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Quadriceps tendinosis and patellar tendinosis in professional beach volleyball players: sonographic findings in correlation with clinical symptoms

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Abstract

The purpose was to assess quadriceps and patellar tendinosis in professional beach volleyball players and to correlate ultrasound findings with clinical symptoms. During a grand-slam beach volleyball tournaments all 202 athletes (100 men and 102 women) were invited to participate at this study. Sixty-one athletes (38 male, mean age 29.6, 23 female, mean age 27.1) were included. The dominant leg was right in 51 (84%) and left in ten athletes (16%). Lysholm knee score and pain during the game was assessed using a visual analogue scale. Sonography of the quadriceps tendon and the patellar tendon was performed by a blinded sonographer. Sonographic findings were compared between both legs and correlated to clinical findings using a regression analysis. Quadriceps tendinosis was diagnosed in 13 (21%, dominant leg)/21 (34%, non-dominant leg), patellar tendinosis in 13(21%)/18(30%). Only sonographic findings at the quadriceps tendon were significantly associated with pain: thickness of the quadriceps tendon (mean diameter 6.9 mm/7.1 mm, significant for both legs P = 0.011/P = 0.030), abnormal echo texture (11/16; P = 0.001/P = 0.228), areas with positive power Doppler signals (mean number 0.3/0.4; P = 0.049/0.346), calcifications (mean number: 0.9/1.1; P = 0.021/0.864). A relationship between findings at patellar tendon was not found. Quadriceps tendinosis is as common as patellar tendinosis in professional beach volleyball players. Thickening and structure alteration of the quadriceps tendon is associated with anterior knee pain during beach volleyball.

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Acknowledgements

This work was made possible by the support of the Humanomed Center Althofen, Altis Center for Sports Surgery, Althofen, Austria. The authors would also like to thank Sabina Vogel Mag, Sylvia Schöffmann MD, Julia Sostaric MD, Daniel Leiner, Peter Hoffmann - Bachinger Hoffmann, Reinhard Lischka and Hannes Jagerhofer – Acts, for their help and commitment to make this work possible.

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Authors and Affiliations

  1. Humanomed Center Althofen, Altis Center for Sports Surgery, Moorweg 30, 9330, Althofen, Austria

    Christian W. A. Pfirrmann, Bernhard Jost, Christof Pirkl, Gernot Aitzetmüller & Georg Lajtai

  2. University Hospital Balgrist, Forchstrasse 340, 8008, Zurich, Switzerland

    Christian W. A. Pfirrmann & Bernhard Jost

  3. Klinikum Wels, Grieskirchnerstraβe 42, 4600, Wels, Austria

    Christof Pirkl

  4. Diakonissen-Krankenhaus Linz, Weissenwolffstraβe 15, 4020, Linz, Austria

    Gernot Aitzetmüller

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  1. Christian W. A. Pfirrmann
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  2. Bernhard Jost
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Correspondence to Christian W. A. Pfirrmann.

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Pfirrmann, C.W.A., Jost, B., Pirkl, C. et al. Quadriceps tendinosis and patellar tendinosis in professional beach volleyball players: sonographic findings in correlation with clinical symptoms. Eur Radiol 18, 1703–1709 (2008). https://doi.org/10.1007/s00330-008-0926-9

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  • DOI: https://doi.org/10.1007/s00330-008-0926-9

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