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The suprapatellar plica dividing the suprapatellar recess; The infrapatellar plica, in front of the anterior cruciate ligament, reaches from the intercondylar notch to the infrapatellar fat pad; The medial patellar plica, located adjacent to the patella's medial facet, runs vertically along the medial joint capsule
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.
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]
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.
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.
Surgery may be tried if other measures fail. [2] This may involve removal of myxoid degeneration in the tendon. This is reserved for people with severe pain for 6–12 months despite conservative measures. Novel treatment modalities targeting the abnormal blood vessel growth which occurs in the condition are currently being investigated.
The current body of evidence suggests if a tourniquet is used in knee replacement surgery, it probably increases the risk of severe side effects and postoperative pain. [30] The evidence did not show any clear benefit on patient function, treatment success or quality of life.
Articular surfaces of femur Articular surfaces of tibia. The knee is a modified hinge joint, a type of synovial joint, which is composed of three functional compartments: the patellofemoral articulation, consisting of the patella, or "kneecap", and the patellar groove on the front of the femur through which it slides; and the medial and lateral tibiofemoral articulations linking the femur, or ...