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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.
Patellar tendon rupture is a tear of the tendon that connects the knee cap (patella) to the tibia. [1] Often there is sudden onset of pain and walking is difficult. [ 1 ] In a complete rupture, the ability to extend that knee is decreased. [ 1 ]
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.
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 ...
These include muscle strains, torn rotator cuffs, patellar tendonitis, and herniated discs. And dropping heavy weights can result in crush injuries.
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 .
The patella is attached to the tendon of the quadriceps femoris muscle, which contracts to extend/straighten the knee. The patella is stabilized by the insertion of the horizontal fibres of vastus medialis and by the prominence of the lateral femoral condyle, which discourages lateral dislocation during flexion. The retinacular fibres of the ...
Quadriceps tendon rupture occurs up to 13.1% of the time, and patellar tendon rupture occurs 6.8% of the time. [46] Foot and Ankle A lisfranc injury is a dislocation or fracture-dislocation injury at the tarsometatarsal joints.