Tennis

Sinner withdraws from the US Open; the doctor’s assessment: likely to be a strain injury

L'italiano Jannik Sinner festeggia dopo aver vinto la finale di singolare delle ATP World Tour Finals contro lo spagnolo Carlos Alcaraz all'Inalpi Arena di Torino, in Italia - domenica 16 novembre 2025. Sport - Tennis (Foto di Marco Alpozzi/Lapresse) LAPRESSE

2' min read

Translated by AI
Versione italiana

2' min read

Translated by AI
Versione italiana

Jannik Sinner has announced that he will not be taking part in the US Open, due to the knee injury that has hampered him over the past few weeks.

The news that the tennis world – not just in Italia – did not want to hear tells us that “when a tennis player experiences painful symptoms in the absence of acute injuries, such as sprains or falls, the most likely diagnosis is a functional overload condition, known as overuse.

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Modern tennis, characterised by extremely high-intensity rallies, constant deceleration and sudden changes of direction, generates repeated shear and compressive forces that can exceed the biological self-repair capacity of the tissues.

Contrary to what one might think, the majority of injuries in this sport affect the lower limbs, which account for between 30 per cent and 65 per cent of all injuries at elite level, significantly outnumbering those affecting the shoulder and elbow.

“Among these, knee injuries account for around 10–15 per cent of all cases, and in 60–70 per cent of cases they are linked to repeated microtrauma and progressive wear and tear, rather than to isolated traumatic incidents.”

The analysis for Adnkronos Salute is by Andrea Bernetti, Full Professor of Physical and Rehabilitation Medicine at UniSalento and Secretary-General of Simfer (Italian Society of Physical and Rehabilitation Medicine).

What are the most common overuse injuries? “bTendinopathies stand out, such as patellar tendinopathy (commonly known as ‘jumper’s knee’) and quadriceps tendinopathy, where pain is merely the tip of the iceberg of a complex degenerative process that takes weeks to resolve without triggering relapses.”

Other problems – he continues – may involve the articular cartilage or the menisci ; degenerative damage to these tissues, caused by constant stress and twisting, can, in the most severe cases, be associated with oedema of the subchondral bone , further prolonging recovery times”.

Was the decision to pull out of the US Open the right one? “It highlights the urgency of completing a multimodal, personalised rehabilitation programme, whilst avoiding the stress of high-pressure competition. At this stage,” adds Bernetti, “it is very important to draw up a highly personalised rehabilitation programme tailored to the specific characteristics of each individual athlete.”

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