Gelenk-Klinik

Patella

In patella refers to a plant-specific asymmetric shape of the patella, which initially has no clinical significance. Only when production occurs in the course of life due to a one-sided asymmetrical pressure loading cartilage damage under the rear surface of the patella is the kneecap to the disease process. The decisive factor is the extent of cartilage damage at the time of diagnosis.

The earlier the premature wear of the kneecap is observed and consequently the treatment is initiated, the better the long run will be the result.

In the radiological diagnosis distinguish the patella dysplasia in the Classification of Wieberg (graphically - 4 images)

All these forms have in common is that there is a single-sided loading of the knee cap back surface comes from, what pulls a premature Knorpelverschleiss after themselves.

Patellar syndrome

A common disease in the sport-orthopedic consultation is the so-called patellar syndrome. These are chronic inflammatory changes in the approach of the patellar tendon at the junction to the distal pole of the patella. The chronic inflammation leads to pain, especially knee flexor strain, for example in relation to play tennis and also knee-existing activities.

Thickening of the tendon impressed clinically most pronounced tenderness and swelling and enlargement of the hoffartschen fat body. The treatment is aimed conservative means relieving bandages, injections and physical therapy to a reduction of the inflammatory process from. It is helpful here, too often the high-energy lithotripsy. (Shock treatment).

Only in severe chronic cases, surgical intervention by means Denarvierung and arthroscopic removal of the inflamed tissue is necessary.
If the patellar malalignment syndrome an axis or a lateral deviation of the knee function based on the elimination of the cause leads to long-term symptoms.

Patella alta

In patella alta is defined as a high level of the knee cap which usually result from trauma, traumatic injury to the quadriceps or the patellar tendon is.
Patella alta may be the result of incorrect implantation after knee prosthesis, in which was mostly made too much bone resection in the distal femur.
Therapeutic aim, the normal position of the kneecap to the thigh bone is restored, this is achieved by moving the Tuberosita tibiea distally.

Patella baja

A deep-seated kneecap is often a result of patella fractures or distal from the quadriceps injury or condition after knee prosthesis implantation with excessive resection of bone mass at the head of the tibia and the associated displacement of the kneecap.

Patella tendinitis

Patella tendinitis is a common symptom after severe knee existing activities such as tile or hardwood floor to create equally lengthy forced physical exercise such as tennis and rowing.

Treatment is conservative initially from anti-inflammatory therapy, physical therapy and injection usually cold and relieving bandages (Patella bandage)

Additional therapeutic options are displayed by high-energy Lithothrypsie (high-energy shock wave treatment) were added. For permanent treatment-resistant and conservative of incurable disease is the arthroscopic removal of the tissue