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Patellar tendon rupture is a tear of the tendon that connects the knee cap (patella) to the tibia. [1] Often there is sudden onset of pain and walking is difficult. [1] In a complete rupture, the ability to extend that knee is decreased. [1] A pop may be felt when it occurs. [2]
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.
Arthrofibrosis can occur after total knee replacement or partial knee replacement, when excessive scar tissue (collagen fibril) deposition occurs in and around the knee. This can be accompanied by shortening of the patellar tendon (patella baja/infera) which can also contribute to limited flexion.
The tendon can be surgically repaired. Afterwards a brace is given that prevents flexion of the knee. Athletes who have had this injury generally return to action in about 9 months to a year. [citation needed]
Tendons and ligaments play an active role in maintain joint stability and controls the limits of joint movements, once injured tendons and ligaments detrimentally impact motor functions. [ 2 ] [ 8 ] Continuous exercise or movement of a musculoskeletal injury can result in chronic inflammation with progression to permanent damage or disability.
A tendon connects muscle to bone, while a ligament connects bone to bone. [1] Injuries are common to this tendon, with tears, either partial or complete, being the most common. If the quadriceps tendon is completely torn, surgery will be required to regain function of the knee. [2] Without the quadriceps tendon, the knee cannot extend.
This angle towards the knee is referred to as the Q angle. The average Q angle for men is 14 degrees and the average for women is 17 degrees. Steps can be taken to reduce this Q angle, such as using orthotics. [24] The relatively wider female hip and widened Q angle may lead to an increased likelihood of ACL tears in women. [25]
Knees following ACL reconstruction surgery. A patellar tendon graft was used. Discoloration of the left leg is from swelling that drained from the knee to the shin. The patellar tendon connects the patella (kneecap) to the tibia (shin). The graft is normally taken from the injured knee, but in some circumstances, such as a second operation, the ...