BACKGROUND Published data regarding the structure of the quadriceps tendon are diverse. Dissection of the quadriceps muscle group revealed that beside the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis a fifth muscle component- named the tensor vastus intermedius consistently fused into quadriceps tendon. It can be hypothesized that all these elements of the extensor a...

We present a 22-year-old man with osteochondromatosis and osteochondroma involving bilateral patella and patellar tendon with restriction of joint movement and severe arthritis.

The patella is a motorical important part of the feline stifle joint. By gliding proximally and distally inside trochlear groove, its position continually changes during each step mobility. Stifle diseases like patellar luxation, cruciate ligament rupture, or tendon disease as well consecutive surgical interventions may cause dislocation.

The use of arthroscopic techniques for excision of the pre-patellar bursa has become more common in recent years for the treatment of prepatellar bursitis. The current literature includes several case series that report few complications with this technique. We report the case of a 73-year-old male who sustained a low-energy patella tendon rupture 2 months after arthroscopic resection of the pr...

Spontaneous rupture of the triceps tendon is a rare injury, 24 cases having been previously reported in the Literature. Patella cubiti is the rare anomaly of a sesamoid bone in the triceps tendon. We report a combination of the two conditions.

BACKGROUND According to the literature, closing and opening wedge high tibial valgus osteotomies can raise or lower the patella, and diffèrent methods of patella height measurement show similarly conflicting results. Clarification of this was thought to be important because there is much literature describing morbidity secondary to patella alta or patella infera (baja). Effects on tibial slope ...

PURPOSE To assess the Insall-Salvati ratio in normal Indian adults to determine its applicability and the incidence of patella alta and baja in Indian populations. METHODS 800 knees in 200 men and 200 women aged 18 to 50 (mean, 30) years were evaluated using lateral radiographs. The knee was set in semi-flexion (30º) to enable good visualisation of the patellar tendon and its insertion into t...

Opinions differ on the effects of excision of the patella. Good results were reported by Blodgett and Fairchild (1936), by Dobbie and Ryerson (1942) and by Horowitz and Lambert (1946). Indeed Brooke (1937) stated that the function of the knee was better than the normal after removal of the patella, and that the patella was not morphologically an integral part of the quadriceps tendon. These opi...

    Background: Abnormal patellar height is associated with anterior knee pain and several conditions that affect the patellofemoral joint. The aim of this study was to 1) report the incidence of patella alta and patella baja and 2) investigate whether the normal limits of the Insall-Salvati ratio is applicable in adult Middle-Easterners. Methods: A radiographic review of the lateral radiograph...

The purpose of this study was to compare the knee extensor mechanics in persons with and without patella alta. Thirteen subjects with patella alta and 14 subjects with normal patellar position participated in the study. Sagittal and axial MR images of the knee were acquired at 0 degrees , 20 degrees , 40 degrees , and 60 degrees of knee flexion. Measurements of actual moment arm, patellar ligam...