Patella Tendon Rupture

Patella Tendon Rupture

A patella tendon rupture is a serious injury where the tendon connecting the kneecap (patella) to the shinbone (tibia) tears or ruptures. This tendon is crucial for the ability to straighten the knee, which is essential for walking, running, jumping, and other movements. When this tendon ruptures, the kneecap may move out of place, and the leg can lose its ability to bear weight.

Causes
Sudden injury

This often occurs during activities that involve jumping, heavy lifting, or sudden changes in direction.

Pre-existing conditions

Tendon degeneration due to chronic conditions like tendonitis or long-term corticosteroid use can weaken the tendon, making it more prone to rupture.

Trauma

Direct impact to the knee or a severe fall can also cause this injury.

Symptoms

– Sudden, severe pain: Often accompanied by a popping or tearing sensation.
– Swelling and bruising: Around the knee.
– Inability to straighten the knee: This is a hallmark sign.

– Kneecap displacement: The kneecap may be pulled up toward the thigh, making it appear higher than normal.
– Difficulty walking: The leg may feel unstable, and it might be difficult or impossible to walk.

Diagnosis

– Physical examination: A doctor will check for signs of a tear, such as the inability to straighten the knee and changes in the position of the kneecap.

– Imaging tests: An MRI or ultrasound can confirm the diagnosis and assess the extent of the damage.

Treatment

– Surgical repair: Most cases of patella tendon rupture require surgery to reattach the tendon to the kneecap. This is typically done as soon as possible after the injury.
– Rehabilitation: Post-surgery, physical therapy is crucial for regaining strength, range of motion, and function. Recovery can take several months.

– Immobilization: In less severe cases, or in patients who are not surgical candidates, a brace or cast may be used to immobilize the knee while the tendon heals.

Recovery

– Physical therapy: Begins soon after surgery, focusing on gradually increasing knee mobility and strength.

– Gradual return to activities: It may take 6-12 months before the knee is strong enough for full return to sports or other high-impact activities.

Prognosis

With proper treatment, most people can recover well from a patella tendon rupture, although full recovery of strength and function may take time.

However, some may experience long-term effects like decreased knee strength or stiffness.

If you or someone you know experiences symptoms of a patella tendon rupture, it’s crucial to seek immediate medical attention to prevent further complications and optimize the chances of a full recovery.

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