Patellar Tendon Rupture
A patellar tendon rupture is a severe injury involving a complete tear or rupture of the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). The patellar tendon plays a crucial role in extending the knee and is essential for activities such as walking, running, and jumping.
Patellar tendon ruptures typically occur due to a sudden and forceful contraction of the quadriceps muscle while the knee is bent, commonly seen during activities involving jumping or landing. Direct trauma to the knee, such as a fall or collision, can also cause the tendon to rupture.
Symptoms of a patellar tendon rupture may include a sudden, sharp pain in the front of the knee, swelling, bruising, difficulty straightening the knee, and a noticeable gap or indentation at the bottom of the kneecap where the tendon has torn.
Most Common Type of Patellar Tendon Ruptures
Patellar tendon ruptures are significant injuries that occur when the tendon that connects the patella (kneecap) to the tibia (shinbone) tears partially or completely. These injuries can vary in severity based on the extent of the tear and associated damage to surrounding structures. Here are some common types of patellar tendon ruptures:
Partial Patellar Tendon Rupture
In a partial patellar tendon rupture, only a portion of the tendon is torn, leaving some attachment intact. This type of injury may cause pain, swelling, and limited knee function, but individuals may still be able to bear weight and perform some activities. Partial tears can sometimes progress to complete ruptures if left untreated or with continued stress on the tendon.
Complete Patellar Tendon Rupture
A complete patellar tendon rupture occurs when the tendon is completely torn, separating the patella from the tibia. This is a severe injury that typically causes significant pain, swelling, and instability in the knee. Individuals with a complete rupture are often unable to bear weight on the affected leg and may have difficulty straightening or bending the knee.
Acute Traumatic Rupture
Acute traumatic patellar tendon ruptures typically occur suddenly during activities that involve explosive jumping, landing, or direct trauma to the knee. These injuries are often associated with a forceful contraction of the quadriceps muscle while the knee is bent, leading to excessive tension on the tendon and subsequent rupture. Acute traumatic ruptures may result in a complete tear of the tendon and require immediate medical attention.
Chronic Degenerative Rupture
Chronic degenerative patellar tendon ruptures develop gradually over time due to repetitive stress, degenerative changes, or underlying tendon pathology. These injuries are more common in individuals with chronic tendinopathy (tendon degeneration) or pre-existing conditions such as patellar tendinosis (also known as jumper's knee). Chronic degenerative ruptures may present with chronic knee pain, weakness, and functional limitations before progressing to a complete tear.
- Christopher S. Raffo, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - James S. Gardiner, MD
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist - John Christoforetti, MD, FAAOS
Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist
Specialized Kneecap Tendon Tear Treatment in Montgomery County, Maryland
Explore personalized care for patellar tendon ruptures at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Our dedicated team of orthopedic specialists offers advanced treatment options tailored to address your specific needs and facilitate optimal healing. Whether you're experiencing pain, weakness, or difficulty with knee movement due to a kneecap tendon tear, we're here to help you find relief and restore functionality. Contact us at (301) 515-0900 or schedule your appointment online.