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The technique uses carefully placed anterolateral and anteromedial portals, debrides ligamentum mucosum and Hoffa’s fat pad to visualize tendon tissue, and shaves the tendinopathic portion until healthy fibers are reached, with optional inferior pole patellar resection to prevent impingement. Reported outcomes include a 91% success rate, 96% return to sports, and a mean return time of 3.9 months.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/arthroscopic-debridement-of-proximal-patellar-tendinopathy-in-athletes/450386/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/arthroscopic-debridement-of-proximal-patellar-tendinopathy-in-athletes/450386.png","ImageObject",300,407,{"name":92,"@type":93},"Jake","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who is the procedure intended for?","Question",{"text":112,"@type":113},"It targets athletes with anterior knee pain or pain during patellar tendon loading activities who have not improved after nonoperative treatment and whose MRI shows proximal partial articular-sided fraying of the patellar tendon.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are the key steps of the arthroscopic technique?",{"text":117,"@type":113},"The patient is positioned supine and standard arthroscopy equipment is used. The anterolateral and anteromedial portals are created in specific locations, debridement is performed to visualize the proximal patellar tendon, the tendinopathic portion is shaved based on preoperative MRI, and inferior pole resection is done to avoid impingement.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes are reported after arthroscopic debridement?",{"text":121,"@type":113},"Arthroscopic partial patellar tendon debridement is reported to have superior outcomes versus open debridement, including 91% treatment success, 96% return to sports, 77% return to the previous level, and a mean return time of 3.9 months. Inferior pole resection is described as superior to no resection.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},450386,1790766276,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Winner of the Silver Medal Prize at the 2025 VJSM Fellows Video Technique Challenge  \nArthroscopic Debridement of Proximal Patellar Tendinopathy in Athletes   \nJelle P. van der List,* yz MD, PhD, MBA , and Christopher C. Kaeding, yz MD  \nInvestigation performed at the Department of Orthopaedic Surgery and Sports Medicine, Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA  \n\n| Background: Proximal patellar tendinopathy is common in athletes, with a reported incidence up to 45% in jumping athletes, and can often be treated nonoperatively. If surgery is required, open debridement is often performed, but arthroscopic debridement has several advantages—including higher rates and earlier return to sports.\u003Cbr>Indications: Patients with (1) symptoms of anterior knee pain or pain with patellar tendon loading activities, (2) who have not responded to nonoperative treatment, and (3) have proximal partial articular-sided fraying of the patellar tendon on magnetic resonance imaging (MRI) .\u003Cbr>Technique Description: The patient is positioned supine, and standard arthroscopy equipment is used. The anterolateral portal is created more laterally than the standard portal, and the anteromedial portal is created under vision more medially than the standard. The ligamentum mucosum and Hoffa’s fat pad are debrided until the proximal part of the patellar tendon is visualized. A spinal needle is placed through the tendinopathy part of the tendon based on preoperative MRI. The tendon is debrided with a shaver from the anteromedial and later anterolateral portal until healthy intact patellar tendon fibers are visualized. Bony resection of the inferior pole of the patella is performed to avoid impingement.\u003Cbr>Results: Arthroscopic partial patellar tendon debridement has been shown to lead to superior outcomes compared to open debridement, with a treatment success of 91%, a return to sports of 96%, a return to the previous level of 77%, and a meantime to return to sports of 3.9 months. Inferior pole resection has been shown to be superior compared to no resection.\u003Cbr>Discussion/Conclusion: Arthroscopic debridement of proximal patellar tendinopathy with partial tearing is a minimally invasive and successful procedure and should be considered for athletes after failure of nonoperative treatment.\u003Cbr>Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.\u003Cbr>Level of Evidence: Level 3 .\u003Cbr>Keywords: jumper’s knee; partial patellar tendon tear; patellar tendinopathy; patellar tendon; patellofemoral pain |  |\n| --- | --- |\n| *Address correspondence to Jelle P. van der List, MD, PhD, MBA, The Ohio State University Wexner Medical Center. 2835 Fred Taylor Drive, Columbus, OH 43202, USA (email: [jpjvanderlistmd@gmail.com](jpjvanderlistmd@gmail.com)).\u003Cbr>yDepartment of Orthopaedic Surgery and Sports Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.\u003Cbr>zSports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.\u003Cbr>Submitted March 10, 2025; accepted June 30, 2025 .\u003Cbr>Winner of the Silver Medal Prize at the 2025 VJSM Fellows Video Technique Challenge.\u003Cbr>One or more of the authors has declared the following potential conflict of interest or source of funding: [J.P.V. is](J.P.V. is) on the Editorial Board of Arthroscopy and received Fellowship Education from Arthex and Smith & Nephew. C.C. K. is a paid consultant for Arthrex. AOSSM checks author disclosures against the Open Payments Database (OPD) . AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.\u003Cbr>Video Journal of Sports Medicine (VJSM􀀂), 6(1), 2","cbCaisnu2d8WtdZn","https://ap.wps.com/l/cbCaisnu2d8WtdZn","pdf",523680,"English","# Background\n# Indications\n# Technique Description\n# Results\n# Discussion/Conclusion\n# Patient Consent Disclosure Statement\n# Level of Evidence","[{\"question\":\"Who is the procedure intended for?\",\"answer\":\"It targets athletes with anterior knee pain or pain during patellar tendon loading activities who have not improved after nonoperative treatment and whose MRI shows proximal partial articular-sided fraying of the patellar tendon.\"},{\"question\":\"What are the key steps of the arthroscopic technique?\",\"answer\":\"The patient is positioned supine and standard arthroscopy equipment is used. The anterolateral and anteromedial portals are created in specific locations, debridement is performed to visualize the proximal patellar tendon, the tendinopathic portion is shaved based on preoperative MRI, and inferior pole resection is done to avoid impingement.\"},{\"question\":\"What outcomes are reported after arthroscopic debridement?\",\"answer\":\"Arthroscopic partial patellar tendon debridement is reported to have superior outcomes versus open debridement, including 91% treatment success, 96% return to sports, 77% return to the previous level, and a mean return time of 3.9 months. Inferior pole resection is described as superior to no resection.\"}]","Arthroscopic Debridement of Proximal Patellar Tendinopathy in Athletes | PDF",1790733044]