Zapalenie ścięgna rzepki
Diagnostyka i diagnoza

Zapalenie ścięgna rzepki (patellar tendinitis), zwane również „kolanem skoczka”, to schorzenie przeciążeniowe o podłożu degeneracyjnym (tendinoza), a nie zapalnym. Diagnoza opiera się przede wszystkim na badaniu klinicznym, w tym szczegółowym wywiadzie i palpacji ścięgna rzepki, gdzie ból lokalizuje się poniżej rzepki. Test szpitala Royal London wykazuje czułość 88% i specyficzność 98%, co czyni go wartościowym narzędziem diagnostycznym. Dodatkowo stosuje się testy prowokacyjne, takie jak objaw Basseta czy test aktywnego czworogłowego w pozycji stojącej. W diagnostyce różnicowej należy uwzględnić chondromalację rzepki, złamania oraz inne patologie kostne. W przypadku wątpliwości lub przewlekłego przebiegu wskazane jest wykonanie badań obrazowych: RTG (projekcje AP, boczne, osiowe), USG (wysoka dokładność w wykrywaniu zmian tendinopatycznych) oraz MRI, które jest szczególnie przydatne w planowaniu leczenia chirurgicznego.

Zapalenie ścięgna rzepki – Diagnostyka

Zapalenie ścięgna rzepki (patellar tendinitis), znane również jako „kolano skoczka” (jumper’s knee), to częsta choroba przeciążeniowa, która dotyka głównie sportowców zaangażowanych w dyscypliny wymagające częstych skoków, takie jak koszykówka czy siatkówka.12 Diagnoza tego schorzenia opiera się głównie na badaniu klinicznym, ale może być potwierdzona za pomocą badań obrazowych.3 Warto zauważyć, że głównym zjawiskiem patofizjologicznym w zapaleniu ścięgna rzepki jest tendinoza, która jest raczej schorzeniem degeneracyjnym niż zapalnym, dlatego inny popularny termin określający tę chorobę – „tendinitis” – nie jest właściwy.4

Badanie fizykalne

Diagnoza zapalenia ścięgna rzepki rozpoczyna się od szczegółowego wywiadu i badania fizykalnego.5 Lekarz przeprowadzi wywiad medyczny, aby zrozumieć czynniki przyczyniające się do rozwoju zapalenia ścięgna rzepki, takie jak aktywność fizyczna i aktualnie przyjmowane leki.6 Następnie przeprowadzi badanie fizykalne, aby ocenić objawy przedmiotowe i podmiotowe.7

Podczas badania lekarz uciska różne części kolana, aby określić lokalizację bólu. Zazwyczaj ból związany z zapaleniem ścięgna rzepki jest zlokalizowany w przedniej części kolana, tuż poniżej rzepki.89 Charakterystyczne cechy zapalenia ścięgna rzepki obejmują zlokalizowany obrzęk wzdłuż ścięgna rzepki z tkliwością przy palpacji.10

Lekarz może również poprosić pacjenta o delikatne poruszanie kolanem w różnych kierunkach, aby ocenić zakres ruchu.11 W niektórych przypadkach lekarz może przeprowadzić testy prowokacyjne, aby potwierdzić obecność urazu.12

Specjalistyczne testy kliniczne

Istnieją specjalistyczne testy kliniczne, które mogą pomóc w diagnozie zapalenia ścięgna rzepki. Dwa popularne testy to:

  • Test szpitala Royal London (Royal London Hospital Test) – wykazuje dobrą czułość na poziomie 88% i specyficzność 98% w diagnozowaniu zapalenia ścięgna rzepki. Aby przeprowadzić ten test, pacjent leży na plecach, a ścięgno rzepki jest badane palpacyjnie w poszukiwaniu miejscowej tkliwości od góry do dołu, podczas gdy kolano jest wyprostowane. Gdy tylko zostanie wywołana miejscowa tkliwość, bolesna część ścięgna jest ponownie badana palpacyjnie, ale teraz z kolanem zgiętym do 90 stopni, co powoduje napięcie ścięgna. Test jest uważany za pozytywny, jeśli ból jest znacznie zmniejszony lub nieobecny przy zgięciu kolana.1314
  • Objaw Basseta (Basset’s sign) – tkliwość przy palpacji dolnego bieguna rzepki w pełnym wyproście.15
  • Znak biernego wyprostu/zgięcia (Passive Extension/Flexion Sign) – podczas gdy pacjent leży na stole do badań, lekarz zgina kolano do kąta 90 stopni, a następnie wywiera nacisk na ścięgno rzepki.16
  • Test aktywnego czworogłowego w pozycji stojącej (Standing Active Quadriceps Sign) – gdy pacjent stoi normalnie, lekarz bada palpacyjnie całą długość ścięgna rzepki. Następnie pacjent jest proszony o przeniesienie całego swojego ciężaru na bolesne kolano i zgięcie go pod kątem 30 stopni.17

