Mondini Trissino da Lodi Camilla, Landini Maria Paola, Asunis Emanuela, Filardo Giuseppe
Service of Orthopaedics and Traumatology, Department of Surgery, EOC, 6900, Lugano, Switzerland.
Scientific Direction, Istituto Ortopedico Rizzoli, 40136, Bologna, Italy.
Sports Med Open. 2022 Jun 7;8(1):74. doi: 10.1186/s40798-022-00455-6.
Patellar tendinopathy is one of the most common musculoskeletal problems associated with sport. While commonly perceived as a predominantly male problem, recent epidemiological studies revealed that it also affects a large number of sport-active women. The aim of this systematic review was to understand how the available treatments apply to women affected by patellar tendinopathy.
We analysed the available literature with a systematic review on three databases (PubMed, Cochrane, Web of Science) on February 2021, retrieving a total of 136 studies published from 1983.
The overall scientific field offers an astonishingly low number of data on treatment results referring to only 78 women (2%) in the entire literature. Only 5% of the retrieved articles considered focusing only or mostly on men to be a limitation.
Women represent only a minority of patients studied for this topic. The few documented cases are further fragmented by being related to different treatments, thus basically offering no solid evidence for results and limitations of any therapeutic approach in women. This literature analysis showed a greater gender gap than what is recognized in science and general medicine; it showed a gender blindness in sports medicine when investigating a common problem like patellar tendinopathy.
髌腱病是与运动相关的最常见肌肉骨骼问题之一。虽然通常被认为主要是男性问题，但最近的流行病学研究表明，它也影响大量从事运动的女性。本系统评价的目的是了解现有治疗方法如何应用于受髌腱病影响的女性。
我们于2021年2月对三个数据库（PubMed、Cochrane、科学网）进行系统评价，分析现有文献，共检索到1983年以来发表的136项研究。
整个科学领域提供的关于治疗结果的数据少得惊人，整个文献中仅涉及78名女性（2%）。在检索到的文章中，只有5%认为仅关注男性或主要关注男性是一个局限性。
在关于该主题的研究患者中，女性只占少数。少数已记录的病例因涉及不同治疗方法而进一步分散，因此基本上没有为女性任何治疗方法的结果和局限性提供确凿证据。这篇文献分析显示出比科学和普通医学中所认识到的更大的性别差距；在研究髌腱病这样的常见问题时，运动医学领域存在性别忽视现象。
