Patellar Tendonitis Treatment Hockessin DE

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David T Sowa, MD
(302) 731-2888
4745 Ogletown Stanton Rd
Newark, DE
Business
First State Orthopaedics PA
Specialties
Orthopedics

Data Provided By:
David Lyman Axon, MD
(302) 636-0123
4512 Kirkwood Hwy Ste 300B
Wilmington, DE
Specialties
Orthopedics, Internal Medicine
Gender
Male
Education
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1979
Hospital
Hospital: Riverside Health Care Center, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
Steven M Dellose
(302) 633-3555
1941 Limestone Road
Wilmington, DE
Specialty
Orthopedic Surgery

Data Provided By:
Michael A Poleck, DDS
(302) 999-0111
5501 Kirkwood Hwy
Wilmington, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Peter Fedele Townsend, MD
(302) 633-3248
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1984
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
John Richard Smoluk, MD
PO Box 550
Hockessin, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1968

Data Provided By:
Christopher D Casscells, MD
(302) 832-6222
3505 Silverside Rd Ste 100 Plaza Center
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1981
Hospital
Hospital: St Francis Hosp, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Casscells & Assoc

Data Provided By:
Dr.Paul Kupcha
(302) 633-3555
1941 Limestone Rd # 204
Wilmington, DE
Gender
M
Education
Medical School: Georgetown Univ Sch Of Med
Year of Graduation: 1986
Speciality
Orthopedic Surgeon
General Information
Hospital: Christiana Care -Wilmington, Wilmington, De
Accepting New Patients: Yes
RateMD Rating
3.4, out of 5 based on 6, reviews.

Data Provided By:
Paul Kupcha, MD
(302) 633-3555
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1986
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De; Christiana Hosp, Newark, De
Group Practice: Delaware Orthopaedic Ctr

Data Provided By:
Steven Michael Dellose, MD
(302) 633-3555
1941 Limestone Rd Ste 101
Wilmington, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1996
Hospital
Hospital: Riverside Health Care Center, Wilmington, De
Group Practice: Delaware Orthopeadic Ctr

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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