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Knees following ACL reconstruction surgery. A patellar tendon graft was used. Discoloration of the left leg is from swelling that drained from the knee to the shin. The patellar tendon connects the patella (kneecap) to the tibia (shin). The graft is normally taken from the injured knee, but in some circumstances, such as a second operation, the ...
ACL injury used to be a career-ending injury for competitive athletes; however, in recent years ACL reconstruction surgery followed by physical therapy has allowed many athletes to return to their pre-injury level of performance. [62] Long term complications of ACL injury include early onset arthritis of the knee and/or re-tearing the ligament.
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.
A harvested tendon, such as the palmaris tendon [11] from the forearm of the same or opposite elbow, the patellar tendon, hamstring, toe extensor or a donor's tendon , is then woven in a figure-eight pattern through the holes and anchored. [10] The ulnar nerve is usually moved to prevent pain, as scar tissue can apply pressure to the nerve. [11]
The most likely time for the patella to shift laterally is during the first 20–30 degrees of flexion as the quadriceps tighten simultaneously and pull the patella laterally. Beyond 30 degrees, the quadriceps tendon and patellar ligament pull the patella posterior into the groove of the knee joint making lateral dislocation of the patella ...
The patella is a floating sesamoid bone held in place by the quadriceps muscle tendon and patellar tendon ligament. Exercises should strengthen quadriceps muscles such as rectus femoris, vastus intermedius, and vastus lateralis. However, tight and strong lateral quadriceps can be an underlying cause of patellar dislocation.
A post-operative photo of repair of a complete rupture of the ulnar collateral ligament. Note the K-wire to brace the joint. The ulnar collateral ligament is an important stabilizer of the thumb. Thumb instability resulting from disruption of the UCL profoundly impairs the overall function of the involved hand.
Athletes can often resume full activities within 5 to 7 weeks after an isolated sMCL injury. [4] [5] Postoperative Rehabilitation Postoperative rehabilitation protocols for reconstructed or repaired medial knee injuries focus on protecting the ligaments/grafts, managing swelling, reactivating the quadriceps, and establishing range of motion. A ...