Skala bólu Visual Analog Pain Scale wykazała statystycznie znaczące zmniejszenie bólu przy zgięciu lub skurczu mięśnia czworogłowego uda (P0.0001).18

Badania obrazowe

Gdy badanie kliniczne nie daje jednoznacznej diagnozy lub gdy konieczne jest wykluczenie innych przyczyn bólu kolana, lekarz może zalecić badania obrazowe:

  • Zdjęcie rentgenowskie (RTG) – pomaga wykluczyć inne problemy z kośćmi, które mogą powodować ból kolana, takie jak złamania, zwapnienia, wydłużenie rzepki czy obecność ostrogi trakcyjnej w dolnej części.192021 Zalecane projekcje to AP, boczne i osiowe (skyline) kolana.22
  • Ultrasonografia (USG) – wykorzystuje fale dźwiękowe do utworzenia obrazu kolana, ujawniając uszkodzenia ścięgna rzepki.2324 USG jest szczególnie skuteczna w identyfikacji charakterystycznych zmian związanych z zapaleniem ścięgna rzepki, takich jak pogrubienie ścięgna, obszary hipoechogeniczne i neowaskularyzacja.25 Badania wykazały, że ultrasonografia ma wysoką dokładność diagnostyczną w przypadku zapalenia ścięgna rzepki.26 Cook i wsp. (2001) ocenili ważność palpacji ścięgna w diagnozie tego schorzenia i zgłosili czułość 68% i niską specyficzność 9% w porównaniu z widocznymi zmianami tendinopatycznymi w badaniu USG.27
  • Rezonans magnetyczny (MRI) – wykorzystuje pole magnetyczne i fale radiowe do tworzenia szczegółowych obrazów, które mogą ujawnić subtelne zmiany w ścięgnie rzepki.2829 MRI może pokazać zwiększony sygnał w tylnej proksymalnej części ścięgna i pogrubienie ścięgna.30 Typowe zmiany w MRI to zwiększona intensywność sygnału i pogrubienie ścięgna.31 MRI jest wskazane w przypadkach przewlekłych oraz do planowania chirurgicznego.32

Warto zauważyć, że badania obrazowe pomagają w postawieniu dokładnej diagnozy, ale diagnoza zapalenia ścięgna rzepki pozostaje kliniczna, ponieważ bezobjawowa patologia ścięgna może istnieć u osób, które mają ból z innych źródeł w przedniej części kolana.33

Kwestionariusze oceny

W przypadku sportowców, Journal of Physiotherapy stwierdza, że można wypełnić kwestionariusz VISA-P (Victorian Institute of Sports Assessment for the Patellar tendon) jako punkt wyjścia do monitorowania bólu i funkcji. Ten krótki kwestionariusz ocenia objawy i testuje zdolność do uczestnictwa w sportach.34

Rozpoznanie różnicowe

Podczas diagnozowania zapalenia ścięgna rzepki ważne jest różnicowanie tego schorzenia od innych podobnych chorób.35 Niektóre stany, które mogą dawać podobne objawy, to:

  • Chondromalacja rzepki – w tym przypadku ból jest zlokalizowany bezpośrednio za rzepką, a nie poniżej niej jak w przypadku zapalenia ścięgna rzepki.3637
  • Złamania rzepki38
  • Inne problemy z kośćmi wokół kolana39

Klasyfikacja zaawansowania choroby

Lekarze zwykle nie dzielą zespołu wierzchołka rzepki na różne stadia, ale istnieje czterostopniowa klasyfikacja, która pomaga pacjentom lepiej zrozumieć obraz kliniczny:40

  • Początkowo ból jest zwykle odczuwany tylko po uprawianiu sportu.41
  • W dalszym przebiegu pacjent rozwija „ból startowy” i odczuwa ból podczas ćwiczeń, a nawet podczas codziennych czynności, takich jak wchodzenie po schodach lub po długim siedzeniu.42

