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Knee Injuries in Athletes

Review of Exertion Injuries and Retrospective Study of Outpatient Sports Clinic Material

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Summary

About one third of all sports injuries admitted to outpatient sports clinics concern knees.

The incidence of different knee disorders in an outpatient sports clinic material and a review of the literature concerning the wide and problematic area of knee exertion injuries in athletes is presented. Exertion injury is defined as non-traumatic pain syndrome in the musculoskeletal system, including typical stress injuries and pain syndromes associated with physical activity but also has other important aetiological factors.

2762 athletes were admitted to the Turku Sports Medical Research Unit’s outpatient sports clinic from 1976 to 1983 and 886 (32%) of them, 697 male and 189 female athletes, had suffered knee disorders. Football (soccer) [20.8%], long-distance running (13.1%), volleyball (11.6%), orienteering (7.6%) and ice-hockey (7.2%) had the highest incidence and the most common knee disorders were patellar apicitis (20.4%), Osgood-Schlatter’s disease (10.1%), patellar chondropathy (10.0%), ligamentous sprains (9.0%) and meniscus tears (6.9%). The mean age of all athletes with knee disorders was 20.8 years. On an average each complaint caused 2.16 appointments.

Careful evaluation of malalignments predisposing the athlete to exertion injury is necessary in the treatment of knee disorders and to avoid the recurrence of the exertion injury due to some biomechanical reason.

The authors emphasise the importance of careful clinical examination. Although our review does not include detailed information about injuries originating in a single trauma, it is important to pick up the cases of ligamentous tears early so they can be appropriately repaired. Diagnostic and operative arthroscopy adds a new method in avoiding diagnostic errors and in shortening the postoperative rehabilitation.

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References

  • Aglietti P, Cerulli G. Chondromalacia and recurrent subluxation of the patella: a study of malalignment, with some indications for radiography. Italian Journal of Orthopaedics and Trau-matology 5: 187–201, 1979

    CAS  Google Scholar 

  • American Medical Association. Standard nomenclature of athletic injuries, Chicago 1976

    Google Scholar 

  • Bandi W. Die retropatellaren Kniegelenkschaden. In Aktuelle Probleme in Chirurgie und Orthopadie, p. 94, Hans-Huber-Verlag, Bern, 1977

    Google Scholar 

  • Basmajian JV, Lovejoy JF. Function of the popliteus muscle in man. Journal of Bone and Joint Surgery 53A: 557–562, 1971

    Google Scholar 

  • Blackburn TA, Eiland WG, Bandy WD. An introduction to the plica. Journal of Orthopaedic and Sports Physical Therapy 3: 171–177, 1982

    PubMed  CAS  Google Scholar 

  • Blackburne JS, Peel TE. A new method of measuring patellar height. Journal of Bone and Joint Surgery 59B: 241–242, 1977

    Google Scholar 

  • Blake RL, Burns DP, Colson JP. Etiology of traumatic medial knee pain. Journal of the American Podiatry Association 7: 580–583, 1981

    Google Scholar 

  • Blazina E, Kerlan RK, Jobe FW, Carter VS, Carlson GJ. Jumper’s knee. Orthopaedic Clinics of North America 4: 665–678, 1973

    CAS  Google Scholar 

  • Brody DM. Running injuries. Ciba, Clinical Symposia 32, No 4. CIBA Pharmaceutical Company, New Jersey, 1980.

  • Buchbinder MR, Napora NJ, Biggs EW. The relationship of ab-normal pronation to chondromalacia of the patella in distance runners. Podiatric Sports Medicine 69: 159–162, 1979

    CAS  Google Scholar 

  • Casscells SW. The arthroscope in the diagnosis of disorders of the patellafemoral joint. Clinical Orthopaedics and Related Research 144: 45–50, 1979

    PubMed  Google Scholar 

  • Cerwenka von W. Erfahrungen mit Arteparon in der orthopa-dischen Ambulanz. Beitrange zur Orthopadie und Traumatologic 24: 437–440, 1977

    CAS  Google Scholar 

  • Clement DB, Taunton JE. A guide to the prevention of running injuries. Canadian Family Physician 26: 543–548, 1980

