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Treatment Options. Recovery and Prognosis. Patellar tendon tears involve the partial or complete rupture of the band of connective tissue that attaches the bottom of the kneecap (patella) to the top of the shinbone (tibia). A tendon is a cord of fibrous tissue that connects muscles to bones.
Most people with complete patellar tendon tears require surgery to regain knee function. Surgical repair involves reattaching the torn tendon to the kneecap. People who require surgery do better if the repair is performed soon after the injury.
Treatment for complete tears is timely surgical repair to optimize the chance of healing. Partial tears with an intact extensor mechanism may be treated with immobilization.
Therapy. A variety of physical therapy techniques can help reduce the symptoms associated with patellar tendinitis, including: Stretching exercises. Regular, steady stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit. Don't bounce during your stretch.
Patellar tendon rupture surgery, while not an emergency, should be performed soon after the injury occurred. This allows for an easier repair before a significant accumulation of scar tissue. Most surgeons perform a direct repair of the tendon if it is torn in the middle.
Diagnosis of patella tendon tear should be made as early as possible to avoid poor functional outcome with a loss of full knee flexion and decreased quadriceps strength. Accurate diagnosis depends on detailed history, physical examination and radiographic examinations.
Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. The stress results in tiny tears in the tendon, which your body attempts to repair. But as the tears in the tendon multiply, they cause pain from inflammation and weakening of the tendon.
Patellar tendon tear: A tear may be small, partial, or complete. A complete tear can be a serious injury that often requires surgery and a recovery of at least four to six months. Kneecap dislocation: This occurs when the kneecap comes completely out of its groove on the femur, usually to the side.
Treatment strategies for patellar tendon tears are personalized based on factors such as the patient's age, activity level, and the severity of the tear. Smaller tears may be treated conservatively, with recommendations for a knee immobilizer and the use of crutches for three to six weeks.
Patellar tendinitis happens when repeated movements (like jumping) gradually weaken the patellar tendon in your knee. Symptoms like pain and stiffness can get worse over time, especially if you push through them to keep playing or training. Rest, over-the-counter pain relievers and physical therapy are the most common treatments.