Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study

Authors: Iris Sophie Albers, Johannes Zwerver, Ronald Leo Diercks, Janny Hendrika Dekker, Inge Van den Akker-Scheek

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Login to get access

Abstract

Background

Lower 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.

Methods

A 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.

Results

The 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.

Conclusions

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. Lower extremity tendinopathy deserves a higher place in locomotor system research to develop preventive interventions.
Literature
1.
go back to reference Rolf C, Movin T. Etiology, histopathology, and outcome of surgery in achillodynia. Foot Ankle Int. 1997;18:565–9.PubMedCrossRef Rolf C, Movin T. Etiology, histopathology, and outcome of surgery in achillodynia. Foot Ankle Int. 1997;18:565–9.PubMedCrossRef
2.
go back to reference de Jonge S, van den Berg C, de Vos RJ, van der Heide HJ, Weir A, Verhaar JA, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med. 2011;45:1026–8.PubMedCrossRef de Jonge S, van den Berg C, de Vos RJ, van der Heide HJ, Weir A, Verhaar JA, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med. 2011;45:1026–8.PubMedCrossRef
3.
go back to reference Fearon AM, Cook JL, Scarvell JM, Neeman T, Cormick W, Smith PN. Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control Study. J Arthroplasty. 2014;29:383–6.PubMedCrossRef Fearon AM, Cook JL, Scarvell JM, Neeman T, Cormick W, Smith PN. Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control Study. J Arthroplasty. 2014;29:383–6.PubMedCrossRef
4.
go back to reference van der Worp H, Zwerver J, Kuijer PP, Frings-Dresen MH, van den Akker-Scheek I. The impact of physically demanding work of basketball and volleyball players on the risk for patellar tendinopathy and on work limitations. J Back Musculoskelet Rehabil. 2011;24:49–55.PubMed van der Worp H, Zwerver J, Kuijer PP, Frings-Dresen MH, van den Akker-Scheek I. The impact of physically demanding work of basketball and volleyball players on the risk for patellar tendinopathy and on work limitations. J Back Musculoskelet Rehabil. 2011;24:49–55.PubMed
5.
go back to reference van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. Sports Med. 1992;14:82–99.PubMedCrossRef van Mechelen W, Hlobil H, Kemper HC. Incidence, severity, aetiology and prevention of sports injuries. Sports Med. 1992;14:82–99.PubMedCrossRef
6.
go back to reference Kujala UM, Sarna S, Kaprio J. Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes. Clin J Sport Med. 2005;15:133–5.PubMedCrossRef Kujala UM, Sarna S, Kaprio J. Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes. Clin J Sport Med. 2005;15:133–5.PubMedCrossRef
7.
go back to reference Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33:561–7.PubMedCrossRef Lian OB, Engebretsen L, Bahr R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33:561–7.PubMedCrossRef
9.
go back to reference Zwerver J, Bredeweg SW, van den Akker-Scheek I. Prevalence of jumper’s knee among nonelite athletes from different sports: a cross-sectional survey. Am J Sports Med. 2011;39:1984–8.PubMedCrossRef Zwerver J, Bredeweg SW, van den Akker-Scheek I. Prevalence of jumper’s knee among nonelite athletes from different sports: a cross-sectional survey. Am J Sports Med. 2011;39:1984–8.PubMedCrossRef
10.
go back to reference Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B. Prognosis of trochanteric pain in primary care. Br J Gen Pract. 2005;55:199–204.PubMedPubMedCentral Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B. Prognosis of trochanteric pain in primary care. Br J Gen Pract. 2005;55:199–204.PubMedPubMedCentral
11.
go back to reference Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ. A longitudinal study of industrial and clerical workers: predictors of upper extremity tendonitis. J Occup Rehabil. 2005;15:37–46.PubMedCrossRef Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ. A longitudinal study of industrial and clerical workers: predictors of upper extremity tendonitis. J Occup Rehabil. 2005;15:37–46.PubMedCrossRef
12.
go back to reference Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clin Sports Med. 2003;22:675–92.PubMedCrossRef Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clin Sports Med. 2003;22:675–92.PubMedCrossRef