    PubMed  CAS  Google Scholar 

  • Clement DB, Taunton JE, Smart GW, McNicol KL. A survey of overuse running injuries. Physician and Sportmedicine 9: 47–58, 1981

    Google Scholar 

  • Cox JS. Patellofemoral problems in runners. Clinics in Sports Medicine 4: 699–715, 1985

    PubMed  CAS  Google Scholar 

  • Curran P, Woodward P. Arthroscopy: its role in diagnosis and treatment of athletic knee injuries. American Journal of Sports Medicine 8: 415–418, 1980

    PubMed  Google Scholar 

  • De Haven DE, Dolan WA, Mayer PJ. Chondromalacia patellae in athletes: clinical presentation and conservative management. American Journal of Sports Medicine 7: 5–9, 1979

    Google Scholar 

  • Deveraux MD, Lachmann SM. Athletes attending a sports injury clinic: a review. British Journal of Sports Medicine 17: 137–142, 1983

    Google Scholar 

  • Dillon PZ, Updyke WF, Allen WC. Gait analysis with reference to chondromalacia patellae. Journal of Orthopaedic and Sports Physical Therapy 5: 127–131, 1983

    PubMed  CAS  Google Scholar 

  • Dowd GSE, Bentley G. Radiographic assessment in patellar in-stability and chondromalacia patellae. Journal of Bone and Joint Surgery 68-B: 297–300, 1986

    Google Scholar 

  • Ehrenborg G. The Osgood-Schlatter lesion: a clinical and experi-mental study. Acta Chirurgica Scandinavica (Suppl.) 288: 1–36, 1962

    PubMed  Google Scholar 

  • Ferretti A. Epidemiology of jumper’s knee. Sports Medicine 3: 289–295, 1986

    PubMed  CAS  Google Scholar 

  • Ferretti A, Neri M, Mariani PP, Puddu G. Etiopathogenetic con-siderations on the jumper’s knee. Italian Journal of Sports Traumatology 5: 101–105, 1983

    Google Scholar 

  • Ficat PR, Hungerford DS. Disorders of the patello-femoral joint, Masson, New York, 1977

    Google Scholar 

  • Ficat PR, Philippe J, Hungerford DS. Chondromalacia patellae: a system of classification. Clinical Orthopaedics and Related Research 144: 55–62, 1979

    PubMed  Google Scholar 

  • Friberg O, Kvist M. Leg length inequality in athletes. In Bachl et al. (Eds) Current topics in sports medicine, pp. 984–992, Urban & Schwarzenberg, Wien, 1984

    Google Scholar 

  • Fulkerson JP. Awareness of the retinaculum in evaluating patel-lofemoral pain. American Journal of Sports Medicine 10: 147–149, 1982

    PubMed  CAS  Google Scholar 

  • Fulkerson JP. The etiology of patellofemoral pain in young, active patients: a prospective study. Clinical Orthopaedics and Related Research 179: 129–133, 1983

    PubMed  Google Scholar 

  • Galasko CSB, Menon TJ, Lemon GJ, Banks AJ, Morris MA, et al. University of Manchester sports injury clinic. British Journal of Sports Medicine 16: 23–26, 1982

    PubMed  CAS  Google Scholar 

  • Goodfellow J, Hungerford DS, Woods C. Patello-femoral joint mechanics and pathology. 2. Chondromalacia patellae. Journal of Bone and Joint Surgery 58B: 291–299, 1976

    Google Scholar 

  • Gudas CJ. Patterns of lower-extremity injury in 224 runners. Ex-ercise and Sports Medicine 6: 50–59, 1980

    CAS  Google Scholar 

  • Hardaker WT, Whipple TL, Bassett FH. Diagnosis and treatment of the plica syndrome of the knee. Journal of Bone and Joint Surgery 62A: 221–225, 1980

    Google Scholar 

  • Hastings DE. The knee: ligament and cartilage injuries. Progress in Orthopaedic Surgery 3, Springer Verlag, Berlin, 1978

