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The most common signs are: tenderness, the tendon's loss of tone, loss of ability to raise the straight leg and observation of the high-riding patella. Radiographically, patella alta can be detected using the Insall and Salvati method when the patella is shorter than its tendon. Partial tears may be visualized using MRI scans. [4]
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.
Patella, its tendon and tibial tuberosity. The condition is usually seen in athletic individuals typically between 10 and 14 years of age. Following a strain or partial rupture of patellar ligament the patient develops a traction ‘tendinitis’ characterized by pain and point tenderness at the inferior (lower) pole of the patella associated with focal swelling.
Patellar tendinitis, also known as jumper's knee, is an overuse injury of the tendon that straightens the knee. [1] Symptoms include pain in the front of the knee. [1] Typically the pain and tenderness is at the lower part of the kneecap, though the upper part may also be affected. [2] Generally there is no pain when the person is at rest. [2]
High quality MRI images (1.5 T magnet or higher [22]) of the knee can be extremely useful to diagnose injuries to the posterolateral corner and other major structures of the knee. [23] While the standard coronal , sagittal and axial films are useful, thin slice (2 mm ) coronal oblique images should also be obtained when looking for PLC injuries.
Patella fracture. Based on symptom, confirmed with X-rays. [3] A patella fracture is a break of the kneecap. [1] Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] Complications may include injury to the tibia, femur, or knee ligaments. [2]
Frequency. 6 per 100,000 per year [4] A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. [5] Often the knee is partly bent, painful and swollen. [1][2] The patella is also often felt and seen out of place. [1] Complications may include a patella fracture or arthritis.
Medial knee injuries (those to the inside of the knee) are the most common type of knee injury. [1] The medial ligament complex of the knee consists of: [2] This complex is the major stabilizer of the medial knee. Injuries to the medial side of the knee are most commonly isolated to these ligaments. [1][3] A thorough understanding of the ...
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