Typowy jest przetrwały charakter objawów. Często jest to przewlekły obraz kliniczny, który utrzymuje się przez wiele miesięcy, a nawet lat.43

Informacje uzyskane z wywiadu z pacjentem, klinicznego badania fizykalnego i obrazowania pozwalają na klasyfikację zapalenia ścięgna rzepki do 5 stadiów. Poziom stadium koreluje z ciężkością choroby i determinuje dalszy przebieg terapii.44

Kiedy szukać pomocy medycznej

Ważne jest, aby nie ignorować utrzymującego się bólu lub dyskomfortu w kolanie. Wczesne rozpoznanie zapalenia ścięgna rzepki oznacza, że stan będzie łatwiejszy i szybszy do leczenia, zmniejszając ryzyko poważnego urazu.45

Należy natychmiast szukać pomocy medycznej, dzwoniąc pod numer 111, jeśli doświadczysz urazu/urazu kolana z:46

  • Nagłym odczuciem pęknięcia/trzasku47
  • Silnym bólem/obrzękiem48
  • Niemożnością wyprostowania kolana49

Należy skontaktować się z lekarzem, jeśli:50

  • Ból nie ustępuje lub się nasila51
  • Ból przeszkadza w wykonywaniu rutynowych codziennych czynności52
  • Występuje obrzęk lub zaczerwienienie wokół stawu5354

Jeśli po zastosowaniu powyższych porad objawy nie ustąpiły w ciągu 6-12 tygodni, korzystne może być skierowanie do fizjoterapeuty.55

Znaczenie dokładnej diagnozy

Ponieważ większość przypadków zapalenia ścięgna rzepki nie jest zaawansowana, a zatem nie można jej zdiagnozować za pomocą rezonansu magnetycznego, lekarze ogólni, a nawet chirurdzy ortopedzi mogą czasami nie rozpoznać tego powszechnego problemu.56

Należy pamiętać, że jeśli kolano jest badane pod kątem proksymalnej tkliwości ścięgna rzepki przy niewłaściwym kącie zgięcia stawu i/lub przy nieprawidłowym ułożeniu rzepki, może nie wystąpić tkliwość i diagnoza może zostać pominięta.57

Dokładna diagnoza jest ważna dla powodzenia leczenia.58 Wczesna diagnoza oznacza, że stan będzie łatwiejszy i szybszy do leczenia.59

Pamiętaj, że schorzenie może się pogorszyć bez leczenia, dlatego najlepiej jest poddać ból kolana diagnozie medycznej, abyś mógł otrzymać odpowiednie leczenie.60

Rozpoznanie – kodowanie ICD-10

W klasyfikacji ICD-10 zapalenie ścięgna rzepki ma następujące kody:61

  • M76.50 – Zapalenie ścięgna rzepki, nieokreślone kolano62
  • M76.51 – Zapalenie ścięgna rzepki, prawe kolano63
  • M76.52 – Zapalenie ścięgna rzepki, lewe kolano64

Te kody są używane do wskazania diagnozy dla celów refundacji.65

Pytania do lekarza

Podczas wizyty u lekarza warto zadać następujące pytania:66

  • Czy potrzebuję jakichś badań?67
  • Jakie leczenie będzie mi potrzebne?68
  • Co mogę zrobić, aby pomóc mojemu organizmowi w leczeniu?69
  • Kiedy mogę wznowić treningi lub inne aktywności fizyczne?70

