Zapalenie ścięgna
Epidemiologia

Tendinopatia stanowi istotny problem zdrowotny, dotykający 2-5% populacji ogólnej oraz znaczną część sportowców, z chorobowością zapalenia ścięgna kończyn dolnych wynoszącą 11,83/1000 osobolat i zapadalnością 10,52/1000 osobolat. W 2020 roku w siedmiu głównych rynkach (USA, Niemcy, Francja, Włochy, Hiszpania, Wielka Brytania, Japonia) odnotowano ponad 29 milionów przypadków, z najwyższą liczbą w USA (11,9 mln). Tendinopatia Achillesa najczęściej dotyczy osób w wieku 30-50 lat, a tendinopatia rzepki jest dwukrotnie częstsza u sportowców powyżej 18 roku życia (21,3%) niż u młodszych. Zapadalność na zerwanie ścięgna Achillesa wynosi od 80 do 90 przypadków na 100 000 mieszkańców rocznie, z roczną zapadalnością w Ontario wzrastającą z 18,0 do 29,3/100 000 osobolat w latach 2003-2013, szczególnie u mężczyzn w wieku 40-49 lat (46,0/100 000 osobolat). Tendinopatia rzepki u sportowców może sięgać do 45% w siatkówce, a zapalenie ścięgna nadgrzebieniowego dotyka do 50% osób w wieku 80 lat i starszych.

Epidemiologia zapalenia ścięgna

Zapalenie ścięgna (tendinopathy) stanowi istotny problem zdrowotny dotykający znaczącą część populacji ogólnej oraz sportowców. Dane epidemiologiczne na temat zapalenia ścięgna są ograniczone, a wiele przypadków pozostaje niezgłoszonych lub jest niedokładnie monitorowanych. Jednak dostępne statystyki wskazują na rosnącą częstość występowania tego schorzenia, co powoduje znaczne obciążenie dla systemów opieki zdrowotnej12.

Występowanie w populacji ogólnej

Rozpowszechnienie zapalenia ścięgna w populacji ogólnej szacuje się na 2-5%3. Badania przeprowadzone w holenderskiej populacji podstawowej opieki zdrowotnej wykazały, że chorobowość zapalenia ścięgna kończyn dolnych wynosi 11,83 na 1000 osobolat, a zapadalność 10,52 na 1000 osobolat45. W przypadku tendinopatii rzepki w populacji ogólnej chorobowość waha się od 1,1 do 1,6 na 1000 osobolat, a zapadalność od 0,5 do 1,6 na 1000 osobolat6.

Według danych z DelveInsight, całkowita liczba przypadków zapadalności na zapalenie ścięgna w 2020 roku w siedmiu głównych rynkach (7MM: USA, Niemcy, Francja, Włochy, Hiszpania, Wielka Brytania i Japonia) wyniosła ponad 29 milionów7. Stany Zjednoczone miały najwyższą liczbę przypadków, szacowaną na 11,9 miliona w 2020 roku7. Wśród krajów europejskich Francja odnotowała najwyższą liczbę przypadków zapadalności wynoszącą 4,45 miliona, podczas gdy Japonia zarejestrowała około 4,97 miliona przypadków7.

Globalne badania szacują, że całkowita liczba zerwań ścięgien na świecie wynosi od 80 do 90 przypadków na 100 000 mieszkańców, co przekłada się na 6-7 milionów przypadków rocznie8.

Zapalenie ścięgna w różnych grupach wiekowych

Osoby w średnim wieku są najbardziej podatne na rozwój tendinopatii1. Większość przypadków zapalenia ścięgna Achillesa występuje u osób w wieku 30-50 lat910. Badania wskazują również, że zapalenie ścięgna rzepki jest dwukrotnie częstsze u sportowców powyżej 18 roku życia (21,3%) w porównaniu do młodszych sportowców (10,1%)1112.

W przypadku zapalenia ścięgna stożka rotatorów występowanie wzrasta wraz z wiekiem – dotyka około 9,7% osób poniżej 20 roku życia, 50% osób w wieku 60 lat i 62% osób w wieku 80 lat i starszych9. Inne badania wskazują, że tendinopatia stożka rotatorów dotyka około 13% osób w wieku 50 lat, 25% osób w wieku 60 lat i 50% osób w wieku 80 lat13.

U dzieci i młodzieży zapalenie ścięgna zwiększa się z wiekiem i w okresie dojrzewania, przy czym może być nieco częstsze u dziewcząt14.

Różnice płciowe w występowaniu zapalenia ścięgna

Według szacunków DelveInsight, mężczyźni są bardziej narażeni na tendinopatię w porównaniu do kobiet15. W 2022 roku w Stanach Zjednoczonych odnotowano około 8,5 miliona przypadków u mężczyzn i 3,6 miliona przypadków u kobiet1516.

W przypadku zerwania ścięgna Achillesa, większość pacjentów (83%) stanowią mężczyźni, przy czym mężczyźni są znacznie młodsi (średnia wieku 44,4 lat) niż kobiety (średnia wieku 50 lat) w momencie doznania urazu17.

Interesujące jest, że w przypadku tendinopatii rzepki nie ma istotnej różnicy w rozpowszechnieniu między mężczyznami a kobietami w populacji ogólnej6. Jednak wśród sportowców, tendinopatia rzepki wydaje się dotykać mężczyzn w większym stopniu niż kobiety. Wśród sportowców rekreacyjnych, rozpowszechnienie u mężczyzn i kobiet wynosi odpowiednio 10% i 6%, a w sporcie wyczynowym odpowiednio 14% i 6%6.

Zapalenie ścięgna wśród sportowców

Sportowcy są szczególnie narażeni na zapalenie ścięgna, które stanowi około 50% wszystkich kontuzji sportowych18. Chorobowość zapalenia ścięgna w populacji sportowej wynosi średnio 18,3%, podczas gdy w populacji ogólnej tylko 0,1%1112.

