Patellar tendinitis

Patellar tendinitis

Infobox_Disease
Name = PAGENAME


Caption = MR findings: Thickening of the proximal patellar tendon with high signal in/around the proximal patellar tendon on T2W images.
DiseasesDB = 9704
ICD10 = ICD10|M|76|5|m|70
ICD9 = ICD9|726.64
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = sports
eMedicineTopic = 56
MeshID =

Patellar tendinitis (patellar tendinopathy, also known as jumper's knee), is a relatively common cause of pain in the inferior patellar region in athletes.

Presentation

It begins as inflammation in the patellar tendon where it attaches to the patella and may progress by tearing or degenerating the tendon. Patients present with an ache over the patella tendon.

Causes

It is an overuse injury from repetitive overloading of the extensor mechansism of the knee. The microtears exceed the body's healing mechanism unless the activity is stopped.

The injury occurs in many athletes, but is most common in sports such as Football, Soccer, Volleyball, Track & Field, Freerunning, Parkour, American Football, Netball, Basketball or Badminton which require explosive movements.

Treatment

Early stages may be treated conservatively. Uncommonly it may require surgery to remove myxoid degeneration in the tendon. This is reserved for patients with debilitating pain for 6-12 months despite conservative measures.

References

* [http://uwmsk.org/moodle/mod/resource/view.php?id=383 Jumper's Knee] by Bridget Mikysa, M.D., University of Washington Department of Radiology
*Kaplan, Helms, Dussault, Anderson, and Major Musculoskeletal MRI 2001 .
*cite journal |author=Khan KM, Bonar F, Desmond PM, "et al" |title=Patellar tendinosis (jumper's knee): findings at histopathologic examination, US, and MR imaging. Victorian Institute of Sport Tendon Study Group |journal=Radiology |volume=200 |issue=3 |pages=821–7 |year=1996 |pmid=8756939 |doi= |url=http://radiology.rsnajnls.org/cgi/pmidlookup?view=long&pmid=8756939
*cite journal |author=Kettunen JA, Kvist M, Alanen E, Kujala UM |title=Long-term prognosis for jumper's knee in male athletes. A prospective follow-up study |journal=Am J Sports Med |volume=30 |issue=5 |pages=689–92 |year=2002 |pmid=12239003 |doi= |url=http://ajs.sagepub.com/cgi/pmidlookup?view=long&pmid=12239003

External links

* [http://www.kneeguru.co.uk/KNEEnotes/node/900 The KNEEguru - educational site packed with knee content with sections on patellar problems]
* [http://www.flashmavi.com/injuries_jumpers_knee_information.shtml Jumpers Knee & Acrobatics]


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