Quadriceps Tendonitis Treatment North Augusta SC

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Mercer T Bridges, MD FACS
618 Bramble Rd
North Augusta, SC
Gender
Male
Education
Medical School: Georgia
Graduation Year: 1963

Data Provided By:
Stephen Bramblett Johnson
(706) 721-1633
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Michael Charles Tucker, MD
(706) 721-2847
937 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1990

Data Provided By:
Styles Leslie Bertrand, MD
(706) 721-2849
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduation Year: 1980
Hospital
Hospital: Medical College Of Georgia Hos, Augusta, Ga
Group Practice: Medical College Of Ga

Data Provided By:
Norman B Chutkan, MD
(706) 721-8573
1120 15th St BP-2109
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1990

Data Provided By:
Thomas Alan Parfenchuck, MD
(706) 722-3401
811 13th St Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1989

Data Provided By:
Samuel Ray Schroerlucke
(706) 721-1801
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
David M Cearley, MD
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx A & M Univ Coll Of Med, College Station Tx 77843
Graduation Year: 1999

Data Provided By:
Douglas Robert Phillips, MD
(706) 722-3401
811 13th St Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1993

Data Provided By:
William Howard Hudson, MD
(404) 722-3401
811 13th St Ste 20
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1974

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Quadriceps Tendonitis

A Patient's Guide to Quadriceps Tendonitis of the Knee

Introduction

Alignment or overuse problems of the knee structures can lead to strain, irritation, and/or injury of the quadriceps muscle and tendon. This produces pain, weakness, and swelling of the knee joint.

These problems can affect people of all ages but the majority of patients with overuse injuries of the knee (and specifically quadriceps tendonitis) are involved in soccer, volleyball, or running activities.

This guide will help you understand

  • how the problem develops
  • how doctors diagnose the condition
  • what treatment options are available

Anatomy

What is the quadriceps muscle/tendon, and what does it do?

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 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 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

How does this problem develop

Quadriceps tendonitis occurs most often as a result of stresses placed on the supporting structures of the knee. Running, jumping, and quick starts and stops 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 quadriceps tendonitis.

Intrinsic (internal) factors such as age, flexibility, and joint laxity are also importan...

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