Rozpowszechnienie tendinopatii różni się znacznie w zależności od uprawianej dyscypliny sportowej:1219

  • Siatkówka: 24,8-45% sportowców1219
  • Koszykówka: 20,8-32% sportowców129
  • Piłka nożna: 6,1% sportowców12, z zapadalością na tendinopatię rzepki wynoszącą 0,12 urazów/1000 godzin i częstością występowania w sezonie 2,4%20
  • Rugby: 9-13% zawodników1921

W sporcie wyczynowym zaobserwowano znaczący wzrost częstości występowania tendinopatii rzepki: do 45% u siatkarzy, 15% u piłkarzy ręcznych i 32% u koszykarzy21.

Z kolei zapalenie ścięgna nadgrzebieniowego jest częstą przyczyną bólu barku u sportowców wykonujących rzuty i ruchy nad głową. Od 23% do 38% pływaków doświadcza urazów barku w okresie 1 roku, a 23% siatkarzy cierpi na ból dominującego barku w trakcie sezonu22.

Specyficzne rodzaje tendinopatii i ich epidemiologia

Zapalenie ścięgna Achillesa

Urazy ścięgna Achillesa mogą stanowić 20% wszystkich urazów ścięgien, przy czym zerwania występują u około 1% mężczyzn w wieku 30-50 lat, 52% byłych elitarnych biegaczy, 5,9% osób prowadzących siedzący tryb życia, 24% sportowców wyczynowych i 18% sportowców poniżej 45 roku życia9.

Badania wskazują na wzrost zapadalności na zerwanie ścięgna Achillesa, przy czym najbardziej znaczący wzrost obserwuje się w grupie wiekowej 40-59 lat23. Zapadalność na zerwanie ścięgna Achillesa zgłaszana na oddziałach ratunkowych w Anglii wynosi 8 na 100 000 osób rocznie24.

W badaniu przeprowadzonym w Ontario w Kanadzie, roczny wskaźnik zapadalności na ostre zerwanie ścięgna Achillesa wzrósł z 18,0 do 29,3 na 100 000 osobolat między 2003 a 2013 rokiem. Najwyższy średni wskaźnik zapadalności odnotowano wśród mężczyzn w wieku 40-49 lat (46,0/100 000 osobolat)25.

Większość (68%) zerwań ścięgna Achillesa występuje podczas uprawiania sportu, szczególnie u pacjentów poniżej 55 roku życia, u których 77% zerwań jest związanych ze sportem. Dla porównania, u osób w wieku 55 lat lub starszych, 41% zerwań jest związanych ze sportem26.

Zapalenie ścięgna rzepki

Tendinopatia rzepki (skok kolana) dotyka od 6,1% do 45% sportowców w zależności od dyscypliny12. Zapadalność może sięgać do 20% wśród sportowców wykonujących skoki27.

W badaniu przeprowadzonym wśród elitarnych piłkarzy płci męskiej, zidentyfikowano 139 urazów ścięgna rzepki (1,5% wszystkich urazów) z zapadalności wynoszącą 0,12 urazów/1000 godzin i częstością występowania w sezonie 2,4%. Większość urazów (60%) była minimalna do łagodnej (8 dni nieobecności), a 19% stanowiły nawracające dolegliwości20.

Zapalenie ścięgna w obrębie stawu barkowego

Zapadalność na tendinopatię stożka rotatorów waha się od 0,3% do 5,5%, a roczna chorobowość od 0,5% do 7,4%28. Zwapniająca tendinopatia barku charakteryzuje się osadzaniem kryształów hydroksyapatytu wapnia w ścięgnistej części stożka rotatorów, z częstością występowania sięgającą 7,8% w bezobjawowych barkach i do 42,5% w objawowych barkach29.

Inne rodzaje zapalenia ścięgna

Zapalenie nadkłykcia bocznego (łokieć tenisisty) dotyka od 4 do 7 na tysiąc osób w ciągu życia9. Jest to najczęstsza tendinopatia w kończynach górnych18.

Tendinopatia ścięgna dwugłowego ramienia jest obserwowana w różnych dyscyplinach sportowych, w tym podnoszeniu ciężarów, tenisie, sportach wózkarskich (i ogólnym korzystaniu z wózka inwalidzkiego), krykiecie, baseballu, kajakarstwie i innych sportach, gdzie wykonywane są czynności nad głową. Zwyrodnieniowa tendinoza i zerwanie ścięgna dwugłowego ramienia są zwykle obserwowane u starszych pacjentów, natomiast izolowana tendinopatia często występuje u młodych lub w średnim wieku pacjentów, jednak dokładna zapadalność jest nieznana30.

Trendy i koszty związane z zapaleniem ścięgna

Badania wskazują na rosnącą częstość występowania zapalenia ścięgna. W badaniu przeprowadzonym w Nowej Zelandii w latach 2010-2016, całkowita liczba roszczeń związanych z urazami ścięgien i więzadeł wyniosła 1 112 077, z całkowitym kosztem przekraczającym 1,4 miliarda dolarów nowozelandzkich. W tym okresie odnotowano 16,2% wzrost liczby roszczeń i 40% wzrost całkowitych kosztów tych urazów231.

Prognozuje się, że rynek leczenia tendinopatii w siedmiu głównych rynkach będzie rósł w tempie 2,9% w okresie badania (2018-2030)32. Według DelveInsight, Stany Zjednoczone mają największą pulę pacjentów z zapaleniem ścięgna i stanowią największy rynek jego leczenia33.