13.
go back to reference de Vries AJ, van der Worp H, Diercks RL, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy in volleyball and basketball players: A survey-based prospective cohort study. Scand J Med Sci Sports. 2014. doi:10.1111/sms.12294.PubMed de Vries AJ, van der Worp H, Diercks RL, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy in volleyball and basketball players: A survey-based prospective cohort study. Scand J Med Sci Sports. 2014. doi:10.​1111/​sms.​12294.PubMed
14.
go back to reference Blanco I, Krähenbühl S, Schlienger RG. Corticosteroid-associated tendinopathies: an analysis of the published literature and spontaneous pharmacovigilance data. Drug Saf. 2005;28:633–43.PubMedCrossRef Blanco I, Krähenbühl S, Schlienger RG. Corticosteroid-associated tendinopathies: an analysis of the published literature and spontaneous pharmacovigilance data. Drug Saf. 2005;28:633–43.PubMedCrossRef
15.
go back to reference Stahlmann R, Lode HM. Risks associated with the therapeutic use of fluoroquinolones. Expert Opin Drug Saf. 2013;12(4):497–505.PubMedCrossRef Stahlmann R, Lode HM. Risks associated with the therapeutic use of fluoroquinolones. Expert Opin Drug Saf. 2013;12(4):497–505.PubMedCrossRef
16.
go back to reference Marie I, Delafenêtre H, Massy N, Thuillez C, Noblet C. Tendinous disorders attributed to statins: A study on ninety‐six spontaneous reports in the period 1990–2005 and review of the literature. Arthritis Rheum. 2008;59:367–72.PubMedCrossRef Marie I, Delafenêtre H, Massy N, Thuillez C, Noblet C. Tendinous disorders attributed to statins: A study on ninety‐six spontaneous reports in the period 1990–2005 and review of the literature. Arthritis Rheum. 2008;59:367–72.PubMedCrossRef
17.
go back to reference Abate M, Schiavone C, Salini V, Andia I. Occurrence of tendon pathologies in metabolic disorders. Rheumatology (Oxford). 2013;52:599–608.CrossRef Abate M, Schiavone C, Salini V, Andia I. Occurrence of tendon pathologies in metabolic disorders. Rheumatology (Oxford). 2013;52:599–608.CrossRef
18.
go back to reference Dutch College of General Practitioners. [ICPC-1 5th edition 2010, including annotations version 2013]. Utrecht; 2013. Dutch. Dutch College of General Practitioners. [ICPC-1 5th edition 2010, including annotations version 2013]. Utrecht; 2013. Dutch.
19.
go back to reference Groenhof F, Wilmink R, Kollen BJ, Berger MY. Registration Network Groningen [Registration Annual Report 2012]. Department of General Practice University Medical Center Groningen: Groningen; 2013. Dutch. Groenhof F, Wilmink R, Kollen BJ, Berger MY. Registration Network Groningen [Registration Annual Report 2012]. Department of General Practice University Medical Center Groningen: Groningen; 2013. Dutch.
20.
go back to reference van der Linden MW, Westert GP, de Bakker DH, Schellevis FG. [Second Dutch national survey of general practice. Complaints and illnesses in general practice]. Utrecht/Bilthoven: NIVEL/RIVM; 2004. Dutch. van der Linden MW, Westert GP, de Bakker DH, Schellevis FG. [Second Dutch national survey of general practice. Complaints and illnesses in general practice]. Utrecht/Bilthoven: NIVEL/RIVM; 2004. Dutch.
21.
go back to reference Ursum J, Hek K, Spronk I, Nielen MMJ, Davids R, Verheij RA.[What is the incidence of osteo-arthritis? From: NIVEL registrations for primary care.] NIVEL. 2013. www.nivel.nl/node/3069. Accessed 8 dec 2015. Dutch. Ursum J, Hek K, Spronk I, Nielen MMJ, Davids R, Verheij RA.[What is the incidence of osteo-arthritis? From: NIVEL registrations for primary care.] NIVEL. 2013. www.​nivel.​nl/​node/​3069. Accessed 8 dec 2015. Dutch.
23.
24.
go back to reference Zhou B, Zhou Y, Tang K. An overview of structure, mechanical properties, and treatment for age-related tendinopathy. J Nutr Health Aging. 2014;18:441–8.PubMedCrossRef Zhou B, Zhou Y, Tang K. An overview of structure, mechanical properties, and treatment for age-related tendinopathy. J Nutr Health Aging. 2014;18:441–8.PubMedCrossRef
25.
go back to reference van der Worp H, van Ark M, Roerink S, Pepping GJ, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy: a systematic review of the literature. Br J Sports Med. 2011;45:446–52.PubMedCrossRef van der Worp H, van Ark M, Roerink S, Pepping GJ, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy: a systematic review of the literature. Br J Sports Med. 2011;45:446–52.PubMedCrossRef
