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Also known as a broken kneecap, a patella fracture usually follows a history of trauma and commonly presents with swelling, pain, bruising and inability to both bend and straighten the knee. [5] The pain is worse when trying to stand and the person may be unable to walk. The pain can also be aggravated by prolonged periods of sitting.
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 ...
[1] [2] The patella is also often felt and seen out of place. [1] Complications may include a patella fracture or arthritis. [3] A patellar dislocation typically occurs when the knee is straight and the lower leg is bent outwards when twisting. [1] [2] Occasionally, it occurs when the knee is bent and the patella is struck directly. [1]
It is typically used for injuries requiring stabilization across multiple joints, such as tibial or fibular fractures, severe knee injuries, or post-surgical recovery. It is ensured that the knee remains immobilized in a slightly flexed position, typically around 20-35 degrees, [2] to promote healing while maintaining comfort. Patients with ...
The most common knee problems are: soft tissue inflammation, injury, or osteoarthritis. The mechanism of the knee injury can give a clue of the possible structures that can be injured. For example, applying valgus stress on the knee can cause medial collateral ligament rupture, meanwhile a varus force can cause lateral collateral ligament rupture
The term is considered a misnomer by medical professionals [citation needed] because only a very small minority of victims suffer damage to the kneecap [citation needed]. A review of eighty kneecapping victims found that only two had a fractured kneecap [citation needed]. Some victims have their elbows and ankles shot as well. [1]
The patellar tap is a technique used in an examination of the knee to test for knee effusion or "water-on-the-knee". [1] With the examinee lying on their back, the examiner extends the knee and presses the area above the kneecap with the palm of one hand. This pushes fluid under the kneecap and lifts it.
The knee anatomy provides insight into predicting why certain fracture patterns occur more often than others. The medial plateau is larger and significantly stronger than the lateral plateau. Also, there is a natural valgus or outward angulation alignment to the limb which coupled with the often valgus or outwardly angulating force on impact ...