Czynniki ryzyka zapalenia ścięgna

Zidentyfikowano liczne czynniki ryzyka rozwoju zapalenia ścięgna:1710

  • Wiek – osoby w średnim wieku są bardziej podatne1
  • Płeć – mężczyźni są bardziej narażeni na niektóre rodzaje tendinopatii15
  • Aktywność sportowa – szczególnie sporty wymagające skoków, biegania, przyspieszania-zwalniania10
  • Zwiększone obciążenie mechaniczne – powtarzalne ruchy lub nieprawidłowe wzorce obciążenia19
  • Grupa krwi O17
  • Stosowanie antybiotyków z grupy chinolonów17
  • Miejscowe iniekcje kortykosteroidów17
  • Stosowanie steroidów anabolicznych17
  • Zwiększona masa ciała20
  • Duża ekspozycja na wysiłek20
  • Słaba elastyczność mięśni czworogłowych i kulszowo-goleniowych27

W badaniu biegaczy długodystansowych zidentyfikowano również nowe niezależne czynniki ryzyka zapalenia ścięgna Achillesa o początku stopniowym, takie jak: dłuższy staż jako biegacz rekreacyjny, wyższy złożony wynik chorób przewlekłych oraz historia alergii34.

Wyzwania w nadzorze epidemiologicznym zapalenia ścięgna

Pomimo rosnącego znaczenia tendinopatii jako problemu zdrowotnego, istnieją znaczące wyzwania w jej nadzorze epidemiologicznym:4

  • Ograniczone dane na temat demografii i zapadalności w różnych populacjach9
  • Wiele przypadków pozostaje niezgłoszonych9
  • Zgłoszone przypadki są często słabo monitorowane i opisywane9
  • Różnice w metodach diagnostycznych wpływające na zgłaszane wskaźniki rozpowszechnienia11
  • Łączenie różnych typów tendinopatii w badaniach (zerwania, urazy przeciążeniowe, rozpoznania anatomiczne)9
  • Brak świadomości biologii i klinicznego znaczenia choroby, co może ograniczać właściwą diagnozę, prowadząc do opóźnionej diagnozy i błędnej diagnozy32

Jednym z kluczowych problemów w badaniach epidemiologicznych tendinopatii jest różnorodność metod diagnostycznych. Badania wykazały, że wyższe wartości rozpowszechnienia były znajdowane, gdy diagnozy tendinopatii rzepki były stawiane przy użyciu wyników zgłaszanych przez pacjentów w porównaniu do ocen klinicznych11.

Znaczenie dla zdrowia publicznego

Zapalenie ścięgna stanowi istotne wyzwanie dla zdrowia publicznego ze względu na:2818

  • Wysoką częstość występowania – urazy ścięgien i wynikające z nich tendinopatie są odpowiedzialne za do 30% konsultacji u lekarzy sportowych i innych specjalistów zdrowia układu mięśniowo-szkieletowego28
  • Znaczne koszty ekonomiczne i obciążenie systemów opieki zdrowotnej2
  • Wpływ na jakość życia pacjentów11
  • Rosnącą częstość występowania w krajach rozwiniętych w wyniku większego zaangażowania w aktywności rekreacyjne i starzejącej się populacji32

Zapalenie ścięgna może prowadzić do przewlekłej niepełnosprawności, zerwania ścięgna i zapalenia torebki stawowej (np. zamrożonego barku)1. Około 5% pacjentów z tendinopatią ścięgna Achillesa będzie cierpieć na zerwanie ścięgna Achillesa35.

Warto zauważyć, że zapalenie ścięgna staje się coraz bardziej powszechne nie tylko wśród sportowców, ale także w populacjach nieuprawiających sportu i prowadzących siedzący tryb życia28. Na przykład, większość pacjentów z tendinopatią ścięgna Achillesa w badaniu opartym na populacji ogólnej nie wiązała swojego stanu z aktywnością sportową28.

Implikacje dla przyszłych badań i praktyki klinicznej

Rosnące obciążenie zdrowotne i ekonomiczne związane z zapaleniem ścięgna podkreśla pilną potrzebę:3119

  • Wieloaspektowych interwencji mających na celu zmniejszenie częstości występowania i poprawę wyników klinicznych urazów ścięgien2
  • Lepszego zrozumienia biologii i patofizjologii tendinopatii19
  • Opracowania skuteczniejszych strategii profilaktycznych5
  • Poprawy metod diagnostycznych i algorytmów leczenia36
  • Przeprowadzenia rzetelnych i aktualnych badań epidemiologicznych w celu lepszego zrozumienia wpływu tendinopatii i wspierania działań zapobiegawczych11

