Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2004 Apr;38(2):206–209. doi: 10.1136/bjsm.2003.004747

Anthropometry, physical performance, and ultrasound patellar tendon abnormality in elite junior basketball players: a cross-sectional study

J Cook 1, Z Kiss 1, K Khan 1, C Purdam 1, K Webster 1
PMCID: PMC1724788  PMID: 15039260

Abstract

Objective: Patellar tendinopathy has been reported to be associated with many intrinsic risk factors. Few have been fully investigated. This cross-sectional study examined the anthropometric and physical performance results of elite junior basketball players with normal or abnormal patellar tendons to see if any measures were associated with changes in tendon morphology.

Methods: Agility, leg strength, endurance, and flexibility were measured in 71 male and 64 female players. A blinded radiologist ultrasonographically examined their patellar tendons and athletes were grouped as having normal or abnormal tendons. One-way ANOVA was used to test for differences in anthropometric and physical performance data for athletes whose tendons were normal or abnormal (unilateral or bilateral tendinopathy) on ultrasound.

Results: Results show that females with abnormalities in their tendons had a significantly better vertical jump (50.9±6.8 cm) than those with normal tendons (46.1±5.4 cm) (p = 0.02). This was not found in males. In males, the mean sit and reach in those with normal tendons (13.2±6.7 cm) was greater (p<0.03) than in unilateral tendinopathy (10.3±6.2 cm) or in bilateral tendinopathy (7.8±8.3 cm). In females, those with normal tendons (13.3±4.8 cm) and bilateral tendinopathy (15.8±6.2 cm) were distinctly different from those with unilateral tendinopathy (7.9±6.6 cm).

Conclusion: Flexibility and vertical jump ability are associated with patellar tendinopathy and the findings warrant consideration when managing young, jumping athletes.

Full Text

The Full Text of this article is available as a PDF (151.2 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Almekinders L. C., Temple J. D. Etiology, diagnosis, and treatment of tendonitis: an analysis of the literature. Med Sci Sports Exerc. 1998 Aug;30(8):1183–1190. doi: 10.1097/00005768-199808000-00001. [DOI] [PubMed] [Google Scholar]
  2. Cook J. L., Khan K. M., Harcourt P. R., Kiss Z. S., Fehrmann M. W., Griffiths L., Wark J. D. Patellar tendon ultrasonography in asymptomatic active athletes reveals hypoechoic regions: a study of 320 tendons. Victorian Institute of Sport Tendon Study Group. Clin J Sport Med. 1998 Apr;8(2):73–77. doi: 10.1097/00042752-199804000-00001. [DOI] [PubMed] [Google Scholar]
  3. Cook J. L., Khan K. M., Kiss Z. S., Purdam C. R., Griffiths L. Prospective imaging study of asymptomatic patellar tendinopathy in elite junior basketball players. J Ultrasound Med. 2000 Jul;19(7):473–479. doi: 10.7863/jum.2000.19.7.473. [DOI] [PubMed] [Google Scholar]
  4. Hui S. S., Yuen P. Y. Validity of the modified back-saver sit-and-reach test: a comparison with other protocols. Med Sci Sports Exerc. 2000 Sep;32(9):1655–1659. doi: 10.1097/00005768-200009000-00021. [DOI] [PubMed] [Google Scholar]
  5. Kannus P. Etiology and pathophysiology of chronic tendon disorders in sports. Scand J Med Sci Sports. 1997 Apr;7(2):78–85. doi: 10.1111/j.1600-0838.1997.tb00123.x. [DOI] [PubMed] [Google Scholar]
  6. Khan K. M., Cook J. L., Kiss Z. S., Visentini P. J., Fehrmann M. W., Harcourt P. R., Tress B. W., Wark J. D. Patellar tendon ultrasonography and jumper's knee in female basketball players: a longitudinal study. Clin J Sport Med. 1997 Jul;7(3):199–206. doi: 10.1097/00042752-199707000-00009. [DOI] [PubMed] [Google Scholar]
  7. Kujala U. M., Friberg O., Aalto T., Kvist M., Osterman K. Lower limb asymmetry and patellofemoral joint incongruence in the etiology of knee exertion injuries in athletes. Int J Sports Med. 1987 Jun;8(3):214–220. doi: 10.1055/s-2008-1025658. [DOI] [PubMed] [Google Scholar]
  8. Leach R. E. Bigger is better? Am J Sports Med. 2000 Jan-Feb;28(1):1–1. doi: 10.1177/03635465000280010101. [DOI] [PubMed] [Google Scholar]
  9. Lian O., Engebretsen L., Ovrebø R. V., Bahr R. Characteristics of the leg extensors in male volleyball players with jumper's knee. Am J Sports Med. 1996 May-Jun;24(3):380–385. doi: 10.1177/036354659602400322. [DOI] [PubMed] [Google Scholar]
  10. Neely F. G. Intrinsic risk factors for exercise-related lower limb injuries. Sports Med. 1998 Oct;26(4):253–263. doi: 10.2165/00007256-199826040-00004. [DOI] [PubMed] [Google Scholar]
  11. Noonan V., Dean E. Submaximal exercise testing: clinical application and interpretation. Phys Ther. 2000 Aug;80(8):782–807. [PubMed] [Google Scholar]
  12. Witvrouw E., Bellemans J., Lysens R., Danneels L., Cambier D. Intrinsic risk factors for the development of patellar tendinitis in an athletic population. A two-year prospective study. Am J Sports Med. 2001 Mar-Apr;29(2):190–195. doi: 10.1177/03635465010290021201. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES