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X-ray of the knee of a 12-year-old male, with knee effusion extending into the suprapatellar bursa.. In front, there are five bursae: the suprapatellar bursa or recess between the anterior surface of the lower part of the femur and the deep surface of the quadriceps femoris. [2]
X-ray of the knee of a 12-year-old male, showing knee effusion of medium severity, marked by black arrows. It displaces the patella anteriorly and extends into the suprapatellar bursa. An X-ray is useful to verify that there is no break or dislocation when there is a history of trauma. May show signs of osteoarthritis.
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 tibial plateau fracture is a break of the upper part of the tibia (shinbone) that involves the knee joint. [1] This could involve the medial, lateral, central, or bicondylar (medial and lateral). [3] Symptoms include pain, swelling, and a decreased ability to move the knee. [1] People are generally unable to walk. [2]
Damage to the saphenous nerve and its infrapatellar branch is possible during medial knee surgery, potentially causing numbness or pain over the medial knee and leg. [7] As with all surgeries, there is a risk of bleeding, wound problems, deep vein thrombosis , and infection that can complicate the outcome and rehabilitation process.
The most common location of plica tissue is along the medial (inside) side of the knee. The plica can tether the patella to the femur, be located between the femur and patella, or be located along the femoral condyle. If the plica tethers the patella to the femoral condyle, the symptoms may cause it to be mistaken for chondromalacia.
Conservative treatment in primary acute LPD (lateral patellar dislocation) is the therapy of choice. It includes a multimodal approach with behavioural education of the patient, physical therapy, braces, weight reduction and pain medication. [4] Physical therapy especially focuses on muscle strengthening and proprioceptive exercises.
Dial Test (posterolateral rotation test) - The dial test can be performed with a patient lying supine or prone. With the patient supine and the knees flexed 30° off the table, stabilize the thigh and externally rotate the foot. As the foot rotates, watch for external rotation of the tibial tubercle of the affected knee compared to the healthy ...