Tendinopatia jako powszechny i uciążliwy stan zasługuje na wyższe miejsce w programie badań nad układem ruchu w celu opracowania skuteczniejszych interwencji zapobiegawczych5. Nowe dane pochodzące z badań podstawowych i translacyjnych wraz z dobrze zaprojektowanymi badaniami klinicznymi zwiększą nasze zrozumienie pochodzenia tendinopatii i identyfikację lepszych opcji leczenia19.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Tendonitis: Practice Essentials, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/809692-overview
    Middle-aged adults are most susceptible to the development of tendinopathy. […] In general, the prognosis is very good with rest and conservative therapy. Chronic tendinopathy can lead to weakening of the tendon and subsequent rupture. Complications of tendonitis may include chronic disability, tendon rupture, and adhesive capsulitis (ie, frozen shoulder).
  • #2 Epidemiology of tendon and ligament injuries in Aotearoa/New Zealand between 2010 and 2016 | Injury Epidemiology | Full Text
    https://injepijournal.biomedcentral.com/articles/10.1186/s40621-020-0231-x
    Injuries to tendons and ligaments make up a large portion of musculoskeletal injuries, and contribute to significant morbidity and healthcare costs. However, there is currently a poor understanding of the burden of these injuries at a population level. […] The purpose of this study was to quantify the burden and distribution of tendon and ligament injuries in the Aotearoa/New Zealand population. […] During the 6-year study period, the total number of tendon and ligament injury claims was 1,112,077, with a total cost of over $1.4 billion NZD. There was a 16.2% increase in the number of claims, and a 40% increase in the total cost of these injuries during this period. […] Health and economic burdens of tendon and ligament injuries in Aotearoa/New Zealand are rising. The high healthcare costs underscore the urgent need for multifaceted interventions to reduce the incidence and improve clinical outcomes of tendon and ligament injuries.
  • #3 Tendinopathy | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/tendinopathy-1?lang=us
    The prevalence of tendinopathy in the general population is 2-5%. Active and sporting individuals are at increased risk of tendinopathy although it is also commonly seen in non-active individuals. The prevalence in some populations can be high, e.g. patellar tendinopathy in up to 40% of volleyball players, however, sites and prevalence will depend on the sport and level played. […] Risk factors can be intrinsic or extrinsic.
  • #4 Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study | BMC Musculoskeletal Disorders | Full Text
    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-016-0885-2
    Lower extremity tendinopathy is a common sports injury, but it can also affect non-athletes. […] The primary aim of this study was to determine the incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population. […] The prevalence and incidence rates of lower extremity tendinopathy found in this study were 11.83 and 10.52 per 1000 person-years. […] In this cross-sectional study in a Dutch general practice, the prevalence and incidence rates of lower extremity tendinopathy were 11.83 and 10.52 per 1000 person-years. […] The incidence and prevalence of lower extremity tendinopathy among specific sports populations have been established. […] However, these numbers are largely lacking for the general practice population. […] The epidemiology of only two lower extremity tendinopathies Achilles tendinopathy and greater trochanteric pain syndrome have been studied in Dutch general practice populations.
  • #5 Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study | BMC Musculoskeletal Disorders | Full Text
    https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-016-0885-2
    Lower extremity tendinopathy has an incidence rate of 10.52 per 1000 person-years and a prevalence rate of 11.83 per 1000 person-years in a Dutch general practice population. […] Lower extremity tendinopathy as common and bothersome condition deserves a higher place on the agenda of locomotor system research in order to develop more effective preventive interventions.
  • #6 Epidemiology – patellartendinopathy
    https://patellartendinopathy.trekeducation.org/epidemiology/
    Patellar tendinopathy is a common cause of knee pain in the general and sport population that leads to decreases in physical performance and detrimental impacts to sports careers. […] In the general population, the prevalence of patellar tendinopathy ranges from 1.1 to 1.6 per 1,000 person-year. The incidence ranges from 0.5 to 1.6 per 1,000 person-year. […] There is no important difference in the prevalence of patellar tendinopathy between men and women. […] Unlike the findings in the general population, patellar tendinopathy seems to affect men athletes at a larger extent than women athletes. Among recreational athletes, the prevalence in men and women is 10% and 6%, respectively. Similarly, in elite sport, the prevalence of patellar tendinopathy is 14% and 6% in men and women, respectively.
  • #7 Global Tendinopathy Market to 2030 – Insights, Epidemiology and Forecasts – ResearchAndMarkets.com
    https://www.businesswire.com/news/home/20211125005965/en/Global-Tendinopathy-Market-to-2030—Insights-Epidemiology-and-Forecasts—ResearchAndMarkets.com
    The „Tendinopathy – Market Insight, Epidemiology and Market Forecast 2030” report has been added to ResearchAndMarkets.com’s offering. […] This report delivers an in-depth understanding of the Tendinopathy, historical and forecasted epidemiology as well as the Tendinopathy market trends in the United States, EU5 (Germany, France, Italy, Spain, and the United Kingdom) and Japan. […] In 2020, the total incident cases of Tendinopathy were found out to be 29,282,773 in the 7MM. […] Tendinopathy incidence for the United States has shown an increasing trend. As per the estimates, the United States accounted for 11,920,169 incident cases in 2020 and is estimated to increase in 2030. […] Among the European 5 countries, France had the highest incident population of Tendinopathy with 4,450,554 cases, followed by the UK and Italy, in 2020. On the other hand, Spain had the lowest incident population of 416,722 in 2020. […] The Incident Cases of Tendinopathy are on the rise, and it is estimated that Japan accounted for 4,973,588 incident cases in 2020. […] Comprehensive insight has been provided into Tendinopathy epidemiology and treatment.
  • #8 Worldwide Incidence and Surgical Costs of Tendon Injuries: A Systematic Review and Meta-Analysis – MLTJ
    https://www.mltj.online/worldwide-incidence-and-surgical-costs-of-tendon-injuries-a-systematic-review-and-meta-analysis/
