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First published on February 8, 2005, doi:10.1177/0363546504270454
This version was published on April 1, 2005
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The American Journal of Sports Medicine 33:561-567 (2005)
© 2005 American Orthopaedic Society for Sports Medicine

Prevalence of Jumper’s Knee Among Elite Athletes From Different Sports

A Cross-sectional Study

Øystein B. Lian, MD*,{dagger}, Lars Engebretsen, MD, PhD*,{ddagger} and Roald Bahr, MD, PhD*,§

From the * Oslo Sport Trauma Research Center, Norwegian University of Sport and Physical Education, Oslo, Norway, {dagger} Kristiansund Hospital, Kristiansund, Norway, and the {ddagger} Orthopaedic Center, Ullevål University Hospital, Oslo, Norway

§ Address correspondence to Roald Bahr, MD, PhD, Oslo Sport Trauma Research Center, Norwegian University of Sport and Physical Education, PO Box 4014, Ullevål Stadion, 0806 Oslo, Norway (e-mail: roald{at}nih.no).

Background: The prevalence of jumper’s knee across different sports has not been examined, and it is not known if there is a gender difference. Data from surgical case series indicate that there may be a high prevalence in sports with high speed and power demands.

Hypothesis: The aim of this study was to estimate the prevalence of jumper’s knee in different sports among female and male athletes and to correlate the prevalence to the loading characteristics of the extensor mechanism in these sports.

Study Design: Cross-sectional study; Level of evidence, 4.

Methods: The authors examined approximately 50 Norwegian male and female athletes at the national elite level from each of the following 9 sports: athletics (male athletes: high jump, 100- and 200-m sprint), basketball (male athletes), ice hockey (male athletes), volleyball (male athletes), orienteering (male athletes), road cycling (male athletes), soccer (male and female athletes), team handball (male and female athletes), and wrestling (male athletes). The examination included an interview on individual characteristics (weight, age, height, and training background), a clinical examination, and self-recorded Victorian Institute of Sport Assessment score from 0 (worst) to 100 (best).

Results: The overall prevalence of current jumper’s knee was 14.2% (87 of 613 athletes), with a significant difference between sports with different performance characteristics (range, 0%–45%). In addition, 51 athletes (8%) reported previous symptoms. The prevalence of current symptoms was highest in volleyball (44.6% ± 6.6%) and basketball (31.9% ± 6.8%), whereas there were no cases in cycling or orienteering. The prevalence of current jumper’s knee was lower among women (5.6% ± 2.2%) compared with men (13.5% ± 3.0%; {chi}2 test, P = .042). The duration of symptoms among athletes with current jumper’s knee (n = 87) was 32 ± 25 (standard deviation) months, with a Victorian Institute of Sport Assessment score of 64 ± 19.

Conclusion: The prevalence of jumper’s knee is high in sports characterized by high demands on speed and power for the leg extensors. The symptoms are often serious, resulting in long-standing impairment of athletic performance.

Key Words: knee injuries • epidemiology • risk factors • patellar tendinopathy




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