Jumper´s knee is a common overuse injury due to repetitive microtrauma to the Patellar tendon. It is especially common among athletes who are involved in sporting activities that involve jumping or fast running. The term jumper´s knee was adopted after Blazina published his original paper in 1973. Its pathology can be considered as a partial or total rupture of the Patellar tendon in one of its three insertions. The aim of this literature study was to review the methods used to treat this condition and the results obtained focusing on pain relief and returning to previous sport or level of activity.

Syfte: Sammanställa och granska studier gällande postoperativ behandling vid ruptur av ligament patella. Detta för att beskriva effekt och kvalitet på studier om postoperativ behandling.Metod: En beskrivande litteraturstudie valdes som design, med sökorden: patellar ligament, Patellar tendon, rupture, knee injuries, surgery. Av totalt 1240 träffar valdes 13 relevanta artiklar publicerade mellan 1999-2013 efter sökningar i databaserna PubMed, PEDro, COCHRANE, SCOPUS, CINAHL, SPORTDiscus och AMED. Artiklarna kvalitetsgranskades enligt PEDro scale.Resultat: Två postoperativa behandlingar beskrevs, tidig och sen mobilisering. Antingen placeras knäleden i ett stabiliserande knäskydd som till en början låser knäleden i full extension eller så påbörjas tidig mobilisering av den opererade knäleden.

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En vanligt förekommande åkomma hos idrottare och motionärer, är patellar tendinopati, eller kanske mer känt som hopparknä. Degenerativa förändringar, såsom patologisk kärlinväxt och kalciumpålagringar på patellarsenans dorsala del tros vara orsaken till smärtan. Diagnosen är belastningsrelaterad och rehabiliteringstiden är ofta av långvarig karaktär, men prognosen är god. Excentrisk träning och stötvågsterapi ät två förkommande behandlingsmetoder för åkomman. Syftet med litteraturstudie var att beskriva evidensen för excentrisk träning och stötvågsterapi vid patellar tendinopati.

Syfte- Syftet med denna systematiska litteraturstudie var att sammanställa forskning som utvärderar effekten av excentrisk träning samt jämföra excentrisk träning med alternativ behandling på smärta och funktion vid kronisk patellar tendinopati.Frågeställningar1. Vilken evidens finns idag för att excentrisk träning minskar smärta och förbättrar funktion hos personer med patellar tendinopati?2. Vilken evidens finns idag för att excentrisk träning är mer effektiv gällande smärta och funktion jämfört med andra behandlingsstrategier hos personer med patellar tendinopati?MetodSökning av litteratur gjordes i PubMed, Web of Science, Cinahl och AMED.

Introduktion: Patellar tendinopati (?jumper´s knee?) drabbar idrottare inom många olika idrotter, med högst prevalens inom idrotter där många hopp förekommer. De bakomliggande orsakerna vid patellar tendinopati är ännu inte klarlagda. Durationen på symtomen är ofta lång och mycket besvärande för den drabbade idrottaren. Syfte: Syftet med denna litteraturstudie var att göra en evidenssammanställning av de sjukgymnastiska rehabiliteringsalternativ som finns vid patellar tendinopati.

Injuries of the superficial digital flexor tendon are common in racehorses with many reports on different treatment regimes. However there are few studies in riding horses. The purpose of this study was to document the result of conservative treatment of injuries on the superficial digital flexor tendon in riding horses and to find factors that may be important to the outcome. Hospital records from 1999 to 2003 of 17 non-racehorses at ATGs Animal Hospital in Skara with the diagnosis tendonitis of the superficial digital flexor tendon were reviewed. Follow-up information on treatment, convalescence and final outcome was collected.

Superficial digital flexor tendon injuries are common causes of premature retirement or pre-longed convalescence periods for race horses. The curve gradient at Täby Galopp race track is very small and most races as well as high speed training are done on the left rein. It is believed that the horses left foreleg is under considerably more strain then the right foreleg when being ridden on the left rein during gallop at high speed. During gallop on the left rein the horse puts its entire weight on the left foreleg when regaining ground contact. The purpose of this study has been to find out, through analyzing the statistics concerning the horses that visited the ATG clinic at Täby during a period between January 2003 and September 2006, whether there is a higher frequency of superficial digital flexor tendon injuries on the left leg rather than the right and if so, can this support the theory that the design of the race track in combination with continuous left rein races can be a contributing cause of these injuries. The result of the study shows that 57% of the tendon injuries occurred on the left front leg and 38% on the right front leg. The difference is not large enough to support the above theory of the underlying cause of these injuries..

