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The top of the patella attaches to the quadriceps muscle via the quadriceps tendon, [2] the middle to the vastus medialis obliquus and vastus lateralis muscles, and the bottom to the head of the tibia (tibial tuberosity) via the patellar tendon, which is a continuation of the quadriceps femoris tendon. [13]
A knee dislocation is an injury in which there is disruption of the knee joint between the tibia and the femur. [3] [4] Symptoms include pain and instability of the knee. [2] Complications may include injury to an artery, most commonly the popliteal artery behind the knee, or compartment syndrome. [3] [4] [7]
When dislocated, the soft tissue layer that the patella rests in is damaged; the patella is forced out of its groove and back into place. The knee dislocates towards the outside of the leg, leaving the MPFL torn. If the injury to the ligament is left untreated, it may be able to heal on its own, but likely in a loosened or lengthened position.
The bones of the knee are the femur, patella, tibia, and fibula. The fibula is on the lateral side of the knee and the patella has little effect on the medial side of the knee. The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau.
Blood in the soft tissues and knee joint (hemarthrosis) may lead to bruising and a doughy feel of the knee joint. Due to the tibial plateau's proximity to important vascular (i.e. arteries, veins) and neurological (i.e. nerves such as peroneal and tibial) structures, injuries to these may occur upon fracture.
Patellar subluxation syndrome is an injury involving the kneecap. Patellar subluxation is more common than patellar dislocation and is just as disabling. [1] In this condition, the patella repetitively subluxates and places strain on the medial restraints and excessive stress/tension on the patellofemoral joint. Patellar subluxation can be ...
The upper part of the patellar tendon attaches on the lower part of the knee cap, and the lower part of the patella tendon attaches to the tibial tubercle on the front of the tibia. Above the knee cap, the quadriceps muscle via the quadriceps tendon attaches to the top of the knee cap. This structure allows the knee to flex and extend, allowing ...
A patella fracture is a break of the kneecap. [1] Symptoms include pain, swelling, and bruising to the front of the knee. [1] A person may also be unable to walk. [1] ...