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Patellar Tendonitis
Patellar Tendonitis
The patellar tendon connects the kneecap (the patella) to
the shin bone. This is part of the 'extensor mechanism' of
the knee, and together with the quadriceps muscle and the
quadriceps tendon, these structures allow your knee to
straighten out, and provide strength for this motion. The
patellar tendon, like other tendons, is made of tough
string-like bands. These bands are surrounded by a vascular
tissue lining that provides nutrition to the tendon.
What causes patellar tendonitis?
Patellar tendonitis is the condition that arises when the
tendon and the tissues that surround it, become inflamed and
irritated. The patellar tendon plays a pivotal role in the
way you use your legs. It helps your muscles extend your
lower leg so that you can kick a ball, push the pedals on
your bicycle and jump up in the air.
Patellar tendinitis is most common in athletes whose sports
involve frequent jumping — for instance, basketball, soccer
and volleyball players. For this reason, patellar tendinitis
is commonly known as jumper's knee. However, anyone can
suffer from patellar tendinitis, whether a frequent jumper
or not. Also, some patients develop patellar tendonitis
after sustaining an acute injury to the tendon, and not
allowing adequate healing. This type of traumatic patellar
tendonitis is much less common than overuse syndromes.
What are the symptoms of patellar tendonitis?
Patellar tendonitis usually causes pain directly over the
patellar tendon. Your doctor should be able to recreate your
symptoms by placing pressure directly on the inflamed
tendon. The other common symptom of patellar tendonitis is
pain with activities, especially jumping or kneeling. Less
common, but not unusual, is swelling around the tendon
itself.
X-ray tests are usually performed to confirm there is no
problem with the bones around the knee. Occasionally, a bone
spur is seen that can be related to patellar tendonitis. A
MRI is useful in patients with chronic patellar tendonitis
to look for areas of degenerative tendon.
Surgery either includes excision of the affected area of the
tendon or a lateral release where small cuts are made at the
sides of the tendon which take the pressure off the middle
third.
An intensive rehabilitative program is normally advised
following surgery. In particular the use of eccentric
strengthening exercises may help stimulate healing.
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