    Google Scholar 

  • Henry JH, Crosland JW. Conservative treatment of patello-femoral subluxation. American Journal of Sports Medicine 7: 12–14, 1979

    PubMed  CAS  Google Scholar 

  • Hughston JC. Subluxation of the patella. Journal of Bone and Joint Surgery 50A: 1003–1026, 1968

    Google Scholar 

  • Insall J. Current concepts review, patellar pain. Journal of Bone and Joint Surgery 64A: 147–151, 1982

    Google Scholar 

  • Insall J, Falvo KA, Wise DW. Chondromalacia patellae: a pro-spective study. Journal of Bone and Joint Surgery 58A: 1–8, 1976

    Google Scholar 

  • Jackson RW, Isao A. The role of arthroscopy in the management of disorders of the knee. Journal of Bone and Joint Surgery 54B: 310–322, 1972

    Google Scholar 

  • Jacobs P. Avascular necrosis of bone; osteochondritis; miscella-neous bone lesions. In Sutton (Ed.) Textbook of radiology and imaging, pp. 54–66, Churchill Livingstone, Edinburgh, 1980

    Google Scholar 

  • James SL, Bates BT, Osternis LR. Injuries to runners. American Journal of Sports Medicine 6: 40–50, 1978

    PubMed  CAS  Google Scholar 

  • Janssen G. Der Innentorsionsfehler des Kniegelenkes. Orthopa-dische Praxis 3: 227–231, 1981

    Google Scholar 

  • Jernick MS, Heifizt NM. An investigation into the relationship of foot pronation to chondromalacia patellae. Archives of Po-diatric Medicine and Foot Surgery (Suppl. II): 1–31, 1979

    Google Scholar 

  • Johnson RJ. The anterior cruciate: a dilemma in sports medicine. International Journal of Sports Medicine 3: 71–79, 1982

    PubMed  CAS  Google Scholar 

  • Johnson RJ, Eriksson T, Haggmark T, Pope MH. Five-to-ten-year follow-up evaluation after reconstruction of the anterior cruciate ligament. Clinical Orthopaedics and Related Research 183: 122–140, 1984

    PubMed  Google Scholar 

  • Johnson F, Leitl S, Waugh W. The distribution of load across the knee. A comparison of static and dynamic measurements. Journal of Bone and Joint Surgery 62B: 346–349, 1980

    Google Scholar 

  • Kaplan EB. The iliotibial tract. Clinical and morphological sig-nificance. Journal of Bone and Joint Surgery 40A: 817–832, 1958

    Google Scholar 

  • Kinnard P, Levesque RY. The plica syndrome. A syndrome of controversy. Clinical Orthopaedics and Related Research 183: 141–143, 1984

    PubMed  Google Scholar 

  • Klein KK. Developmental limb asymmetry: implications on knee injury. CATAJ June: 7–10, 1979

    Google Scholar 

  • Krahl H.: ‘Jumper’s knee’ -atiologie, differential dignose und ther-apeutische moglichkeiten. Orthopaede 9: 193–197, 1980

    CAS  Google Scholar 

  • Krissoff WB, Ferris WD. Runners’ injuries. Physician and Sport-medicine 7: 55–64, 1979

    Google Scholar 

  • Kujala UM, Kvist M, Heinonen O. Osgood-Schlatter’s disease in adolescent athletes. American Journal of Sports Medicine 13: 236–241, 1985

    PubMed  CAS  Google Scholar 

  • Kujala UM, Kvist M, Österman K, Friberg O, Aalto T. Factors predisposing army conscripts to knee exertion injuries en-couraged by physical training program. Clinical Orthopaedics and Related Research, 211: 43–52, 1986a

    Google Scholar 

  • Kujala UM, Österman K, Kvist M, Aalto T, Friberg O. Factors predisposing to patellar chondropathy and patellar apicitis in athletes. International Orthopaedics 10(3): in press, 1986b

    Google Scholar 

  • Kvist M, Järvinen M. Zur Epidemiologic von sportverletzungen und Fehlbelastungsfolgen: Patienten-analyse einer sportmedi-zinischen Poliklinik. Medicin und Sport 20: 375–378, 1980

