Jannik Sinner has announced his absence from the US Open due to a knee injury that has complicated his recent weeks. The news that the tennis world, not just Italian, did not want to hear tells us that “when a tennis player experiences painful symptoms without acute trauma, such as sprains or falls, the most likely diagnosis is a functional overload pathology, known as ‘overuse’. Modern tennis, characterized by very high-intensity rallies, continuous braking, and violent changes of direction, generates repeated shear and compression forces that can exceed the biological self-repair capacity of tissues. Contrary to what one might think, most injuries in this sport affect the lower limbs, which account for between 30% and 65% of all injuries on the elite circuit, far surpassing shoulder and elbow problems. Among these, knee injuries account for about 10-15% of the global cases and in 60-70% of cases are related to repeated microtraumas and progressive wear, rather than isolated traumatic incidents.” The analysis for Adnkronos Salute is by Andrea Bernetti, full professor of Physical Medicine and Rehabilitation at UniSalento and general secretary of Simfer (Italian Society of Physical and Rehabilitation Medicine).
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What are the most common ‘overuse’ pathologies? “Tendinopathies stand out, such as patellar (the so-called jumper’s knee) and quadriceps tendinopathy, where pain is only the tip of the iceberg of a complex degenerative process that requires weeks to regress without triggering relapses. Other problems – he continues – can involve the articular cartilage or menisci; degenerative lesions of these tissues, caused by continuous stresses and twists, in the most severe cases can be associated with subchondral bone edema, further prolonging recovery times.” Was the decision to give up the American slam the right one? “It highlights the urgency of completing a multimodal and personalized rehabilitation protocol, avoiding the stress of extreme competition. At this stage – Bernetti concludes – it is very important to set up an extremely personalized rehabilitation project suitable for the characteristics of each individual athlete.”
Jannik Sinner withdraws from the US Open: “Very sad and disappointed”
Jannik Sinner has announced that he will not participate in the US Open. “Even though I have worked hard with my tea…
What are the treatments? “The importance of hydrotherapy, as exercise in water allows maintaining muscle tone and mobility while drastically reducing gravitational impact on the joint. The synergy with instrumental physical therapies such as focused shock waves, high-power laser therapy, and pulsed electromagnetic fields can also be exploited, the latter being particularly effective in absorbing bone edema. At the same time, the latest generation infiltrative therapies under ultrasound guidance are widely used, ranging from new hyaluronic acid-based formulations for tendons, menisci, and cartilage, to ozone therapy, which can provide a powerful anti-inflammatory, anti-edema, and analgesic action without the side effects of corticosteroids.”
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Are there other solutions? “For structural purposes, collagen-based devices can be infiltrated to promote the mechanical repair of the extracellular matrix of tendon and ligament fibers, while Platelet-Rich Plasma (PRP) is used to actively stimulate biological cell repair processes. The medical management of a top-level athlete – the physiatrist replies – requires the ability to prioritize career longevity over the competitive calendar; relying on targeted rehabilitation treatments and exercise protocols based on biomechanical assessments gives the tissues the biological time to deflate inflammation and regenerate, reducing the risk of chronicity and ensuring a safe return to performance.”
Jannik Sinner, Bertolucci very harsh: “You don’t go to New York to be a tourist”
“I heard about it and I was not surprised.” Paolo Bertolucci told Repubblica how he came to …