    Tendon injuries represent a broad and economically expensive problem in clinical reality, however, there is no systematic review or meta-analysis in the literature that delves into this topic. The aim of this work is to investigate the incidence and clinical costs of tendon rupture on a global, continental and national scale. […] The total number of tendon ruptures in the world ranges from 80 to 90 cases per 100,000 inhabitants, i.e., 6 to 7 million per year. There is a linear relationship between the incidence of cases and the population, whilst it seems to be no correlation between surgical costs and inhabitants, as it likely depends on the populousness and economical power of a country. […] This research may serve physicians and healthcare policymakers to make more informed decisions. It will also provide valuable information to industries and researchers involved in tendon repair solutions, to better understand the extent of the phenomenon worldwide.
  • #9 Tendinosis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK448174/
    Limited data exist on the demographics and incidence of tendinosis in the United States or worldwide. Many cases go unreported, and the reported cases are poorly monitored and described. Data on tendon injuries vary by tendon and activity. […] Achilles tendon injuries may account for 20% of all tendon injuries, with ruptures occurring in up to 1% of men aged 30 to 50, 52% of former elite runners, 5.9% of sedentary people, 24% of competitive athletes, and 18% of athletes under 45. […] Patellar tendinopathy affects 45% of volleyball and 32% of basketball players. […] Lateral epicondylitis affects as many as 4 to 7 per thousand people over a lifetime. […] Rotator cuff pathology is present in 9.7% of people younger than 20, 50% of 60-year-olds, and 62% of people 80 and older. […] Many of these studies lump together all tendinopathies, including ruptures, overuse injuries, and anatomical diagnoses of tendinopathy.
  • #10 Achilles tendinitis – Wikipedia
    https://en.wikipedia.org/wiki/Achilles_tendinitis
    The prevalence of Achilles tendinitis varies among different ages and groups of people. Achilles tendinitis is most commonly found in individuals aged 30-40. Runners are susceptible, as well as anyone participating in sports, and men aged 30-39. […] Risk factors include participating in a sport or activity that involves running, jumping, bounding, and change of speed. Although Achilles tendinitis is mostly likely to occur in runners, it also is more likely in participants in basketball, volleyball, dancing, gymnastics and other athletic activities. […] Other risk factors include gender, age, improper stretching, and overuse. Another risk factor is any congenital condition in which an individual’s legs rotate abnormally, which in turn causes the lower extremities to overstretch and contract; this puts stress on the Achilles tendon and will eventually cause Achilles tendinitis.
  • #11
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10280536/
    Patellar tendinopathy (PT) mainly affects athletes who use the tendon for repeated energy storage and release activities. It can have a striking impact on athletes careers, although data on its real prevalence and incidence are sparse. Research efforts should start from the results of reliable and updated epidemiological research to help better understand the impact of PT and underpin preventative measures. […] A total of 28 studies, with 28,171 participants, were selected and used for the qualitative and quantitative analysis. The general and athletes populations reported an overall PT prevalence of 0.1% and 18.3%, respectively. In athletes, the prevalence of PT was 11.2% in women and 17% in men (P = .070). The prevalence of PT in athletes 18 years was 10.1%, while it was 21.3% in athletes 18 years (P = .004). The prevalence of PT was 6.1% in soccer players, 20.8% in basketball players, and 24.8% in volleyball players. Heterogeneous PT diagnostic approaches were observed. Higher prevalence values were found when PT diagnoses were made using patient-reported outcomes versus clinical evaluations (P = .004).
  • #12
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10280536/
    This review demonstrated that PT is a common problem in the male and female sport-active populations. There are twice as many athletes aged 18 years than there are 18 years. Volleyball and basketball players are most affected by PT. […] The PT prevalence was 0.1% (95% CI, 0.1-0.2 [2 studies1,67]) and the incidence was 0.1% (95% CI, 0.0-0.2 [2 studies1,67]) in the general population. The athletes had a higher PT prevalence and incidence (P .0005). […] The most important finding of this review was the quantification of an overall PT prevalence of 18.3% in the sport-active population, with volleyball and basketball players being the most affected by PT. Also, PT epidemiology varied by age, with a prevalence of 10.1% in younger athletes and doubling to 21.3% in older athletes. A different scenario was found in the general population, with a PT prevalence and incidence of only 0.1%.
  • #13 Suffering from Tendinopathy or Achilles Tendonitis: Learn all your options
    https://www.completepaincare.com/patient-education/conditions-treated/tendinopathy-incl-achilles-tendonitis/
    Tendinopathy, or tendinitis, is a syndrome characterized by pain and dysfunction of a tendon, sometimes accompanied by swelling. […] Tendinopathy is highly prevalent in individuals whose occupation requires physical or repetitive work, such as in construction, food preparation and serving, transportation and material moving, and similar activities. […] Sports-related injuries are another common cause of tendinopathies, particularly in the Achilles tendon. […] In older individuals, rotator cuff tendinopathies are quite common; their incidence increases with age, affecting around 13% of individuals in their 50s, 25% of individuals in their 60s and 50% of individuals in their 80s.
  • #14 Tendonitis and Tendinosis | 5-Minute Pediatric Consult
    https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617520/all/Tendonitis_and_Tendinosis?q=Metabolic+Syndrome
    Increases with age and at time of puberty. […] May be slightly more common in girls.
  • #15 Tendonitis Market Size is expected to Grow by 2032, estimates DelveInsight
    https://www.einpresswire.com/article/697366353/tendonitis-market-size-is-expected-to-grow-by-2032-estimates-delveinsight