    Google Scholar 

  • Kvist M. Jarvinen M, Kujala U, Farsskahl B. Comparison of Ar-terjaron and Indometacin in the treatment of apicitis patellae and peritendinitis of ligamentum patellae in athletes. In Bahl et al. (Eds) Current topics in sports medicine, pp. 826–835 Urban & Schwarzenberg, Wien, 1984

    Google Scholar 

  • Lancourt JE, Christini A. Patella alta and patella infera: their etiological role in patellar dislocation, chondromalacia, and apophysitis of the tibial tubercle. Journal of Bone and Joint Surgery 57A: 1112–1115, 1975

    Google Scholar 

  • Larson RL, Cabaud HE, Slocum DB, James SL, Keenan T, et al. The patellar conpression syndrome: surgical treatment by lat-eral retinacular release. Clinical Orthopaedics and Related Re-search 134: 158–167, 1978

    Google Scholar 

  • Laurin CA, Dussault R, Levesque HP. The tangential X-ray in-vestigation of the patellofemoral joint: X-ray technique, diag-nostic criteria and their interpretation. Clinical Orthopaedics and Related Research 144: 16–26, 1979

    PubMed  Google Scholar 

  • Leach R. Running injuries of the knee. In D’Ambrosia & Drez (Eds) Prevention and treatment of running injuries, pp. 55–75, Slack, New Jersey, 1982

    Google Scholar 

  • Lindholm TS, Österman K. Long-term results after transfixation of an osteochondritis dissecans fragment to the femoral condyle using autologous bone transplants in adolescent and adult patients. Archives of Orthopaedic and Traumatic Surgery 97: 225–230, 1980

    CAS  Google Scholar 

  • Lindholm TS, Österman K. Treatment of juvenile osteochondritis dissecans in the knee. Acta Orthopaedica Belgica 45: 633–640, 1979

    PubMed  CAS  Google Scholar 

  • Ljungqvist R. Partiella subcutana ligamentum patellae rupturer. In Staff (Ed.) Nordisk Idrettsmedisinsk Kongress, pp. 89–91, Optimal Offset a.s., Strommen, 1977

    Google Scholar 

  • Lutter LD. Foot-related knee problems in the long distance runner. Foot and Ankle 1: 112–116, 1980

    PubMed  CAS  Google Scholar 

  • Lysens R, Steverlynk A, van den Auweek Y, Lefevre J. Renson L, et al. The predictability of sports injuries. Sports Medicine 1: 6–10, 1984

    Google Scholar 

  • Maize H. Die Chondropathia patellae und ihre Behandlung mit Arteparon. Rheumamedizin 5: 3–7, 1983

    Google Scholar 

  • Mann RA, Baxter DE, Lutter LD. Running symposium. Foot and Ankle 1: 190-224, 1981 Mann RA, Hagy JH. The popliteus muscle. Journal of Bone and Joint Surgery 59A: 924–927, 1977

    Google Scholar 

  • Marshall JL, Girgis FG, Zelko RR. The biceps femoris tendon and its functional significance. Journal of Bone and Joint Surgery 54A: 1444–1450, 1972

    Google Scholar 

  • Martens M. Tendinitis of the patellar tendon. Acta Orthopaedica Belgica 48: 453–454, 1982

    PubMed  CAS  Google Scholar 

  • Mayfield GW. Popliteus tendon tenosynovitis. American Journal of Sports Medicine 5: 31–36, 1977

    PubMed  CAS  Google Scholar 

  • Mbaruk von A: Traumatische Chondropathia patellae, ihre ver-sicherungs-medizinische Bedeutung bei Begutachtung als Un-fallfolge — Therapie. Beitrage zur Orthopaedie und Trauma-tologic 27: 217–226, 1980

    CAS  Google Scholar 

  • McDermott M, Freyne P. Osteoarthrosis in runners with knee pain. British Journal of Sports Medicine 17: 84–87, 1983

    PubMed  CAS  Google Scholar 

  • Medlar RC, Lyne D. Sinding-Larsen-Johansson disease. Journal of Bone and Joint Surgery 60A: 1113–1116, 1978

