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The Natural History of the Development and Resolution of Achilles and Patellar Tendon Sonographic Abnormalities in a Collegiate Cohort

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Prospective analysis tracks sonographic abnormalities in achilles and patellar tendons over 1 year.

Only one achilles tendon returned to normal over 1 year, indicating limited recovery.
At baseline, 40.1% of patellar and 16.2% of achilles tendons showed abnormalities.
All athletes remained asymptomatic despite the presence of tendon abnormalities.
The study suggests that tendinosis may not fluctuate significantly in collegiate athletes.

Johnson et al. (2025) studied this question.

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