    Tendonitis Market Insights, Epidemiology, and Market Forecast-2032 report delivers an in-depth understanding of the Tendonitis, historical and forecasted epidemiology as well as the Tendonitis market trends in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan. […] According to estimates, Males are more affected by Tendinopathy as compared to females. […] As per the DelveInsight estimates, the total Tendinopathy Gender-specific cases in the United States was ~8,499,400 and 3,642,600 cases for males and females, respectively in 2022, which are expected to grow during the study period, i.e., 2019-2032. […] Tendinopathy Epidemiology Segmentation Total Tendonitis Incident Cases Tendonitis Type-specific Incident Cases Total Tendonitis Treated Cases Tendonitis Region-specific Incident Cases Tendonitis Gender-specific Incident Cases. […] Download the report to understand which factors are driving Tendinopathy epidemiology trends @ Tendinopathy Epidemiological Insights.
  • #16 Tendonitis Market Size Report 2032 | Market Drivers & Barriers, Clinical Trials and Latest Drugs Approvals
    https://www.einpresswire.com/article/720604137/tendonitis-market-size-report-2032-market-drivers-barriers-clinical-trials-and-latest-drugs-approvals
    DelveInsight’s „Tendonitis Market Insights, Epidemiology, and Market Forecast-2032” report delivers an in-depth understanding of the Tendonitis, historical and forecasted epidemiology as well as the Tendonitis market trends in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan. […] As per the DelveInsight estimates, the total Tendinopathy Gender-specific cases in the United States was ~8,499,400 and 3,642,600 cases for males and females, respectively in 2022, which are expected to grow during the study period, i.e., 2019-2032. […] Tendonitis Epidemiology Insights in the 7MM Total Tendonitis Incident Cases Tendonitis Type-specific Incident Cases Total Tendonitis Treated Cases Tendonitis Region-specific Incident Cases Tendonitis Gender-specific Incident Cases. […] Download the report to understand which factors are driving Tendonitis epidemiology trends @ Tendonitis Prevalence.
  • #17 Epidemiology of Achilles tendon rupture in the US | Lower Extremity Review Magazine
    https://lermagazine.com/article/epidemiology-of-achilles-tendon-rupture-in-the-us
    The etiology of Achilles tendon rupture is multifactorial, but the injury occurs most frequently in the athletic population. […] Until recently, epidemiological studies on Achilles tendon ruptures have come from Europe, New Zealand, Canada, or military populations in the US. […] The largest demographic group in these studies were middle-aged men, and the injury was most frequently associated with athletic activity. […] Other reported risk factors include blood type O, antibacterial quinolone use, local corticosteroid injections, and anabolic steroid use. […] This authors recent study on Achilles tendon demographics in the civilian US population retrospectively evaluated the demographics of 406 consecutive Achilles tendon ruptures. […] The majority of patients (83%) were men, but men were shown to be significantly younger (average 44.4 vs 50 years) than their female counterparts at the time of their Achilles tendon rupture.
  • #18 Current trends in tendinopathy: consensus of the ESSKA basic science committee. Part I: biology, biomechanics, anatomy and an exercise-based approach | Journal of Experimental Orthopaedics | Full Text
    https://jeo-esska.springeropen.com/articles/10.1186/s40634-017-0092-6
    Chronic tendinopathies represent a major problem in the clinical practice of sports orthopaedic surgeons, sports doctors and other health professionals involved in the treatment of athletes and patients that perform repetitive actions. […] The lack of consensus relative to the diagnostic tools and treatment modalities represents a management dilemma for these professionals. […] Tendinopathy is a clinical problem of great magnitude and is growing in terms of prevalence. […] Tendon injuries represent approximately 50% of all sports injuries. […] Most tendinopathies in the lower limbs involve the Achilles or patellar tendons. […] The most frequent tendinopathy in the upper limbs is lateral epicondylitis or enthesopathy of the extensor carpi radialis brevis. […] Different prevalence rates for this injury in the athletic population have been reported.
  • #19 Current trends in tendinopathy: consensus of the ESSKA basic science committee. Part I: biology, biomechanics, anatomy and an exercise-based approach | Journal of Experimental Orthopaedics | Full Text
    https://jeo-esska.springeropen.com/articles/10.1186/s40634-017-0092-6
    Lian et al. (2005) reported a prevalence of 45% in volleyball players, 32% in basketball players. […] Durcan et al. (2014) showed that 9% of the rugby players developed patellar tendinopathy during a season. […] Zwerver et al. (2011) and Hgglund et al. (2011) reported a higher prevalence rate (12-27%) in top athletes. […] There is substantial evidence to support the relationship of mechanical loading to the onset and perpetuation of tendinopathy as a result of alterations to typical loading patterns, inappropriate loading volume or frequency resulting in tissue overloading or underloading. […] New data originating from basic scientific and translational investigations together with well-designed clinical trials will enhance our understanding of the origin of and identify improved treatment options for tendinopathy.
  • #20 Epidemiology of patellar tendon injury in elite male soccer players | British Journal of Sports Medicine
    https://bjsm.bmj.com/content/45/4/324.2
    Patellar tendon injuries are common in jumping sports. The epidemiology in soccer is not well described. To study the epidemiology of patellar tendon injury in elite male soccer players and evaluate potential risk factors. 139 patellar tendon injuries were recorded (1.5% of all injuries) with an incidence of 0.12 injuries/1000 h and a season prevalence of 2.4%. Most injuries (60%) were minimal to mild (8 days absence), and 19% were recurrent complaints. No difference in season prevalence (OR 0.96, 95% CI 0.62 to 1.48) or incidence (RR 1.22, 95% CI 0.84 to 1.77) was observed between teams playing on artificial turf and natural grass. Multivariate logistic regression showed that high total exposure hours (OR 1.02 per 10 h increase; 95% CI 1.00 to 1.04) and increased body mass (OR 1.16 per 5 kg increase; 95% CI 1.00 to 1.34) were significant risk factors for patellar tendon injury. Although mainly mild in nature, patellar tendon injuries are fairly common in elite soccer and the recurrence rate is high. Increased body mass and high total amount of exposure were identified as risk factors for patellar tendon injury.
  • #21 Epidemiology – patellartendinopathy
    https://patellartendinopathy.trekeducation.org/epidemiology/
