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Chronic Patella Injury

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1. Chronic Patella Injury

Chronic Patella Injury Chronic Patella Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Patella Injury Chronic Patella (...) Injury Aka: Chronic Patella Injury From Related Chapters II. Differential Diagnosis: Insidious Patella Injury Extensor mechanism dysfunction Synovial plica inflammation Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chronic Patella Injury." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Knee Disorders About FPnotebook.com is a rapid

2018 FP Notebook

2. Reconstruction of chronic patellar tendon rupture using graft from contralateral patella graft together with reinforcement from flexor tendons. Case report (PubMed)

Reconstruction of chronic patellar tendon rupture using graft from contralateral patella graft together with reinforcement from flexor tendons. Case report Chronic patellar tendon rupture is a rare disabling injury that is technically difficult to repair. The true prevalence of this injury is unknown. Delayed reconstruction of chronic patellar tendon rupture has yielded suboptimal clinical and functional results. Many different surgical methods for reconstruction of chronic patellar tendon (...) injury have been reported. In this report, we present a case with chronic patellar tendon injury that was addressed using a technique that had not previously been described in the literature, through combining procedures that had been described separately. The reconstruction method presented in this article has the advantages of being easy and reproducible, without a requirement of allografts.

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2016 Revista brasileira de ortopedia

3. Overview of sport-related injuries

Overview of sport-related injuries Overview of sport-related injuries - Summary of relevant conditions | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Overview of sport-related injuries Last reviewed: February 2019 Last updated: July 2018 Introduction Sport-related injuries may be generally categorised as acute or chronic; the range of medical conditions potentially resulting from sport- or exercise-related injuries is wide. More than 90% of all sport (...) (suppl 6):2-8. http://www.ncbi.nlm.nih.gov/pubmed/8947416?tool=bestpractice.com Crisco JJ, Jokl P, Heinen GT, et al. A muscle contusion injury model: biomechanics, physiology, and histology. Am J Sports Med. 1994;22:702-710. http://www.ncbi.nlm.nih.gov/pubmed/7810797?tool=bestpractice.com Predisposing factors for muscle sprains and strains and other types of musculoskeletal injury include type of muscle architecture, muscular imbalance, previous injury, fatigue, chronic overload, and inadequate warm

2018 BMJ Best Practice

4. Assessment of knee injury

to 42 days of the injury or onset of symptoms. Chronic knee injuries Chronic knee injuries are due to residual old trauma or surgery, existing degenerative diseases, or previous conditions not resolved within the first 30 to 42 days after the onset. Differentials Patellofemoral joint injuries Anterior cruciate ligament (ACL) injury Medial collateral ligament (MCL) injury and associated valgus instability Posterolateral knee injury and associated varus instability Posterior cruciate ligament (PCL (...) ) injury Meniscal tear Open fracture Referred pain to knee Patella fracture Femoral condyle fracture Tibial plateau fracture Dislocation Infection Contributors Authors Complex Knee & Sports Medicine Surgery The Steadman Clinic Chief Medical Officer Steadman Philippon Research Institute Co-Director Sports Medicine Fellowship Program Director International Scholar Program Vail CO Disclosures RFL is a consultant for and receives royalties from Arthrex, Ossur, and Smith & Nephew. RFL is on the Editorial

2018 BMJ Best Practice

5. Chronic Patella Injury

Chronic Patella Injury Chronic Patella Injury Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Patella Injury Chronic Patella (...) Injury Aka: Chronic Patella Injury From Related Chapters II. Differential Diagnosis: Insidious Patella Injury Extensor mechanism dysfunction Synovial plica inflammation Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chronic Patella Injury." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Knee Disorders About FPnotebook.com is a rapid