    Google Scholar 

  • Meurman K, Kolu T. Stress osteopathy or stress fracture. Duo-decim 95: 552–560, 1979

    CAS  Google Scholar 

  • Mital MA, Matza RA, Cohen J. The so-called unresolved Os-good-Schlatter lesion. Journal of Bone and Joint Surgery 62A: 732–739, 1980

    Google Scholar 

  • Newman PH, Thomson JPS, Barnes JM, Moore TMC. A clinic for athletic injuries. Proceedings of the Royal Society of Medicine 62: 939–941, 1969

    PubMed  CAS  Google Scholar 

  • Noble CA. Iliotibial band friction syndrome in runners. American Journal of Sports Medicine 8: 232–234, 1980

    PubMed  CAS  Google Scholar 

  • Noesberger B, Fernandez D, Meyer RP. Das Jumper’s knee. Helvetica Chirurgica Acta 43: 447–450, 1976

    PubMed  CAS  Google Scholar 

  • Nottage WM, Sprague NF, Auerbach BJ, Shahriaree H. The medial patellar plica syndrome. American Journal of Sports Medicine 11:211–214, 1983

    PubMed  CAS  Google Scholar 

  • Noyes FR, Matthews DS, Mooar PA, Grood ES. The symptomatic anterior cruciate-deficient knee. Part II: The results of rehabilitation, activity modification and counselling on func-tional disability. Journal of Bone and Joint Surgery 65A: 163–174, 1983

    Google Scholar 

  • Noyes FR, Sonstegard DA. Biomechanical function of the pes anserinus at the knee and the effect of its transplantation. Jour-nal of Bone and Joint Surgery 55A: 1225–1241, 1973

    Google Scholar 

  • O’Donoghue. Treatment of injuries to athletes, W.B. Saunders, Toronto, 1976

    Google Scholar 

  • Ogden JA, Southwick WO. Osgood-Schlatter’s disease and tibial tuberosity development. Clinical Orthopaedics and Related Research 116: 180–189, 1976

    PubMed  Google Scholar 

  • Orava S. Exertion injuries due to sports and physical exercise (Suppl.), Österbotningen, Kokkola, Finland, 1980a

    Google Scholar 

  • Orava S. Iliotibial tract friction syndrome in athletes: an uncom-mon exertion syndrome on the lateral side of the knee. British Journal of Sports Medicine 12: 69–73, 1978

    PubMed  CAS  Google Scholar 

  • Orava S. Stress fractures. British Journal of Sports Medicine 14: 40–44, 1980b

    PubMed  CAS  Google Scholar 

  • Orava S, Puranen J. Athlete exertion injuries. Annales Chirurgiae et Gynaecologiae 67: 58–65, 1978

    PubMed  CAS  Google Scholar 

  • Österman K. Atroskopi av knaleden. Finska lakaresalskapets Handlingar 127: 22–26, 1983

    Google Scholar 

  • Österman L. Operative treatment of patellar chondromalacia using the Dyonics shaver. (Abstract.) Acta Orthopaedica Scan-dinavica 52: 448, 1981

    Google Scholar 

  • Outerbridge RE. Osteochondritis dissecans of the posterior fem-oral condyle. Clinical Orthopadische 175: 121–129, 1983

    Google Scholar 

  • Outerbridge RE, Dunlop IAY. The problem of chondromalacia patellae. Clinical Orthopaedics and Related Research 110: 177–196, 1975

    PubMed  Google Scholar 

  • Paar O, Riel KA. Chondropathia patellae und Trauma. Munche-ner Medizinische Wochenschrift 124: 889–890, 1982

    CAS  Google Scholar 

  • Pagliano J, Jackson D. The ultimate study of running injuries. Runner’s World November: 42-50, 1980

  • Palumbo Jr PM. Dynamic patellar brace: a new orthosis in the management qf patellofemoral disorders: a preliminary report. American Journal of Sports Medicine 9: 45–49, 1981