Podsumowując, zapalenie ścięgna rzepki jest diagnozowane głównie na podstawie badania klinicznego, ale może być potwierdzone za pomocą badań obrazowych, takich jak USG i MRI. Wczesna i dokładna diagnoza jest kluczowa dla skutecznego leczenia tego schorzenia.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Patellar tendinitis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113
    Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping such as basketball and volleyball. […] For most people, treatment of patellar tendinitis begins with physical therapy to stretch and strengthen the muscles around the knee. […] Call your doctor if your pain: […] Continues or worsens […] Interferes with your ability to perform routine daily activities […] Is associated with swelling or redness about the joint. […] Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. […] The stress results in tiny tears in the tendon, which your body attempts to repair. […] If you try to work through your pain, ignoring your body’s warning signs, you could cause increasingly larger tears in the patellar tendon.
  • #2 Patellar tendonitis: Diagnosis & therapy | medi
    https://www.medi.de/en/diagnosis-treatment/knee-pain/patellar-tendinopathy/
    Patellar tendonitis (jumpers knee) develops when the patellar tendon is irritated by unusual or severe tensile stress. […] Patellar tendonitis is also widespread among runners, which is why it also called jumper’s knee or runner’s knee. […] The pain is felt around the tip of the kneecap. […] Doctors do not normally divide the patella tip syndrome into different stages. This four-part classification helps patients understand the clinical picture better. […] Initially, the pain is usually only felt after sports. […] In the further course, the patient develops „start-up” pain and feels pain during exercise, or even during everyday activities such as climbing stairs or after sitting for long periods. […] The persistent character of the symptoms is typical. It is often a chronic clinical picture that persists for many months or even years.
  • #3 Patellar tendinopathy – UpToDate
    https://www.uptodate.com/contents/patellar-tendinopathy
    Patellar tendinopathy is a common condition that can develop in active individuals, notably athletes involved in jumping and running sports. […] The presentation, diagnosis, and management of patellar tendinopathy are reviewed here. […] Diagnostic imaging includes approaches such as ultrasound and magnetic resonance imaging. […] The diagnosis of patellar tendinopathy is based on clinical presentation and physical examination findings.
  • #4 Patellar Tendinopathy: Diagnosis and Treatment – PubMed
    https://pubmed.ncbi.nlm.nih.gov/27855131/
    Patellar tendinopathy is a common cause of pain in athletes’ knees. […] The main pathophysiologic phenomenon in patellar tendinopathy is tendinosis, which is a degenerative disorder rather than an inflammatory disorder; therefore, the other popular term for this disease, tendinitis, is not appropriate. […] The nonsurgical treatment of patellar tendinopathy is focused on eccentric exercises and often has good results. […] Surgical treatment is indicated for cases that are refractory to nonsurgical treatment.
  • #5 PATELLAR TENDINOPATHY: SYMPTOMS, DIAGNOSIS, AND TREATMENT | Mya Care
    https://myacare.com/blog/patellar-tendinopathy-symptoms-diagnosis-and-treatment
    Patellar tendinopathy or patellar tendinitis is an inflammatory condition that affects your patellar tendon. […] Your doctor must evaluate your medical history to determine any factors contributing to your patellar tendinopathy, such as your physical activity and current medication, among other factors. […] They also perform a physical exam to assess the signs and symptoms. Your doctor will press along your knee to find the source of your pain. […] Your doctor may also order different imaging tests to examine your kneecap and tendon. […] An X-ray can help rule out the possibility of a kneecap fracture or other bone problems. […] MRIs offer a clear view of your tendon to assess any damage or abnormalities. […] An ultrasound allows your doctor to examine your tendons for soft tissue damage, such as tears.
  • #6 PATELLAR TENDINOPATHY: SYMPTOMS, DIAGNOSIS, AND TREATMENT | Mya Care
    https://myacare.com/blog/patellar-tendinopathy-symptoms-diagnosis-and-treatment
    Patellar tendinopathy or patellar tendinitis is an inflammatory condition that affects your patellar tendon. […] Your doctor must evaluate your medical history to determine any factors contributing to your patellar tendinopathy, such as your physical activity and current medication, among other factors. […] They also perform a physical exam to assess the signs and symptoms. Your doctor will press along your knee to find the source of your pain. […] Your doctor may also order different imaging tests to examine your kneecap and tendon. […] An X-ray can help rule out the possibility of a kneecap fracture or other bone problems. […] MRIs offer a clear view of your tendon to assess any damage or abnormalities. […] An ultrasound allows your doctor to examine your tendons for soft tissue damage, such as tears.
  • #7 PATELLAR TENDINOPATHY: SYMPTOMS, DIAGNOSIS, AND TREATMENT | Mya Care
    https://myacare.com/blog/patellar-tendinopathy-symptoms-diagnosis-and-treatment
