ArticleArthroplasty (London, England)2023
Popliteal tendon impingement as a cause of pain following total knee arthroplasty: a systematic review.
Article in Arthroplasty (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Current Uses for Medical Imaging With Orthopaedic Implant Technology.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Review
- Symptomatic Tendon Sheath Ganglion at the Insertion of the Popliteus Tendon Treated With Local Cortisone Injection.Case reports in orthopedics · 2026Article
- Anthropometric Analysis of Brazilian and Imported Total Knee Arthroplasty Implants in the Brazilian Population.Revista brasileira de ortopedia · 2025Article
- [Anthropometric Analysis of Brazilian and Imported Total Knee Arthroplasty Implants in the Brazilian Population].Revista brasileira de ortopedia · 2025Article
- Minimally Invasive Arthroscopic Approach to Popliteal Tendon Impingement in a Degenerative Knee: A Case Report.Cureus · 2025Article
- Automatic measurement of lower limb alignment in portable devices based on deep learning for knee osteoarthritis.Journal of orthopaedic surgery and research · 2024Article
- Article
- A Retrospective Comparative Study of Ultrasound-guided Extramedullary Kinematic Alignmentin Total Knee Replacement.In vivo (Athens, Greece)Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPopliteal tendon impingement (PTI) is an under-recognized cause of persistent pain following total knee arthroplasty (TKA). The purpose of the systematic review was to summarize and outline successful strategies in the diagnosis and management of PTI.
methodsA systematic review following the PRISMA guidelines was performed for four databases: MEDLINE (Pubmed), Ovid EMBASE, Web of Science, and Cochrane Database. It was registered in the International Prospective Register for Systematic Reviews and Meta-analysis (PROSPERO) under the registration number: CRD42023398723. The risk of bias assessment was performed using the criteria of the methodological index for non-randomized studies (MINORS).
resultsA total of 8 studies were included. There were 2 retrospective case series and 6 case reports. The follow-up ranged from 6 to 30 months. Two studies described PTI as an intraoperative phenomenon during TKA with "snapping"; whilst 6 studies described indications and outcomes for arthroscopic tenotomy for PTI following TKA. In making the diagnosis, there was concurrence that the posterolateral pain should be focal and that dynamic ultrasonography and diagnostic injection play an important role. Two specific clinical tests have been described. There was no consistency regarding the need for imaging. There were no reports of instability following popliteal tendon tenotomy or other complications.
conclusionPTI should be suspected as a cause for persistent focal pain at the posterolateral knee following TKA. The diagnosis can be suspected on imaging and should be confirmed with dynamic ultrasonography and an ultrasound-guided diagnostic injection. An arthroscopic complete tenotomy of the tendon can reliably alleviate pain and relies on correct diagnosis. There is no evidence for clinically relevant negative biomechanical consequences following tenotomy. LEVEL OF EVIDENCE: Systematic Review of Level IV and V studies.
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