Abstract

BackgroundLower extremity tendinopathy is a common sports injury, but it can also affect non-athletes. Because tendinopathy is difficult to treat and has negative effects on the ability to work and quality of life, development of preventive interventions is important. The first step in the Van Mechelen prevention model is to determine the extent of the problem. The primary aim of this study was to determine the incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population. The secondary aim was to investigate possible associated factors.MethodsA cross-sectional study was performed in a Dutch general practice. Using International Classification of Primary Care codes, the electronic patient files were searched to identify cases of adductor tendinopathy, greater trochanteric pain syndrome, jumper’s knee, Achilles tendinopathy, and plantar fasciopathy in 2012. The tendinopathy patients were compared to the general practice population regarding age, gender, use of medication, and comorbidity using 95 % confidence intervals.ResultsThe prevalence and incidence rates of lower extremity tendinopathy found in this study were 11.83 and 10.52 per 1000 person-years. Lower extremity tendinopathy was more prevalent among older patients. No differences between tendinopathy patients and the general practice population were found regarding gender, use of medication, or comorbidity.ConclusionsIn 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. Lower extremity tendinopathy deserves a higher place in locomotor system research to develop preventive interventions.

Highlights

  • Lower extremity tendinopathy is a common sports injury, but it can affect non-athletes

  • Based on the consultation reports, 126 prevalent cases of lower extremity tendinopathy were identified. Fourteen of these patients had visited the general practitioner in 2011 for the same symptoms. This led to a prevalence rate (PR) of 11.83 per 1000 person-years, and an incidence rate (IR) of 10.52 per 1000 person-years

  • The mean age of the tendinopathy patients was higher than the mean age of the general practice population

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Summary

Introduction

Lower extremity tendinopathy is a common sports injury, but it can affect non-athletes. Because tendinopathy is difficult to treat and has negative effects on the ability to work and quality of life, development of preventive interventions is important. The primary aim of this study was to determine the incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population. Because tendinopathy can be difficult to treat and might have negative effects on sports participation, and on the ability to work and quality of life [3, 4], development of preventive interventions is of utmost importance. The primary aim of this study was to determine the incidence and prevalence of lower extremity tendinopathy among a population visiting a Dutch general practice

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