Patellar Tendonitis Treatment Hastings NE

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John K Pershing, DDS
(402) 462-4173
624 N Minnesota Ave
Hastings, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Charles James Nowacek, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1964
Hospital
Hospital: Mary Lanning Memorial Hospital, Hastings, Ne
Group Practice: Hastings Orthopaedic Assoc

Data Provided By:
Barry Allan Bohlen, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1997

Data Provided By:
Scott L Franssen
(402) 462-4241
223 E 14th St
Hastings, NE
Specialty
Orthopedic Surgery

Data Provided By:
Dennis P McGowan, MD
(308) 237-0889
1215 First Ave
Kearney, NE
Business
Dennis P McGowan MD
Specialties
Orthopedics

Data Provided By:
Stephen Michael Hansen, MD
223 E 4th St
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1999

Data Provided By:
John Gantt Yost, MD
(402) 462-2139
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1978

Data Provided By:
Eugene W Peck, MD
(402) 462-2139
309 N Shore Dr
Hastings, NE
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Gary L Chingren, MD
(402) 462-2139
606 N Minnesota Ave
Hastings, NE
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1975
Hospital
Hospital: Mary Lanning Memorial Hospital, Hastings, Ne
Group Practice: Hastings Orthopaedic Assoc

Data Provided By:
Michael Hugh McGuire, MD
(402) 280-4342
601 N 30th St Ste 2300
Omaha, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1975

Data Provided By:
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Patellar Tendonitis

A Patient's Guide to Patellar Tendonitis

Introduction

Alignment or overuse problems of the knee structures can lead to strain, irritation, and/or injury. This produces pain, weakness, and swelling of the knee joint Patellar tendonitis (also known as jumper's knee) is a common overuse condition associated with running, repeated jumping and landing, and kicking.

This guide will help you understand

  • what parts of the knee are involved
  • how the problem develops
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy

What parts of the knee are involved?

The patella (kneecap) is the moveable bone on the front of the knee. This unique bone is wrapped inside a tendon that connects the large muscles on the front of the thigh, the quadriceps muscles, to the tibia lower leg bone.

The large quadriceps muscle ends in a tendon that inserts into the tibial tubercle, a bony bump at the top of the tibia (shin bone) just below the patella. The tendon together with the patella is called the quadriceps mechanism. Though we think of it as a single device, the quadriceps mechanism has two separate tendons, the quadriceps tendon on top of the patella and the infrapatellar tendon or patellar tendon below the patella.

Tightening up the quadriceps muscles places a pull on the tendons of the quadriceps mechanism. This action causes the knee to straighten. The patella acts like a fulcrum to increase the force of the quadriceps muscles.

The long bones of the femur and the tibia act as level arms, placing force or load on the knee joint and surrounding soft tissues. The amount of load can be quite significant. For example, the joint reaction forces of the lower extremity (including the knee) are two to three times the body weight during walking and up to five times the body weight when running.

Related Document: A Patient's Guide to Knee Anatomy

Causes

What causes this problem?

Patellar tendonitis occurs most often as a result of stresses placed on the supporting structures of the knee. Running, jumping, and repetitive knee flexion into extension (e.g., rising from a deep squat) contribute to this condition. Overuse injuries from sports activities is the most common cause but anyone can be affected, even those who do not participate in sports or recreational activities.

There are extrinsic (outside) factors that are linked with overuse tendon injuries of the knee. These include inappropriate footwear, training errors (frequency, intensity, duration), and surface or ground (hard surface, cement) being used for the sport or event (such as running). Training errors are summed up by the rule of "toos". This refers to training too much, too far, too fast, or too long. Advancing the training schedule forward too quickly is a major cause of patellar tendonitis.

Intrinsic (internal) factors such as age, flexibility, and joint laxity are also important. Malalignment of the foo...

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