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Tendinitis of the patellar own ligament ("jumper's knee")

A full range of orthopedic services, from diagnosis to full recovery

Patellar tendinitis is commonly referred to as "jumper's knee" because of the predominant prevalence of this disease among jump athletes. It is an inflammation of the tendon connecting the tibia to the patella.

This is one of the most common injuries in sports. As is typical for most injuries caused by excessive use, patellar tendinitis develops in three stages:
  • the first (mild): the pain is felt only after the activity and does not affect the performance of actions;
  • second (moderate): pain is felt during and after activity;
  • Third (severe): pain during and after activity is more prolonged and may be felt during daily activities.

Symptoms of "jumper's knee":
  • gradual development of symptoms
  • pain immediately under the kneecap, especially in the sitting position
  • pain after activity including running
  • swelling
  • the knee may become stiff after staying in one position
  • limitations in the ability to jump
  • in the final stages pain is felt all the time

Causes:
  • repetitive jumping and muscle contractions
  • weak and non-elastic thigh muscles create a predisposition to this condition


Due to poor blood supply to the tendon, the healing process is very slow, making this damage one of the most difficult to treat.
With age, as a result of overstrain, there is degeneration and weakening of the ligament fibers. Some of the fibers wear out, some are torn, and in the end, the tendon loses its strength. The body tries to somehow restore strength to the tendon and with the help of scar tissue, the tendon thickens. As a result, areas of altered tissue are formed instead of tendon tissue. This condition is called tendinitis or tendinosis. These areas are much weaker than healthy areas and often painful. If you treat it in time and correctly, you can be cured completely.

Treatment of patellar tendinitis

Conservative:
  • applying ice
  • rest
  • taking anti-inflammatory drugs

Physical therapy:
treatment of the "jumper's knee" by shock wave therapy–the course of treatment consists of 4-6 sessions of shock wave therapy lasting 15-20 minutes with an interval of 5-7 days.

Operative:
the end of the tendon sheath is surgically opened to give it more space, and the inflamed tissue is cut off.

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