26.
go back to reference van Linschoten R, den Hoed P, de Jongh A. [Guideline ‘Chronic Achilles tendinopathy, in particular tendinosis, in sportsmen/sportswomen’]. Ned Tijdschr Geneeskd. 2007;151:2319–24. Dutch.PubMed van Linschoten R, den Hoed P, de Jongh A. [Guideline ‘Chronic Achilles tendinopathy, in particular tendinosis, in sportsmen/sportswomen’]. Ned Tijdschr Geneeskd. 2007;151:2319–24. Dutch.PubMed
27.
go back to reference Longo UG, Rittweger J, Garau G, Radonic B, Gutwasser C, Gilliver SF, et al. No influence of age, gender, weight, height, and impact profile in achilles tendinopathy in masters track and field athletes. Am J Sports Med. 2009;37:1400–5.PubMedCrossRef Longo UG, Rittweger J, Garau G, Radonic B, Gutwasser C, Gilliver SF, et al. No influence of age, gender, weight, height, and impact profile in achilles tendinopathy in masters track and field athletes. Am J Sports Med. 2009;37:1400–5.PubMedCrossRef
28.
go back to reference Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar heel pain: a systematic review. J Sci Med Sport. 2006;9:11–22.PubMedCrossRef Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar heel pain: a systematic review. J Sci Med Sport. 2006;9:11–22.PubMedCrossRef
29.
go back to reference Miranda H, Viikari-Juntura E, Heistaro S, Heliovaara M, Riihimaki H. A population study on differences in the determinants of a specific shoulder disorder versus nonspecific shoulder pain without clinical findings. Am J Epidemiol. 2005;161:847–55.PubMedCrossRef Miranda H, Viikari-Juntura E, Heistaro S, Heliovaara M, Riihimaki H. A population study on differences in the determinants of a specific shoulder disorder versus nonspecific shoulder pain without clinical findings. Am J Epidemiol. 2005;161:847–55.PubMedCrossRef
30.
31.
go back to reference Scott A, Zwerver J, Grewal N, de Sa A, Alktebi T, Granville DJ, et al. Lipids, adiposity and tendinopathy: is there a mechanistic link? Critical review. Br J Sports Med. 2015;49:984–8.PubMedPubMedCentralCrossRef Scott A, Zwerver J, Grewal N, de Sa A, Alktebi T, Granville DJ, et al. Lipids, adiposity and tendinopathy: is there a mechanistic link? Critical review. Br J Sports Med. 2015;49:984–8.PubMedPubMedCentralCrossRef
32.
go back to reference de Oliveira LP, Vieira CP, Guerra FDR, de Almeida Mdos S, Pimentel ER. Statins induce biochemical changes in the Achilles tendon after chronic treatment. Toxicology. 2013;311:162–8.PubMedCrossRef de Oliveira LP, Vieira CP, Guerra FDR, de Almeida Mdos S, Pimentel ER. Statins induce biochemical changes in the Achilles tendon after chronic treatment. Toxicology. 2013;311:162–8.PubMedCrossRef
33.
go back to reference Picavet H, Schouten J. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain. 2003;102:167–78.PubMedCrossRef Picavet H, Schouten J. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain. 2003;102:167–78.PubMedCrossRef
34.
go back to reference Eekhof JAH, Knuistingh Neven A, Verheij TJM. [Minor ailments in primary care]. Maarssen: Elsevier gezondheidszorg; 2001. Dutch. Eekhof JAH, Knuistingh Neven A, Verheij TJM. [Minor ailments in primary care]. Maarssen: Elsevier gezondheidszorg; 2001. Dutch.
35.
go back to reference Long SS, Surrey DE, Nazarian LN. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. Am J Roentgenol. 2013;201:1083–6.CrossRef Long SS, Surrey DE, Nazarian LN. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. Am J Roentgenol. 2013;201:1083–6.CrossRef
36.
go back to reference Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. Eur Radiol. 2003;13:1339–47.PubMed Connell DA, Bass C, Sykes CJ, Young D, Edwards E. Sonographic evaluation of gluteus medius and minimus tendinopathy. Eur Radiol. 2003;13:1339–47.PubMed
Metadata
Title
Incidence and prevalence of lower extremity tendinopathy in a Dutch general practice population: a cross sectional study
Authors
Iris Sophie Albers
Johannes Zwerver
Ronald Leo Diercks
Janny Hendrika Dekker
Inge Van den Akker-Scheek
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-0885-2

Other articles of this Issue 1/2016

BMC Musculoskeletal Disorders 1/2016 Go to the issue