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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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