BACKGROUND Patellar tendinopathy (jumper's knee) is characterized by localized tenderness of the patellar tendon at its origin on the inferior pole of the patella and a characteristic increase in signal intensity on magnetic resonance imaging at this location. However, it is unclear why the lesion typically occurs in this area of the patellar tendon as surface strain gauge studies of the patell...

The aims of the present study were to investigate the ultrasonographic appearance of the patellar ligaments in buffaloes before and after desmotomy. The medial, middle (intermediate) and lateral patellar ligaments, with upward fixation of the patella, were examined ultrasonographically in 12 adult buffaloes before and after medial patellar desmotomy. The results reveal that the ligaments were a...

Arthroscopic reconstruction of the anterior cruciate ligament (ACL) using the middle third of the patellar tendon is an effective method for treating ACL insufficiency. Donor site morbidities are usually mild. This article presents a case of simultaneous patellar fracture and patellar tendon avulsion that occurred 8 weeks after this operation. Such a case has rarely been reported. Theoretically...

BACKGROUND Rotational knee movement after reconstruction of the anterior cruciate ligament has been difficult to quantify. The purpose of this study was to identify in vivo whether a more horizontal placement of the femoral tunnel (in the ten o'clock position rather than in the eleven o'clock position) can restore rotational kinematics, during highly demanding dynamic activities, in a knee in w...

Twenty-four clinically successful, autopsy retrieved porous-coated anatomic total knee arthroplasty (TKA) specimens were evaluated to determine the structure and function of the patellar meniscus. Mean implant duration was 76 months (range: 11-135 months). Histological examination showed the patellar meniscus to be composed of dense fibrous tissue with scattered regions of chronic granulomatous...

Patellar instability has been extensively studied in selected, high-risk cohorts, but the epidemiology in the general population remains unclear. A longitudinal, prospective epidemiological database was used to determine the incidence and demographic risk factors for patellar dislocations presenting to emergency departments of the United States. The National Electronic Injury Surveillance Syste...

INTRODUCTION Locked vertical patellar dislocations are rare and pose a therapeutic challenge. This case is more unusual, as the patient was a known case of recurrent patellar dislocation and presented with an atraumatic locked and vertically rotated patellar dislocation. This type of presentation has never been reported in literature to the best of our knowledge. CASE PRESENTATION A 14-year-o...

In recent years, the medial patellofemoral ligament (MPFL) has been considered as the primary restraint of the medial patellar stabilizers [1]. Clinical reports have revealed that MPFL injury occurs in almost all patients with traumatic patellar dislocation, and attention has been focused on the repair and reconstruction of the MPFL in recurrent patellar dislocation and patellar subluxation [2]...

BACKGROUND Total knee arthroplasty represents a common orthopedic surgical procedure. Achieving proper alignment of its components with the predrilled patellar and tibial peg holes prior to polymerization of the bone cement can be challenging. TECHNIQUE After establishing the femoral, patellar and tibial bone cuts, the cancellous bone around the tibial keel, as well as the peg holes for the p...

Patellar tendon rupture is a catastrophic complication following total knee arthroplasty (TKA). Though revision TKA has been suspected of being a predisposing factor for the occurrence of patellar tendon rupture, there are few reports on patellar tendon rupture after revision TKA. Here, we present a case of acute patellar tendon rupture that occurred after TKA revision. In the patient, the pate...