    PubMed  Google Scholar 

  • Parks MR. Injuries of the endurance athlete. Sports Medicine 12: 155, 1978

    Google Scholar 

  • Patel D. Arthroscopy of the plicae: synovial folds and their sig-nificance. American Journal of Sports Medicine 6: 217–225, 1978

    PubMed  CAS  Google Scholar 

  • Paul B, Franke K. Die Chondropathia patellae und die intra-ar-tikuläre Injectionstherapie mit einem Mukopolysaccharid-po-lyschwefelsäureester (MPSSE). Beitrage zur Orthopadic und Traumatologic 11: 169–178, 1974

    Google Scholar 

  • Pevey JK. Out-patient arthroscopy of the knee under local anes-thesia. American Journal of Sports Medicine 6: 122–127, 1978

    PubMed  CAS  Google Scholar 

  • Pickett JC, Radin EL. Chondromalacia of the patella, Williams & Wilkins, London, 1983

    Google Scholar 

  • Rauschning W, Lindgren PG. Popliteal cysts (Baker’s cysts) in adults I. Clinical and roentgenological results of operative ex-cision. Acta Orthopaedica Scandinavica 50: 583–591, 1979

    PubMed  CAS  Google Scholar 

  • Reider B, Marshall J, Russell W. Clinical characteristics of pa-tellar disorders in young athletes. American Journal of Sports Medicine 9: 270–274, 1981

    PubMed  CAS  Google Scholar 

  • Renne JW. The iliotibial band friction syndrome. Journal of Bone and Joint Surgery 57A: 1110–1111, 1975

    Google Scholar 

  • Renstrom P, Johnson RJ. Overuse injuries in sports. Sports Med-icine 2: 316–333, 1985

    CAS  Google Scholar 

  • Ritsila V, Poussa M, Ruback J, Snellman O, Österman K. Periosteal and perichondrial grafts in reconstruction of joint surfaces. (Abstract.) Acta Orthopaedica Scandinavica 52: 447, 1981

    Google Scholar 

  • Roels J, Martens M, Burssens A. Patellar tendinitis (jumper’s knee). American Journal of Sports Medicine 6: 263–268, 1978

    Google Scholar 

  • Rovere GD, Adair DM. Anterior cruciate-deficient knees: a review of the literature. American Journal of Sports Medicine 11:412–419, 1983

    PubMed  CAS  Google Scholar 

  • Riinow A. The dislocating patella. Acta Orthopaedica Scandinavica (Suppl.) 201: 1–53, 1983

    Google Scholar 

  • Salter RB, Simmonds DF, Malcolm BW, Rumble EJ, Mac-Michael D, et al. The biological effect of continuous passive motion on the healing of full-thickness defects in articular cartilage. Journal of Bone and Joint Surgery 62A: 1232–1251, 1980

    Google Scholar 

  • Savoca CJ. Stress fractures. Radiology 100: 519–524, 1971

    PubMed  CAS  Google Scholar 

  • Schlenzka D. DZur chondropathie der patella. Eine Morpholo-gische Studie. Thesis, Medical dissertation, Helsinki, 1980

    Google Scholar 

  • Schneider PG. Das Patellaspitzensyndrom (PS-Syndrom): the knee-cap syndrome (jumper’s knee). Deutsche Zeitschrift für Sport-medizin 2: 27–35, 1981

    Google Scholar 

  • Schulitz KP, Hille E, Kochs W. The importance of the mediopa-tellar synovial plica for chondromalacia patellae. Archives of Orthopaedic and Traumatic Surgery 102: 37–44, 1983

    CAS  Google Scholar 

  • Segesser B. Aetiologie und Prophylaxe von Sportschaden. Schweizerische Zeitschrift für Sportmedizin 30: 13–17, 1982

    Google Scholar 

  • Segesser B. Zu orthopädischen Problemen im Sport. Schweizerische Zeitschrift fur Sportmedizin 2: 151–164, 1971

    Google Scholar 

  • Sikorski JM, Peters J, Watt I. The importance of femoral rotation in chondromalacia patellae as shown by serial radiography. Journal of Bone and Joint Surgery 61: 435–442, 1979

