Patella Tendonitis 

Patellar tendonitis, also called jumper’s knee, is pain in the front of the knee along the band of tissue (the patellar tendon) that connects the kneecap (patella) to the shin bone (tibia).

Cause

The most common activity causing patellar tendonitis is too much jumping. Other repeated activities, such as running, walking, or bicycling may also lead to patellar tendonitis.

All of these activities put repeated stress on the patellar tendon, causing it to become inflamed.

Patellar tendonitis can also happen to people who have problems with the way their hips, legs, knees, or feet are aligned.

This alignment problem can result from having wide hips, being knock-kneed, or having feet with arches that collapse when you walk or run, a condition called overpronation.

Symptoms

  • Pain and tenderness around the patellar tendon
  • Swelling in your knee joint, or swelling where the patellar tendon attaches to the shin bone
  • Pain with jumping, running or walking, especially downhill or downstairs
  • Pain with bending or straightening the leg
  • Tenderness behind the kneecap

Conditions

  • Anterior Cruciate Ligament
  • Bursitis – pes Anserive
  • Cartilage Injuries
  • Degenerative Joint Disease (Osteoarthritis)
  • Iliotibial Band Syndrome
  • Knee Sprains & Strains
  • Lateral Collateral Ligament Injuries
  • Loose Bodies
  • Medial Collateral Ligament (MCL) Injury
  • Meniscus Tears
  • Osgood Schlaater Disease
  • Osteochondritis Dissecans
  • Osteonecrosis of the Knee
  • Patella Tendonitis
  • Patella Tendon Rupture
  • Patellofemoral Pain Syndrome (Runner’s Knee)
  • Posterior Cruciate Ligament Injury (PCL)
  • Quadriceps Tendon Tear
  • Unstable Kneecap

Treatments

  • Anterior Cruciate Ligament Repair (ACL)
  • Arthroscopic Chondroplasty
  • Arthroscopic Meniscus Repair
  • Autologous Chondrocyte Transplantation
  • Bilateral Knee Replacement Surgery
  • Cartilage Transplant
  • Computer-Assisted Total Knee Arthrhoplasty
  • High Tibial Osteotomy
  • JOURNEY II Total Knee Replacement
  • Knee Arthroscopy
  • Lateral Collateral Ligament (LCL) Repair
  • Medial Collateral Ligament (MCL) Repair
  • Meniscus Repair
  • MPFL Reconstruction of the Patella
  • OCE – Repair of the Osteochondritis
  • Partial Knee Replacement
  • Partial Knee Resurfacing
  • Partial Menisectomy
  • Posterior Cruciate Ligament (PCL) Repair
  • Revision Knee Surgery
  • Subchondroplasty
  • Total Knee Replacement ~ VERILAST
  • Total Knee Replacement ~ VISIONAIRE
  • Uni-Compartmental Joint Repair

Conservative Treatments

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Knee conditions and injuries.

Diagnosis

Physical Examination & Patient History

During your first visit, your doctor will talk to you about your symptoms and medical history. During the physical examination, your doctor will check all the structures of your injury, and compare them to your non-injured anatomy.  Most injuries can be diagnosed with a thorough physical examination.

Imaging Tests

Imaging Tests Other tests which may help your doctor confirm your diagnosis include:

X-rays. Although they will not show any injury, x-rays can show whether the injury is associated with a broken bone.

Magnetic resonance imaging (MRI) scan. If your injury requires an MRI, this study is utilized to create a better image of soft tissues injuries. However, an MRI may not be required for your particular injury circumstance and will be ordered based on a thorough examination by your Peninsula Bone & Joint Clinic Orthopedic physician.

Treatment Options

Non-Surgical

In the early stages you should apply ice packs for 20 to 30 minutes every 3 to 4 hours for 2 to 3 days, or until the pain goes away.

Your doctor may prescribe anti-inflammatory medication.

He may also prescribe a band to wear across the patellar tendon, (called an infra-patellar strap) or a special knee brace. The strap or brace will support your patellar tendon, preventing it from becoming overused or painful.

If you have a problem with overpronation of your foot, your doctor may prescribe custom-made arch supports called orthotics.

You will also be given rehabilitation exercises to help you return to your sport or activity.

Also, while you are recovering, you will need to change your sport or activity to one which will not make your condition worse.

Dr.Robert Detch ~ Orthopedic Surgeon

““I am dedicated to improving the lives of my patients and their families. With every orthopedic consult comes the opportunity to restore the important activities in the lives of my patients. Restoring a patient’s musculoskeletal function has such a powerful and dramatic affect on their lives. What I find especially rewarding are the most challenging cases, and especially when patients feel their lives will never be the same and through surgical care, I can give them the life that they want back to them again. As an extension of my service in the US Navy, I am additionally fortunate to have the opportunity to train Orthopaedic Residents in the Operating Room and treat injured and wounded veterans at our local Bay Area ~ VA Palo Alto and VA San Francisco Medical Centers. Remaining active in the restoring of daily activities in the lives of our wounded service members is one of the core focuses of my practice.”

Dr. Robert Detch is a board-certified, orthopedic surgeon treating Shoulder, Elbow, Knee and Hip conditions and specializing in Innovative Treatment Options for Knee & Hip Replacement patients.

Treatment Highlights

Innovative Implant Design

Smith Nephew JOURNEY II BCS knee is a second-generation knee replacement that combines the stability and natural motion of the human knee with new low-friction materials that may extend the life of the implant.

This Implant Technology is one of several innovative implant solutions  provided by Dr. Robert Detch of Peninsula Bone & Joint Clinic.

Dr. Paul Abeyta~ Orthopedic Surgeon

“I believe that excellent outcomes can be achieved with clear communication and treatment plans that are tailored to the individual needs of the patient. I emphasize injury prevention and utilize a multidisciplinary team which includes highly trained physical therapists. Careful diagnostic evaluation, compassionate care, and application of current medical information and surgical technique are all important for returning patients to their pre-injury level of activity.”

Dr. Paul Abeyta is a board-certified, orthopedic and Sports Medicine surgeon treating patients at Peninsula Bone & Joint Clinic in Burlingame, California.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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