  11. Craig R Purdam8,
  12. Alison Hoens9,10,11,
  13. Jonathan D Rees12,
  14. Thomas J Goetz13,
  15. Patrik Danielson14
  1. 1Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
  2. 2School of Physiotherapy, Monash University, Melbourne, Victoria, Australia
  3. 3Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
  4. 4Department of Surgical and Perioperative Sciences, Sports Medicine, Umeå University, Umeå, Sweden
  5. 5University of Groningen, University Medical Center Groningen, Center for Sports Medicine, Groningen, The Netherlands
  6. 6Department of Orthopaedics, Lovisenberg Deaconal Hospital, Oslo Sports Trauma Research Center, Oslo, Norway
  7. 7UK Athletics, Lee Valley Athletics Centre and Hospital of St John and St Elizabeth, London, UK
  8. 8Australian Institute of Sport, Canberra, Australia
  9. 9Physiotherapy Association of British Columbia, Vancouver, Canada
  10. 10Vancouver Coastal Health and Research Institute, Vancouver, Canada
  11. 11Department of Physical Therapy, University of British Columbia, Vancouver, Canada
  12. 12Department of Rheumatology, Cambridge University Hospitals NHS Trust, Addenbrooke's Hospital, Cambridge, UK
  13. 13Department of Orthopaedics, University of British Columbia, Vancouver, Canada
  14. 14Department of Integrative Medical Biology, Anatomy, Umeå University, Umeå, Sweden
  1. Correspondence to Dr Alex Scott, Department of Physical Therapy, University of British Columbia, 5389 Commercial Street, Vancouver, BC, Canada, V5P 3N4; ascott{at}


In September 2010, the first International Scientific Tendinopathy Symposium (ISTS) was held in Umeå, Sweden, to establish a forum for original scientific and clinical insights in this growing field of clinical research and practice. The second ISTS was organised by the same group and held in Vancouver, Canada, in September 2012. This symposium was preceded by a round-table meeting in which the participants engaged in focused discussions, resulting in the following overview of tendinopathy clinical and research issues. This paper is a narrative review and summary developed during and after the second ISTS. The document is designed to highlight some key issues raised at ISTS 2012, and to integrate them into a shared conceptual framework. It should be considered an update and a signposting document rather than a comprehensive review. The document is developed for use by physiotherapists, physicians, athletic trainers, massage therapists and other health professionals as well as team coaches and strength/conditioning managers involved in care of sportspeople or workers with tendinopathy.

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