    PubMed  Google Scholar 

  • Sperryn PN. Athletic injuries. Rheumatology and Physical Medicine 11: 246–249, 1972

    PubMed  CAS  Google Scholar 

  • Sperryn PN, Restan L. Podiatry and the sports physician: an eval-uation of orthoses. British Journal of Sports Medicine 17: 129–134, 1983

    PubMed  CAS  Google Scholar 

  • Staff PH, Nilsson S. Tendoperiostitis in the lateral femoral condyle in long-distance runners. British Journal of Sports Medicine 14: 38–40, 1980

    PubMed  CAS  Google Scholar 

  • Strand T, Alho A, Rungstad TS, Bjersand AJ. Patellofemoral dis-orders treated by operations. Acta Orthopaedica Scandinavica 54: 914–916, 1983

    PubMed  CAS  Google Scholar 

  • Subotnick SI. Podiatric Sports Medicine, Futura, New York, 1975a

    Google Scholar 

  • Subotnick SI. Orthotic foot control and the overuse syndrome. Physician and Sportmedicine 3: 75–79, 1975b

    Google Scholar 

  • Sutker AN, Barber FA, Jackson DW, Pagliano JW. Iliotibial band syndrome in distance runners. Sports Medicine 2: 447–451, 1985.

    PubMed  CAS  Google Scholar 

  • Sutton G. Hamstrung by hamstring strains: a review of the lit-erature. Journal of Orthopaedic and Sports Physical Therapy 5: 184–195, 1984

    PubMed  CAS  Google Scholar 

  • Torg JS, Conrad W, Kalen V. Clinical diagnosis of anterior cru-ciate ligament instability in the athlete. American Journal of Sports Medicine 4: 84–93, 1976

    PubMed  CAS  Google Scholar 

  • Turner MS, Smillie IS. The effect of tibial torsion on the pathology of the knee. Journal of Bone and Joint Surgery 63B: 396–398, 1981

    Google Scholar 

  • Weaver JK. Bipartite patellae as a cause of disability in the athlete. American Journal of Sports Medicine 5: 137–143, 1977

    PubMed  CAS  Google Scholar 

  • Weber von J, Brenke H. Die Sporttraumatologische Rehabilitation im Sportmedizinischen Rehabilitationszentrun Kreischa. Medizin und Sport 9: 312–321, 1969

    Google Scholar 

  • Westers BM. Review of the repair of defects in articular cartilage. Part I. Journal of Bone and Joint Surgery 3: 186–192, 1982a

    CAS  Google Scholar 

  • Westers BM. Review of repairs of defects in articular cartilage: Part II. Journal of Bone and Joint Surgery 4: 6–15, 1982b

    CAS  Google Scholar 

  • Viitasalo J, Kvist M. Effects of orthotic devices on some bio-mechanical aspects of the foot and ankle. In Human loco-mation III, Proceedings of the Third Biannual Conference of the Canadian Society of the Biomechanics, pp. 51–52, Win-nipeg, 1984

    Google Scholar 

  • Viitasalo JT, Kvist M. Some biomechanical aspects of the foot and ankle in athletes with and without shin splints. American Journal of Sports Medicine 11: 125–130, 1983

    PubMed  CAS  Google Scholar 

  • Wray DG, Muddu BN. Operative treatment for longstanding Os-good-Schlatter’s disease. Journal of the Royal College of Surgeons of Edinburgh 27: 200–203, 1982

    PubMed  CAS  Google Scholar 

  • Zernicke RF, Garhammer J, Jobe FW. Human patellar-tendon rupture. Journal of Bone and Joint Surgery 59A: 179–183, 1977

    Google Scholar 

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  1. Turku Sports Medical Research Unit, Kiinamyllynk 10, 20520, Turku 52, Finland

    U. M. Kujala, M. Kvist & K. Österman

  2. Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland

    U. M. Kujala, M. Kvist & K. Österman

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Kujala, U.M., Kvist, M. & Österman, K. Knee Injuries in Athletes. Sports Medicine 3, 447–460 (1986). https://doi.org/10.2165/00007256-198603060-00006

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