Ultrasound is a well established diagnostic method in small animal veterinary practice but there appears to be limited use of ultrasound for evaluating the musculoskeletal system. The aim of this study was to investigate what publications exist concerning musculoskeletal ultrasound of dogs and to compare the use of musculoskeletal ultrasound at the University Animal Hospital (UDS) in Uppsala, to other animal hospitals in the world. The literature review is divided into three parts, the front leg, the hind leg and miscellaneous. The literature review focuses on the musculoskeletal abnormalities that can be seen with ultrasound. The front and hind leg sections are mainly focused on the joints.

Background: Previously research shows that people treated conservatively can have reduced foot function after Achilles tendon rupture. However, there are few qualitative studies in the subject, so this essay is written to provide a deeper understanding of how these people feel about their foot function one to two years after the injury.Purpose: Investigate how people perceive their foot function after conservative treatment one to two year after Achilles tendon rupture and if they have an avoidance behavior in their everyday lives.Method: Four people who suffered from Achilles tendon rupture participated in this qualitative study. The study was conducted with semi-structured interviews, which in turn were processed using qualitative content analysis.Results: The perceived foot function is today varied in terms of mobility, strength and pain according to the participants. They feel difference in their everyday life in comparison with before the injury. It appears that participants have avoidance behavior when it comes to the situation of injury.

Bakgrund: Tendinoser är en vanligt förekommande skada som främst drabbar människor med repetitiva arbeten samt efter överbelastning i idrotter. Besvären är ofta långvariga och ger stora problem för den drabbade. Detta tillstånd är svårbehandlat och kirurgiska ingrepp kan i vissa fall vara nödvändiga. Excentrisk träning är en relativt ny behandlingsmetod som börjat användas mer frekvent. Syfte: Syftet med studien var att sammanställa effekterna av excentrisk träning som behandling vid tendinoser.

ABSTRACTBackground: On behalf of the Orthopedic clinic, Västerås, a study has been conducted with focus on comparing the results after conservative and surgical treatment due to complete achillestendon rupture.Aim: To compare results when testing the active and passive range of motion, calf muscle endurance, estimation of pain related to the achillestendon and self-efficacy to be physically active for individuals who have undergone conservative or surgical treatment after complete achillestendon rupture.Method: 14 individuals afflicted by complete achillestendon rupture in 2010 were recruited as a purposive sample. Examination were conducted of: Ankle range of motion with a goniometer, calf muscle endurance through a toe-raise test, estimation of pain intensity related to the achillestendon by VAS and self-efficacy to be physically active through ?Exercise self-efficacy scale?. P-value and the median were calculated.Result: The results of ankle range of motion and calf muscle endurance were based on the difference between the injured and the healthy side. When testing active plantarflexion the conservative group had a median of 4 ? and the surgical group had a median of 10 ?.

The digital flexor tendon sheath (DFTS) is an important anatomical and functional structure in the horse. Disorders of the DFTS can result in devastating consequences for the horse. During the last decade, the possibilities to diagnose and treat disorders of the DFTS have been argumented. The main purpose of this paper is to describe the technique of tenoscopy and it's applications. The aim is also to review the anatomy of the fetlock canal, the differnet types of tenosynovitis, proximal annular ligament constriction and to describe the ultrasonographic examination of the DFTS..

Thermography is the assesment of the surface temperature of the horses body and it falls into the categori of physiological imaging. Thermography allows us to portray inflammation and changes in sympathetic tone in a graphical manner. The purpose of this study was to review thermography in equine medicine and to evaluate thermography as an aid in the diagnosis of lamness in horses. Thermography has been helpful to identyfy sprains, stress fractures, shin splints and soft tissue, tendon, ligamentous and nerv injuries and to monitor healing processes during rehabilitation. Routine thermography may reveal inflammatory responses prior to clinical signs. In present study thermograpy gave especially valuabel information in two cases. In one horse reduced blood flow in a. saphena due to a thrombosis were visualised and in the other horse bilateral thoracolumbal radiculopati was diagnosed.

Background The Shetland Sheepdog is a popular breed of dogs in Sweden. The breed is mostly used as a companion dog and is also popular within certain dog sports such as agility. The Shetland Sheepdog is not included in any breeding programs regarding joint health. The animal insurance company, Agria had recently informed the Swedish Shetland Sheepdog Club (SSSK) that they had noted an increasing number of arthritis in the elbow joints, therefore they wanted to exclude elbow joints from the insurance until SSSK started a breeding program against elbow dysplasia. After the start of this study Agria withdrew their demand, but the study went on as planned. Aims of this study The aims of this study was to investigate if there is any data that may show if there is a larger or smaller reason than before to suspect that the breed has a problem with elbow dysplasia and therefore would benefit from a breeding program regarding this.