    The prevalence of patellar tendinopathy varies among different sports and different levels of training. The prevalence of this condition is greater in sports with high-impact loads on the knee extensor mechanism, such as volleyball, basketball and athletics. Sports with a low-impact load, such as cycling, have lower prevalence than high-impact sports. […] In recreational athletes, the sport with the highest prevalence of patellar tendinopathy is volleyball (14%), followed by handball (13%) and basketball (12%). In elite athletes, there is a significant increase in the prevalence of patellar tendinopathy to 45% in volleyball, 15% in handball and 32% in basketball athletes. In soccer, the prevalence also follows a similar trend increasing from 2.5% in recreational athletes to 5 to 13% in elite athletes. Patellar tendinopathy has also a high prevalence (13%) in rugby players.
  • #22 Supraspinatus Tendonitis: Practice Essentials, Etiology, Epidemiology
    https://emedicine.medscape.com/article/93095-overview
    Supraspinatus tendonitis is a common cause of shoulder pain in athletes whose sports involve throwing and overhead motions. […] From 23% to 38% of swimmers experience shoulder injuries within a 1-year period, and 23% of volleyball players have dominant shoulder pain during the season.
  • #23 Incidence, demographics, characteristics and management of acute Achilles tendon rupture: An epidemiological study | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0304197
    Achilles tendon ruptures (ATR) can occur when tendon strain exceeds maximum tendon capacity. Common mechanisms for ATR include sudden or violent dorsiflexion of the ankle or a sporting acceleration-deceleration mechanism. ATR are the most common tendon ruptures accounting for 10.7% of all tendon and ligament injuries. Incidence rates range is 2.5-47 per 100,000 person-years in north America and Europe. ATR incidence is rising, with the most significant increase between the ages of 40-59. Significant variation in incidence occurs due to the population sampled (male/female), sample age, geographic range (local/regional/national), sampling setting (emergency department/medical database review) or time of sampling (season). UK ATR incidence increased from 613 per 100,000 person years from 1995 to 2019. However, this data represents ATR incidence in Scotland and a single NHS trust in England. Further incidence data is required to improve understanding of ATR incidence in England.
  • #24 Incidence, demographics, characteristics and management of acute Achilles tendon rupture: An epidemiological study | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0304197
    The incidence of ATR presenting to ED was 8 per 100,000 people per annum. Consistent with previous UK ATR data, an increasing incidence of ATR was identified. International ATR incidence rates are varied, these findings report a higher incidence than the United States, 3.2 per 100,000 person years but lower than other nations (29.5-32.3 per 100,000 person years). […] The incidence rate of ATR in England is higher than previously reported elsewhere in the UK. There is a continuing trend towards increasing ATR incidence each year. Non-sporting mechanisms of injury are more common than previously reported and occur in an older population with greater number of comorbidities and medications.
  • #25 The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada | Bone & Joint
    https://boneandjoint.org.uk/Article/10.1302/0301-620X.99B1.BJJ-2016-0434.R1
    The aims of this study were to establish the incidence of acute Achilles tendon rupture (AATR) in a North American population, to select demographic subgroups and to examine trends in the management of this injury in the province of Ontario, Canada. […] A total of 27 607 patients (median age, 44 years; interquartile range 26 to 62; 66.5% male) sustained an AATR. The annual IDR increased from 18.0 to 29.3 per 100 000 person-years between 2003 and 2013. The mean IDR was highest among men between the ages of 40 and 49 years (46.0/100 000 person-years). The annual rate of surgical repair dropped from 20.1 in 2003 to 9.2 per 100 AATRs in 2013. There was a noticeable decline after 2009. […] The incidence of AATR is increasing in Ontario, while the annual rate of surgical repair is decreasing. A sharp decline in the rate of surgical repair was noted after 2009. This coincided with the publication of several high-quality RCTs which showed similar outcomes for the functional non-operative management and surgical repair.
  • #26 Epidemiology of Achilles tendon rupture in the US | Lower Extremity Review Magazine
    https://lermagazine.com/article/epidemiology-of-achilles-tendon-rupture-in-the-us
    We found ruptures occurred throughout the calendar year, but there was a significantly higher rate in the spring and summer months than in the fall and winter months. […] The majority (68%) of ruptures occurred during sports participation. […] This was particularly true in patients younger than 55 years, in whom 77% of ruptures were sports related; by comparison, in those 55 years or older, 41% of ruptures were sports related. […] An Achilles tendon rupture in one limb increases the likelihood of a rupture on the contralateral side.
  • #27
    https://www.orthobullets.com/knee-and-sports/3015/patellar-tendinitis
    Patellar tendinitis is tendinopathy of the patellar tendon associated with activity-related anterior knee pain. […] Epidemiology: Incidence: up to 20% of jumping athletes. […] Risk factors: volleyball most common. […] more common in adolescents/young adults; quadriceps tendinopathy is more common in older adults. […] poor quadriceps and hamstring flexibility.
  • #28 Tendinopathy – Wikipedia
    https://en.wikipedia.org/wiki/Tendinopathy
    Tendon injury and resulting tendinopathy are responsible for up to 30% of consultations to sports doctors and other musculoskeletal health providers. Tendinopathy is most often seen in tendons of athletes either before or after an injury but is becoming more common in non-athletes and sedentary populations. […] For example, the majority of patients with Achilles tendinopathy in a general population-based study did not associate their condition with a sporting activity. […] In another study the population incidence of Achilles tendinopathy increased sixfold from 1979-1986 to 1987-1994. […] The incidence of rotator cuff tendinopathy ranges from 0.3% to 5.5% and annual prevalence from 0.5% to 7.4%.
  • #29 Ultrasound guided lavage with corticosteroid injection versus sham lavage with and without corticosteroid injection for calcific tendinopathy of shoulder: randomised double blinded multi-arm study | The BMJ
    https://www.bmj.com/content/383/bmj-2023-076447
    Calcific tendinopathy is a painful disorder of the shoulder, characterised by the deposition of calcium hydroxyapatite crystals in the tendinous part of the rotator cuff. A prevalence of up to 7.8% in asymptomatic shoulders and up to 42.5% in symptomatic shoulders has been reported. […] Over the past few years ultrasound guided lavage together with a steroid injection has gained increasing popularity and has become the preferred method for many orthopaedic surgeons, radiologists, and physical medicine physicians. […] The principal finding of the study is that neither lavage plus steroid nor sham lavage plus steroid was superior to sham treatment in the treatment of calcific tendinopathy at four month and 24 month follow-ups. […] The results from this study are in contrast with the existing literature and question the use of ultrasound guided lavage as a treatment measure for calcific tendinopathy.