    Patellar tendinopathy or patellar tendinitis is an inflammatory condition that affects your patellar tendon. […] Your doctor must evaluate your medical history to determine any factors contributing to your patellar tendinopathy, such as your physical activity and current medication, among other factors. […] They also perform a physical exam to assess the signs and symptoms. Your doctor will press along your knee to find the source of your pain. […] Your doctor may also order different imaging tests to examine your kneecap and tendon. […] An X-ray can help rule out the possibility of a kneecap fracture or other bone problems. […] MRIs offer a clear view of your tendon to assess any damage or abnormalities. […] An ultrasound allows your doctor to examine your tendons for soft tissue damage, such as tears.
  • #8 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #9 Patellar tendinitis // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/patellar-tendinitis
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] Ultrasound. This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon.
  • #10 Patellar Tendonitis – Rheumatology Advisor
    https://www.rheumatologyadvisor.com/ddi/patellar-tendonitis/
    Patellar tendonitis presents with a history of activity-related anterior knee pain. Symptoms initially appear after sports activity, particularly sports involving jumping. Diagnosis mainly relies on thorough patient history and physical examination. Detailed information regarding sport, position played, level of performance, and practice and competition schedule should be obtained. Examination should include the entire lower extremity to identify related findings in the hip, knee, foot, or ankle. Typical findings at the knee include localized swelling overlying the patellar tendon with tenderness on palpation. Distinguishing features of patellar tendonitis at the knee include localized swelling on the patellar tendon with tenderness on palpation, Bassets sign of reduced tenderness upon palpation in the flexed position, and standing active quadriceps sign showing significant reduction in tenderness to palpation of the contracted quadriceps muscle. Diagnosis of patellar tendonitis is based on a detailed history and physical examination. Finally, as it pertains to imaging techniques, X-ray can reveal calcification, elongation of patella, and inferior traction spur, MRI findings may show increased signal in the posterior proximal tendon and tendon thickening, and if MRI is not an option ultrasonography can distinguish intratendinous lesions. […] Surgical options for patellar tendonitis are required in 10% of patients who experience partial tendon tear and pain stage 3. This can be executed with either open surgery or arthroscopic surgery.
  • #11 What is Patellar Tendonitis? Symptoms, Causes, Diagnosis & Physiotherapy Treatment of Patellar Tendonitis…. – CB Physiotherapy
    https://cbphysiotherapy.in/condition/patellar-tendonitis
    Diagnosis Of Patellar Tendonitis. […] Physical examination includes evaluation of the symptoms. Palpation of the patellar tendon knee to check where it hurts. In case of patellar tendonitis, pain occurs on the front part of the knee, just below the kneecap. Pressure is applied to the parts of the knee to determine where it hurts. To evaluate the range of motion patient is asked to gently move the knee in different directions, and the results are recorded. […] X-ray is used to rule out the other causes of pain around the kneecap. It can help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of the knee, revealing tears in the patellar tendon. It can be used to observe structural damage to the patellar tendon. […] Magnetic resonance imaging (MRI) uses a magnetic field and radio waves that create detailed images of the subtle changes in the patellar tendon.
  • #12 Boston Sports | Patellar Tendonitis
    https://bostonsportsandbiologics.com/conditions/knee/patellar-tedinopathy
    Patellar tendinopathy is a common overuse injury affecting the patellar tendon, which connects the knee cap to the shin bone, and helps straighten the knee. […] The clinical symptoms of patellar tendinopathy, also known as patellar tendinosis, include: […] Diagnosis is based on detailed history, physical examination, and imaging. During the physical examination, a series of provocative tests may be utilized to further determine presence of injury. […] Advanced imaging may be required to confirm diagnosis and determine the extent of tendon involvement, including: […] Ultrasonography is particularly effective in identifying characteristic changes associated with patellar tendinopathy, such as tendon thickening, hypoechoic areas, and neovascularization. Studies have shown that ultrasonography has a high diagnostic accuracy for patellar tendinopathy. […] MRI can also be used to confirm the diagnosis, showing characteristic changes such as increased signal intensity and tendon thickening.
  • #13 Royal London Hospital Test Knee | Patellar Tendinopathy Exam
    https://www.physiotutors.com/wiki/royal-london-hospital-test-knee/