2015 FP Notebook

6. Chronic Knee Pain

3 Chronic Knee Pain Variant 5: Adult or child greater than or equal to 5 years of age. Chronic knee pain. Initial knee radiograph demonstrates signs of prior osseous injury (ie, Segond fracture, tibial spine avulsion, etc). Next imaging procedure. Procedure Appropriateness Category Relative Radiation Level MRI knee without IV contrast Usually Appropriate O CT arthrography knee May Be Appropriate ? CT knee without IV contrast May Be Appropriate ? Aspiration knee Usually Not Appropriate Varies CT (...) ) initial radiograph is normal or demonstrates a joint effusion; (3) initial radiograph demonstrates osteochondritis dissecans (OCD), loose bodies or history of cartilage, or meniscal repair; (4) initial radiograph demonstrates osteoarthritis or chondrocalcinosis; and (5) initial radiograph demonstrates signs of prior (chronic) knee injury (ie, Segond fracture, tibial spine avulsion, etc). To evaluate knee pain associated with other conditions, please refer to the following ACR Appropriateness Criteria

2018 American College of Radiology

7. Patella, Fractures

but is related to chronic traction injury. This condition may mimic a stress fracture of the patella, an osteochondral sleeve fracture, or an un-united ossification center. The injury is characterized by a focal area of decreased signal on T1-weighted images and increased signal intensity on gradient-echo or fat-saturated, T2-weighted FSE images. Occult stress or insufficiency fractures are characterized by the presence of a linear band of low signal intensity on images obtained with all sequences (...) modalities (eg, MRI) are more useful than radiographs in fully characterizing the cartilaginous injury associated with an osteochondral patellar fracture and can define radiographically occult fractures. Because a sleeve fracture is in the coronal plane of the patella, this injury may be difficult to diagnose based on plain radiographs. False positives/negatives The differentiation of an acute fracture from a partitioned patella may be difficult on radiographs. Usually, the features of bipartite patella

2014 eMedicine Radiology

8. Management of Anterior Cruciate Ligament Injuries

Management of Anterior Cruciate Ligament Injuries i MANAGEMENT OF ANTERIOR CRUCIATE LIGAMENT INJURIES EVIDENCE- BASED CLINICAL PRACTICE GUIDELINE Adopted by the American Academy of Orthopaedic Surgeons Board of Directors September 5, 2014 This Guideline has been endorsed by the following organizations: ii Disclaimer This Clinical Practice Guideline was developed by an AAOS multidisciplinary volunteer Work Group based on a systematic review of the current scientific and clinical information (...) on the Management of Anterior Cruciate Ligament Injuries. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will see that the recommendations were developed using systematic evidence-based processes designed to combat bias, enhance transparency, and promote reproducibility. This summary of recommendations is not intended to stand alone. Treatment decisions should

2014 American Academy of Orthopaedic Surgeons

9. A Randomized Control Trial: Returning to Run After Injury

in participating in a return to run program. Acceptable lower-extremity injuries can include stress fractures proximal to the ankle, anterior chronic exertional compartment syndrome (CECS), patella-femoral pain syndrome, osteoarthritis of the lower-extremity, iliotibial band syndrome, chronic lower-extremity pain and or any participant that may benefit from the following; shorter stride, increased step rate, reduced knee loading, and reduced ground reaction force average vertical loading rates (AVLR). All (...) A Randomized Control Trial: Returning to Run After Injury A Randomized Control Trial: Returning to Run After Injury - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. A Randomized Control Trial: Returning

2018 Clinical Trials

10. A Study to Compare Five Different Treatment Regimens of CNTX-4975 for Participants With Chronic, Moderate-to-Severe Osteoarthritis Pain

, bursitis, tendonitis, soft tissue tenderness, or subacute/acute pain from injury. Other chronic pain anywhere in the body that requires the use of chronic analgesic medications, including, but not limited to, local painful areas, myofascial pain syndromes, fibromyalgia, genetic, metabolic abnormalities, hematologic, or neuropathic pain. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff (...) A Study to Compare Five Different Treatment Regimens of CNTX-4975 for Participants With Chronic, Moderate-to-Severe Osteoarthritis Pain A Study to Compare Five Different Treatment Regimens of CNTX-4975 for Participants With Chronic, Moderate-to-Severe Osteoarthritis Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning

