3. Sobrino et al. Orthop J Sports Med 2015
Overuse injuries in Professional Ballet
• Anterior Knee Pain (likely included PT) 16%
• PatellarTendinopathy 10.5%
• AchillesTendinopathy 8%
Ramkumar et al. J Dance Med Sci 2016
Injuries in a Professional Ballet Dance Company
• Foot & Ankle 38%
• Sprain 10%
• AchillesTendinopathy 3%
• Back related 20% (most costly)
4. ‘Many American ballet companies have taken to
retaining in-house medical and training staff that, in
one company of 70 dancers, demonstrated a $1.2
million savings over a 5-year period while
simultaneously decreasing the injury incidence from
94% to 75%’
Ramkumar et al
Lower limb tendon care is a core need in Dance Medicine
12. Pubertal factors on overuse injuries
J Dance Med Sci 2015
The questions are being asked
Where does Collagen come into this?
13. Collagen synthesis in puberty
• Life-time tendon collagen is synthesised by age 17
• Puberty is a critical period of collagen synthesis
• Lower Limb tendon development connected to growth
• Tendon collagen is potentially as susceptible to RED-S as bone collagen
14. Collagen synthesis in puberty
• Life-time tendon collagen is synthesised by age 17
• Puberty is a critical period of collagen synthesis
• Lower Limb tendon development connected to growth
• Tendon collagen is potentially as susceptible to RED-S as bone collagen
15. Collagen synthesis in puberty
• Life-time tendon collagen is synthesised by age 17
• Puberty is a critical period of collagen synthesis
• Lower Limb tendon development connected to growth
• Tendon collagen is potentially as susceptible to RED-S as bone collagen
16. Collagen synthesis in puberty
• Life-time tendon collagen is synthesised by age 17
• Puberty is a critical period of collagen synthesis
• Lower Limb tendon development connected to growth
• Tendon collagen is potentially as susceptible to RED-S as bone collagen
18. Detection Symptom screening
• Too subjective
• Late presentation
UTC – new US technology
• Objective data
• Good interobserver reproducibility (once trained)
• Links to developing research base
19. Detection Symptom screening
• Too subjective
• Late presentation
UTC – new US technology
• Objective data
• Good interobserver reproducibility (once trained)
• Links to developing research base
