{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:51:30Z","timestamp":1791366690542,"version":"4.3.1"},"reference-count":64,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Musculoskelet Radiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Overuse injuries of the knee represent a broad spectrum of disorders resulting from repetitive mechanical loading and failed tissue adaptation. These conditions commonly affect athletes and physically active individuals and may involve tendons, cartilage, bone, and periarticular soft tissues. Imaging plays a central role in diagnosis, with radiographs and ultrasound providing initial assessment, and MRI offering the highest sensitivity for early and subtle abnormalities. A wide range of entities may be encountered, including extensor mechanism tendinopathies, traction apophysitis in the immature skeleton, friction syndromes, synovial and fat pad impingement, medial bursitis, and bone stress injuries. Many of these conditions share overlapping clinical presentations and may mimic intra-articular pathology, particularly meniscal disease. Understanding the underlying biomechanical mechanisms and recognizing characteristic imaging patterns are essential for accurate diagnosis and appropriate management. This review provides a comprehensive overview of overuse injuries of the knee, emphasizing imaging findings, anatomical distribution, and key differential considerations to improve diagnostic accuracy and clinical relevance.<\/jats:p>","DOI":"10.1055\/a-2891-4051","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:11:04Z","timestamp":1784589064000},"page":"590-602","source":"Crossref","is-referenced-by-count":0,"title":["Overuse Injuries of the Knee"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7635-8397","authenticated-orcid":false,"given":"Tatiane","family":"Cantarelli Rodrigues","sequence":"additional","affiliation":[{"name":"Radiation Oncology and Medical Physics, University of Ottawa, Canada","department":["Faculty of Medicine, Department of Radiology"]},{"name":"The Ottawa Hospital, Canada","department":["Department of Medical Imaging"]},{"name":"The Ottawa Hospital Research Institute, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna","family":"Pereira de Oliveira","sequence":"additional","affiliation":[{"name":"HCor: Hospital do Coracao, Brazil","department":["Department of Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Rodrigues Barros Godoy","sequence":"additional","affiliation":[{"name":"HCor: Hospital do Coracao, Brazil","department":["Department of Radiology"]},{"name":"ALTA Diagnostic Center (DASA Group), Brazil"},{"name":"Universidade Federal de S\u00e3o Paulo \u2013 UNIFESP, Brazil","department":["Department of Diagnostic Imaging"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Serfaty","sequence":"additional","affiliation":[{"name":"Medscanlagos, Brazil"},{"name":"CUF Tejo and CUF Descobertas Hospitals, Portugal"},{"name":"Universidade NOVA de Lisboa, Portugal","department":["NOVA Medical School"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"issue":"10","key":"ref1","first-page":"e47459","article-title":"A review of patellar tendinopathy in athletes involved in jumping sports","volume":"15","author":"J Walton","year":"2023","journal-title":"Cureus"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"190","DOI":"10.21037\/tp.2017.04.05","article-title":"Evaluation and management of knee pain in young athletes: overuse injuries of the knee","volume":"6","author":"D R Patel","year":"2017","journal-title":"Transl Pediatr"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.rcl.2022.10.004","article-title":"Overuse-related injuries of the knee","volume":"61","author":"M Jarraya","year":"2023","journal-title":"Radiol Clin North Am"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.mric.2009.06.010","article-title":"Overuse injuries of the knee","volume":"17","author":"S A O'Keeffe","year":"2009","journal-title":"Magn Reson Imaging Clin N Am"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jus.2008.09.001","article-title":"Overload syndromes of the knee in adolescents: sonographic findings","volume":"11","author":"F Draghi","year":"2008","journal-title":"J Ultrasound"},{"issue":"24","key":"ref6","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1136\/bjsports-2017-099000","article-title":"Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis","volume":"52","author":"A L Sprague","year":"2018","journal-title":"Br J Sports Med"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1055\/s-0045-1808279","article-title":"Aquatic sports injuries: biomechanics, injury patterns, and imaging in swimming, water polo, and diving","volume":"29","author":"T Cantarelli Rodrigues","year":"2025","journal-title":"Semin Musculoskelet Radiol"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.2214\/ajr.176.6.1761535","article-title":"Sonography of the patellar tendon and adjacent structures in pediatric and adult patients","volume":"176","author":"J C Carr","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e17996","DOI":"10.7717\/peerj.17996","article-title":"Sinding-Larsen-Johansson disease. 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