What is the knee tendon?... To know about knee tendon rupture, it is better to know the tendons first... Tendons are strong strings of fibrous tissue that connect the muscles to the bones... It does, sometimes it is also called the patella... The kneecap is connected to the quadriceps muscles through the tendon... The tendon and the patella make it possible to straighten the **knee** Make... Types of knee tendon ruptures Knee tendon rupture occurs in two ways: partial or complete: - **Partial Rupture**: In this case, the tendon is not completely torn.... This condition is like a rope, some of its strands are worn, but still remains intact.... - **Complete Rupture**: In a complete tear, the tendon is separated from the kneecap, and without this connection, it is not possible to straighten the tendon in most cases. (tendonitis), it usually happens in the middle of the tendon.... **Read more: The best knee specialist in Tehran** Causes of knee tendon rupture ### damage Knee tendon rupture usually requires a very strong force. The most common causes are: - **Fall**: A direct blow to the front of the knee, such as a fall or collision, is one of the most common causes of tears.. Deep cuts are also often associated with this type of injury.. A weak tendon is more prone to tears.. The following factors can lead to tendon weakness: - **Inflammation of the knee tendon (patellar tendonitis)**: Inflammation of the knee tendon, which is called patellar tendonitis, weakens the tendon and may cause small tears... This problem is more common in people who do activities such as running or jumping, and for this reason it is sometimes called "jumper's knee"... - **Corton injection**: Corton injection to treat tendonitis The patella may weaken the tendon and increase the possibility of rupture.... For this reason, doctors usually avoid injecting these drugs around the knee tendon.... - **Chronic diseases**: Diseases that affect high blood flow disorders, such as chronic kidney failure, chronic kidney diseases.. Arthritis, lupus), diabetes, infection, metabolic diseases or the use of steroids can weaken the tendon. Symptoms of knee tendon rupture When a knee tendon ruptures, there is usually a tearing or "popping" sound. Pain and swelling follow, and the person cannot straighten the knee. Other symptoms include: - Indentation under the kneecap at the place of tendon rupture - bruises - Sensitivity to touch - Muscle cramps - Movement of the kneecap to the top of the thigh, because it is no longer connected to the leg bone... - Difficulty walking due to knee instability. medical examination ### Medical history and physical examination An orthopedic doctor, like Dr. Homan Cookby, will first talk about your general health and symptoms and review your medical history. Questions your doctor may ask include: - Have you ever injured the front of the knee? - Do you have patella tendonitis? - Do you have a special disease that may make you prone to knee or tendon damage? - Have you had knee surgery, such as total knee replacement or anterior cruciate ligament reconstruction? After reviewing your symptoms and medical history, your doctor will perform a complete knee exam.. To make an accurate diagnosis, your doctor will test your ability to straighten the knee.. Although this exam may be painful, it is necessary to detect a torn knee tendon... ### Imaging Tests To confirm the diagnosis, your doctor may order imaging tests, such as an X-ray or MRI scan: - **X-ray**: In case of knee tendon rupture, the kneecap is displaced, which is often clearly visible from the side view of the knee in the X-ray image.. To plan the treatment, the doctor takes into account factors such as the type and size of the tear, the level of activity and your age.... ### Non-surgical treatment Very small and partial tears usually respond well to non-surgical treatment, but complete tears almost always require surgery.... - **Immobilization**: Your doctor may recommend a knee splint or brace... Do.... - **Physiotherapy**: After the initial pain and swelling subsides, you can start physical therapy.... Certain exercises can restore your strength, while your doctor may recommend strength and range of motion. slow. increases to strengthen the quadriceps muscles... Over time, the brace loosens so that movement can be done more freely and more strengthening exercises are prescribed.... ### Surgical treatment of knee tendon rupture Most people who have a complete torn knee tendon will need surgery to restore the function of the knee....In surgery, the torn tendon is reattached to the kneecap....Surgery early after the injury has better results and prevents shortening and scarring of the tendon..Reattach the tendon, the doctor places stitches in the tendon and then passes these stitches through the holes created from below to the top of the kneecap... The surgeon removes the stitches. It closes the top of the kneecap carefully so that proper tension is created in the tendon and the position of the kneecap is similar to a healthy knee.... - **alternative technique**: another option is to use a suture anchor.... In this method, the tendon is connected to the knee using small implants called suture anchors and without the need for the knee.. **tip**: to further protect the repair, some surgeons use wires, sutures, or cables to hold the kneecap in place during healing. Tendons are used....These devices may be removed in a subsequent surgery....If the tendon is too short before surgery, the surgeon may use a tissue graft (sometimes a tissue donor or allograft) to increase the length. ... Other possible complications include infection, wound dehiscence, blood clots, or complications from anesthesia.. After surgery, your knee will likely be protected with a splint or, rarely, a long cast. Place yourself on the floor **: able to bear full body weight, but this depends on the type of tear, repair and surgeon's recommendations.... Over time, the brace will loosen to allow for greater range of motion and strengthening exercises will be added to your rehabilitation program... In some cases, the doctor will prescribe an immediate range of motion protocol, which is a more aggressive approach and may not be suitable for all patients.... The doctor and physical therapist will tailor the rehabilitation program based on the type of tear, surgical repair, medical condition, and your needs....Full recovery usually takes about 6 months, but many patients report They say they needed 12 months to reach all of their goals....Most people can return to their previous jobs and activities after recovering from a torn knee tendon....Many people feel stiffness in the injured leg, but most regain about the same range of motion as their healthy leg....If you're an athlete, your surgeon will do a thorough evaluation before you're allowed to return to sports.... It compares performance.. At least the injured leg is 85-90% of the strength of a healthy leg.... In addition to leg strength, the surgeon also evaluates endurance and balance and the presence of swelling.... Consultation with Dr. Homan Kokbi If you see signs of knee tendon rupture, consultation with an experienced orthopedic specialist like Dr. Homan Kokbi in Tehran is necessary.... With accurate diagnosis and a proper treatment plan, you can achieve the best results and restore your knee function.... For an appointment and more information, contact Dr. Kokbi's office or visit the official website...