2018 Clinical Trials

11. Arthroscopic patellar release for treatment of chronic symptomatic patellar tendinopathy: long-term outcome and influential factors in an athletic population. (PubMed)

translates into sustained pain relief over a long-term follow-up in athletes undergoing APR. Furthermore, we analyzed if age influences clinical and functional outcome measures in APR.Between 1998 and 2010, 30 competitive and recreational athletes were treated with APR due to chronic refractory patellar tendinopathy. All data were analyzed retrospectively. Demographic data, such as age or level of performance prior to injury were extracted. Clinical as well as functional outcome measures (Swedish (...) Arthroscopic patellar release for treatment of chronic symptomatic patellar tendinopathy: long-term outcome and influential factors in an athletic population. Arthroscopic patellar release (APR) is utilized for minimally invasive surgical treatment of patellar tendinopathy. Evidence regarding long-term success following the procedure is limited. Also, the influence of age and preoperative performance level, are incompletely understood. The aim of this study was to investigate whether APR

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2017 BMC Musculoskeletal Disorders

12. Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: surgical technique (PubMed)

Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: surgical technique Patellar tendon chronic ruptures are more debated to manage that acute injuries as the patella tends to retract proximally (after 2 weeks), and surrounding soft tissues may make the repair more complicate.We propose a novel technique in which the patellar tendon is reconstructed using ipsilateral hamstring tendons. This surgical procedure implies to drill a single tunnel through (...) the patella and another through the tibia to reduce the risk of bony breakage. In addition, the tendon is secured to the bone, at the tunnel exit points, by periostium sutures without requiring any additional surgery for hardware removal.We assessed 19 patients (16 men and 3 women) who underwent PT reconstruction at an average of 5.8 years (range, 4 to 7.8 years, SD: 3.5) from the index surgery. The mean age at surgery was 46 ± 9.2 years (range, 38-59 years).All patients had a complete tear

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2017 Muscles, ligaments and tendons journal

13. Bilateral Quadriceps Femoris Tendon Rupture in a Patient With Chronic Renal Insufficiency: A Case Report. (PubMed)

and there was minimal tenderness on palpation. He had complete loss of active knee extension. Bilateral patella reflexes were absent. Lower-limb sensation was intact bilaterally and no other neurovascular deficits were elicited. Thompson test was negative and the rest of the clinical examination was unremarkable. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: The inability to walk is a common ED presentation. The differential diagnosis is vast and includes but is not limited to: spinal cord injury, Guillain (...) Bilateral Quadriceps Femoris Tendon Rupture in a Patient With Chronic Renal Insufficiency: A Case Report. Simultaneous bilateral quadriceps femoris tendon rupture is a relatively rare occurrence. As such, patients frequently experience a delay in receiving an accurate diagnosis. It is often associated with significant morbidity and loss of function. We report a case of simultaneous bilateral quadriceps tendon ruptures in a patient with chronic renal insufficiency.A 46-year-old white man

2016 Journal of Emergency Medicine

14. Evaluation and management of knee pain in young athletes: overuse injuries of the knee (PubMed)

Evaluation and management of knee pain in young athletes: overuse injuries of the knee Recurrent or chronic activity related knee pain is common in young athletes. Numerous intrinsic conditions affecting the knee can cause such pain. In addition, knee pain can be referred pain from low back, hip or pelvic pathology. The most common cause of knee pain in young athletes is patellofemoral pain syndrome, or more appropriately termed idiopathic anterior knee pain. Although, numerous anatomical (...) and biomechanical factors have been postulated to contribute the knee pain in young athletes, the most common underlying reason is overuse injury. In this paper, we have reviewed selected conditions that case knee pain in athletes, including anterior knee pain syndrome, Osgood-Schlatter disease, Sinding-Larsen-Johanssen syndrome, juvenile osteochondritis dissecans (JOCD), bipartite patella, plica syndrome, and tendonitis around the knee.