  • #30 Biceps Tendonitis: Symptoms, Treatment, and Prevention | Doctor
    https://patient.info/doctor/bicipital-tendinopathy
    How common is bicipital tendinopathy? (Epidemiology) […] The incidence of biceps tendon injury in sport and different occupations is unknown. […] Bicipital tendinopathy occurs in a variety of sports including weightlifting, tennis, wheelchair athletics (and general wheelchair use), cricket, baseball, kayaking and other sports where overhead activity is involved. […] Degenerative tendinosis and biceps tendon rupture are usually seen in older patients. […] Isolated tendinopathy often presents in young or middle-aged patients but the exact incidence is unknown.
  • #31 Epidemiology of tendon and ligament injuries in Aotearoa/New Zealand between 2010 and 2016 | Injury Epidemiology | Full Text
    https://injepijournal.biomedcentral.com/articles/10.1186/s40621-020-0231-x
    This is the first study to demonstrate a rise in tendon and ligament injuries in Aotearoa/New Zealand, both in number of claims and in financial burden at a national level. Furthermore, it, and has identified key epidemiological trends in injuries across different ethnic groups, anatomical sites and age groups. […] The staggering 1,112,077 claims, at a cost of over $1.4 billion NZD during this study period, in a country with a population of 4,242,048 (2013 census data), clearly highlights these injuries as a significant burden to the Aotearoa/New Zealand healthcare system. […] The costs associated with injuries to tendons and ligaments, however, increased by 40%, suggesting that these injuries are increasing in their burden on the Aotearoa/New Zealand healthcare system. […] Overall, this study has highlighted the increasing number and cost of tendon injuries across Aotearoa/New Zealand; a trend that is likely similar globally.
  • #32 The Tendonitis Market to Exhibit Growth at a CAGR of 2.9% In The 7MM During The Study Period (2018-30), Assesses DelveInsight
    https://www.prnewswire.com/news-releases/the-tendonitis-market-to-exhibit-growth-at-a-cagr-of-2-9-in-the-7mm-during-the-study-period-2018-30-assesses-delveinsight-301525986.html
    As per DelveInsight, the total Tendonitis incident cases were found to be more than 11 million in the 7MM in 2020. […] The total Tendonitis treated cases was more than 5 million in the 7MM in 2020. […] The Tendonitis Market Report proffers epidemiological analysis for the study period 2019-2032 in the 7MM segmented into: Total Incident Cases of Tendonitis, Total Gender-specific Cases of Tendonitis, Total Region-specific Cases of Tendonitis, Total Treated Cases of Tendonitis. […] Tendinopathy is becoming more common in the developed world as a result of greater engagement in leisure activities and an older population. […] The lack of awareness of the biology and clinical importance of the condition may limit the right diagnosis, perhaps leading to a delayed diagnosis and misdiagnosis, the greatest problem of tendonitis treatment and thus limiting the growth of the Tendonitis market. […] Furthermore, one of the key causes of poor patient care is a breakdown in communication between doctors and patients.
  • #33 Tendonitis Market Size, Share, Growth Report 2034
    https://www.imarcgroup.com/tendonitis-market
    The tendonitis market has been comprehensively analyzed in IMARC’s new report titled „Tendonitis Market: Epidemiology, Industry Trends, Share, Size, Growth, Opportunity, and Forecast 2025-2035.” […] According to the report the United States has the largest patient pool for tendonitis and also represents the largest market for its treatment. […] IMARC Group’s new report provides an exhaustive analysis of the tendonitis market in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan. This includes treatment practices, in-market, and pipeline drugs, share of individual therapies, market performance across the seven major markets, market performance of key companies and their drugs, etc. […] What is the number of prevalent cases (2019-2035) of tendonitis across the seven major markets?
  • #34 The epidemiology and associated risk factors for Achilles tendon overuse running injuries in the Two Oceans Marathon
    https://repository.up.ac.za/handle/2263/78342
    We found an annual incidence of 1.2% of GoATIs. […] 52.1% of the injuries were severe enough to affect or even prevented running adversely. […] Apart from age, longer race distance and male sex, novel independent factors predicting distance runners are at risk of GoATI were: increased years of being a recreational runner, a higher chronic disease composite score and a history of allergies. […] We believe our studys main strengths are the large sample size and a good response rate. […] This study explored associations between novel independent risk factors, including a chronic disease composite score, and GoATIs. […] We suggest that athletes and clinicians; education is important so that GoATIs are correctly diagnosed and treated earlier and appropriately. Runners at risk for sustaining GoATIs could be targeted for future injury prevention interventions. Future studies should focus on establishing a causal relationship.
  • #35 Achilles tendinopathy | Radiology Reference Article | Radiopaedia.org
    https://radiopaedia.org/articles/achilles-tendinopathy?lang=us
    Achilles tendinopathy can affect a range of people, from athletes to recreational exercisers and even inactive people. In around one-third of cases, it affects non-athletes. […] Approximately 5% of patients with Achilles tendinopathy will go on to suffer an Achilles tendon rupture.
  • #36 Ultrasound guided lavage with corticosteroid injection versus sham lavage with and without corticosteroid injection for calcific tendinopathy of shoulder: randomised double blinded multi-arm study | The BMJ
    https://www.bmj.com/content/383/bmj-2023-076447
    The findings of this study, in which treatment benefit did not differ between patients with radiographic deposit disappearance after four and 24 months compared with patients in whom the deposit was unchanged, suggest that an exaggerated focus on the radiographic finding of a calcific deposit and its removal may be present in current treatment algorithms. […] Our results challenge existing recommendations for the treatment of calcific tendinopathy and may necessitate a critical reconsideration of established treatment concepts for these patients.