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ICON 2019—international scientific tendinopathy symposium: building an ICONic tendon tower—launching a new era in clinical tendinopathy research
  1. Johannes Zwerver1,2,
  2. Sean Mc Auliffe3,
  3. Ebonie Kendra Rio4,
  4. Alex Scott5,
  5. Bill T Vicenzino6,
  6. Adam Weir7
  1. 1 Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
  2. 2 Sports Valley, Gelderse Vallei Hospital, Ede, The Netherlands
  3. 3 Sports Physiotherapy, Aspetar Hospital, Doha, Qatar
  4. 4 La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia
  5. 5 Centre for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada
  6. 6 Physiotherapy, University of Queensland, Brisbane, Queensland, Australia
  7. 7 Sports Medicine, Aspetar Hospital, Doha, Qatar
  1. Correspondence to Professor Johannes Zwerver, Human Movement Sciences, University of Groningen, Groningen 9700 RB, The Netherlands; j.zwerver{at}umcg.nl

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There is a lot we do not know about tendinopathy, but we know many athletes have tendon pain during or after sports. You may be surprised to learn that basic—dare we say foundational—issues surrounding clinical terminology and labels for tendon pathology have never been agreed on. We clinicians and researchers use a very wide range of terms inconsistently. This confuses patients, makes interpreting and comparing new research hard for clinicians and hampers communication among those engaged with the research.

​Babylonian confusion

Are you looking for a guide on what patient characteristics to report in tendon treatment trials? Good luck! We lack uniform standards for reporting participant characteristics in tendon research. There has been no meeting to discuss the clinical domains that should be included when evaluating patients in tendon trials. Should we measure pain or function do we need imaging? What about quality of life? This Babylonian tower of confusion …

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