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2017 Translational pediatrics

15. Treatment of Acute and Chronic Ligament and Tendon Injuries With Platelet Rich Plasma

Treatment of Acute and Chronic Ligament and Tendon Injuries With Platelet Rich Plasma Treatment of Acute and Chronic Ligament and Tendon Injuries With Platelet Rich Plasma - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Treatment of Acute and Chronic Ligament and Tendon Injuries With Platelet Rich Plasma The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01406821 Recruitment Status : Completed First Posted : August 1, 2011 Last Update Posted : March 29, 2019 Sponsor: Stanford University Collaborator: New

2011 Clinical Trials

16. Highlights: IOC World Conference on Prevention of Injury and Illness in Sport – Advanced Team Physicians Course

to concerns of longer-term catabolic effects. Some evidence for shock wave but only in calcific tendinosis, particularly Achilles (13). Stronger evidence of no effect for patella tendinosis or other non-calcific tendinosis. Tendonopathy relies on load for improvement – mechanotransduction is the mainstay of treatment.(14) Pharmacology and Injectable Therapies for Acute Sports Injuries NSAIDs- general view that they should be avoided. Further evidence presented about the lack of benefit and potential (...) to be revised and release expected late 2015 #KeepYourEyesPeeled Try the online ECG module or listen to the latest Sports Cardiology Podcast from BJSM The Difficult Ankle Patients with chronic lateral ankle instability combined with retromalleolar pain should be suspected as having a concomitant peroneus brevis tendon injury There is no such thing as a simple ankle sprain – the forces an athlete sustains during a “rolled ankle” are substantial! Listen to the BJSM Podcast on the difficult ankle Respiratory

2015 British Journal of Sports Medicine Blog

17. Electromyostimulation and Strength Walking for Knee Injuries

information, Layout table for eligibility information Ages Eligible for Study: 18 Years to 50 Years (Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: A diagnosis of knee injury (internal derangement of the knee with new effusion, including knee sprain or strains, meniscal tear, cruciate ligamentous tear, and chondral flap or injury); A diagnosis of knee pain that is anterior knee pain, overuse pain, patella-femoral pain, and chronic pain (less than 6 months (...) Electromyostimulation and Strength Walking for Knee Injuries Electromyostimulation and Strength Walking for Knee Injuries - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Electromyostimulation and Strength

2014 Clinical Trials

18. Patellar Injury and Dislocation (Overview)

joint-loading limit that is dependent on his or her unique skeletal and muscular anatomy, combined with his or her unique neuromuscular patterning. As this limit is surpassed, the patient is at risk for either acute injury, such as , or chronic injury, such as patellofemoral pain syndrome. Therefore, the goal of a rehabilitative treatment program must be to guide the patient toward performing functional activities without surpassing his or her optimal joint-loading limit. Therapy techniques need (...) the patella are the stabilizing capsular and ligamentous structures within which the patella lies. Some ligaments of the knee are continuous with the fibrous capsule surrounding the patella. When injuries occur, all structures are simultaneously affected. These ligaments hold the patella in place during static and dynamic phases. The synovial capsule, a separate structure, lies deep to the fibrous capsule and may often be damaged. The regional anatomy of the knee soft tissues is as follows: Anteriorly

2014 eMedicine.com

19. Anterior Cruciate Ligament Injury (Overview)

, or hyperextension, all directly related to contact or collision. The MRI image below shows a ruptured ACL. MRI displaying a ruptured anterior cruciate ligament. When matched for activities, a greater prevalence for ACL injury is found in females compared with males. Approximately 50% of patients with ACL injuries also have . In acute ACL injuries, the lateral meniscus is more commonly torn; in chronic ACL tears, the medial meniscus is more commonly torn. The only study on the prevalence of ACL injuries (...) Anterior Cruciate Ligament Injury (Overview) Anterior Cruciate Ligament Injury: Practice Essentials, Background, Frequency Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk0NDItb3ZlcnZpZXc= processing > Anterior

2014 eMedicine.com

20. Anterior Cruciate Ligament Injury (Diagnosis)

, or hyperextension, all directly related to contact or collision. The MRI image below shows a ruptured ACL. MRI displaying a ruptured anterior cruciate ligament. When matched for activities, a greater prevalence for ACL injury is found in females compared with males. Approximately 50% of patients with ACL injuries also have . In acute ACL injuries, the lateral meniscus is more commonly torn; in chronic ACL tears, the medial meniscus is more commonly torn. The only study on the prevalence of ACL injuries (...) Anterior Cruciate Ligament Injury (Diagnosis) Anterior Cruciate Ligament Injury: Practice Essentials, Background, Frequency Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODk0NDItb3ZlcnZpZXc= processing > Anterior

2014 eMedicine.com

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