{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T02:05:41Z","timestamp":1793239541277,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,10,30]],"date-time":"2011-10-30T00:00:00Z","timestamp":1319932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>Lower limb tendon changes detected at imaging are common among asymptomatic athletes. We aimed to prospectively assess the clinical status, tendon structure, and vascularity of lower limb tendons of elite fencers, and predict the risk of developing symptoms over time. Clinical examination, changes at ultrasonography (<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>), and Power <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>oppler (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) flow of both the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>chilles, patellar, and quadriceps tendon were assessed in 37 elite fencers in <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2007 and 3 years after. Two hundred and twenty\u2010two tendons were examined. At the last appointment, patellar tendons diagnosed as abnormal at baseline were more likely to develop symptoms than those normal at baseline (<jats:styled-content style=\"fixed-case\"><jats:italic>P<\/jats:italic><\/jats:styled-content>\u2009&lt;\u20090.05, <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>isher's exact test), while <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> abnormalities on <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>chilles and quadriceps tendons were no predictive for development of symptoms over years. A very low percentage of tendons diagnosed as normal at baseline (1.45%) showed <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> abnormalities at 3\u2010year follow\u2010up. In asymptomatic elite fencers, structural changes are relatively common at <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> assessment of <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>chilles, quadriceps, and patellar tendons. It seems unlikely that additional <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> investigations provide further information or change prognosis in patients with <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> diagnosis of tendinopathy.<\/jats:p>","DOI":"10.1111\/j.1600-0838.2011.01400.x","type":"journal-article","created":{"date-parts":[[2011,10,31]],"date-time":"2011-10-31T04:51:16Z","timestamp":1320036676000},"page":"311-316","source":"Crossref","is-referenced-by-count":81,"title":["Asymptomatic <scp>A<\/scp>chilles, patellar, and quadriceps tendinopathy: A longitudinal clinical and ultrasonographic study in elite fencers"],"prefix":"10.1111","volume":"23","author":[{"given":"A.","family":"Giombini","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of Molise  Molise 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