    Patellar Tendinopathy is one entity of anterior knee pain syndromes and is a frequently encountered clinical picture in those who do jumping sports such as volleyball, basketball, or track, and field running. […] Cook et al (2001) evaluated the validity of tendon palpation in the diagnosis of the condition and reported a sensitivity of 68% and low specificity of 9% when comparing to visible tendinopathic lesions on Ultrasound. […] Maffulli et al. (2017) who previously had proposed the Royal London Hospital Test for Achilles tendinopathy now examined a similar test to diagnose patellar tendinopathy and compared it to manual palpation as well. They found a sensitivity of 88 and a specificity of 98% for the royal London hospital test in their small sample of 30 patients. […] To conduct the test, the patient lies in supine and the patella tendon is palpated for local tenderness from proximal to distal while the knee is extended. Once local tenderness is elicited, the tender portion of the tendon is again palpated but now with the knee bent to 90, which places the tendon under tension. […] The test is considered positive if the pain is markedly reduced or absent in knee flexion. The reason why symptoms decrease with the tendon under tension is unknown. […] Common orthopedic tests to assess for patellar tendinopathy are: Patellar Tendon Palpation.
  • #14 Patellar Tendinopathy / Jumper’s Knee | Diagnosis & Treatment
    https://www.physiotutors.com/conditions/patellar-tendinopathy/
    Patellar tendinopathy is one of the most common sources of anterior knee pain and is most prevalent in young jumping men between 15 and 30 years of age. […] A useful test to confirm patellar tendinopathy is the Royal London hospital test, which has a good sensitivity of 88% and a specificity of 98% to differentiate patients with patellar tendinopathy from other sources of anterior knee pain. […] The hallmark sign of patellar tendinopathy is pain when sitting with a bent knee like when sitting in the car for a prolonged time. […] In the case of the patellar tendon, you have to specifically ask for an increase in volume, intensity, or frequency of jumping that has led to the onset of symptoms. […] Like with every tendinopathy you are looking for an increase in pain with an increase in load on the patellar tendon. […] Another common orthopedic test for patellar tendinopathy is Patellar Tendon Palpation.
  • #15
    https://www.orthobullets.com/knee-and-sports/3015/patellar-tendinitis
    Patellar tendinitis is tendinopathy of the patellar tendon associated with activity-related anterior knee pain. […] Diagnosis is primarily made clinically with tenderness to palpation at the distal pole of patella in full extension. […] Basset’s sign: tenderness to palpation at distal pole of patella in full extension. […] Imaging: Radiographs recommended views: AP, lateral, skyline views of knee. […] MRI indications: chronic cases, surgical planning. […] MRI findings: tendon thickening, more diagnostic than presence of edema. […] Cortisone injections are contraindicated due to risk of patellar tendon rupture. […] Surgical excision and suture repair as needed: indications include Blazina Stage III disease, chronic pain and dysfunction not amendable to conservative treatment.
  • #16 Patellar Tendinitis: Symptoms, Causes, Diagnosis & Treatments
    https://m.aidyourtendon.com/tendinitis-injuries/knee-tendonitis/patella-tendonitis.php
    Patellar tendinitis refers to pain and inflammation of the patellar tendon in the kneecap […] A visit to your doctor is the best way to know if you have patellar tendonitis. To properly diagnose your knee pain your doctor will ask about your medical history, your current condition and symptoms. They will ask your about the intensity of your present pain, how long you’ve had these symptoms and the limitations you’re experiencing. Details about what you think may have caused the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury. […] There are 2 tests your doctor may perform to decide if you have a patellar tendon injury: 'Passive Extension / Flexion Sign’ – While you lay down on the examination table doctor will bend your knee to a 90 degree angle and then will apply pressure to the patellar tendon. 'Standing Active Quadriceps Sign’ – While you stand normally your doctor will feel along the length of the patellar tendon. Then you’ll be asked put all of your weight on your sore knee and bend your knee 30 degrees.
  • #17 Patellar Tendinitis: Symptoms, Causes, Diagnosis & Treatments
    https://m.aidyourtendon.com/tendinitis-injuries/knee-tendonitis/patella-tendonitis.php
    Patellar tendinitis refers to pain and inflammation of the patellar tendon in the kneecap […] A visit to your doctor is the best way to know if you have patellar tendonitis. To properly diagnose your knee pain your doctor will ask about your medical history, your current condition and symptoms. They will ask your about the intensity of your present pain, how long you’ve had these symptoms and the limitations you’re experiencing. Details about what you think may have caused the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury. […] There are 2 tests your doctor may perform to decide if you have a patellar tendon injury: 'Passive Extension / Flexion Sign’ – While you lay down on the examination table doctor will bend your knee to a 90 degree angle and then will apply pressure to the patellar tendon. 'Standing Active Quadriceps Sign’ – While you stand normally your doctor will feel along the length of the patellar tendon. Then you’ll be asked put all of your weight on your sore knee and bend your knee 30 degrees.
  • #18 Clinical signs and anatomical correlation of patellar tendinitis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC2947732/
    Patellar tendinitis is one of the several differential diagnosis of anterior knee pain. The clinical diagnosis of patellar tendinitis is based on tenderness to palpation at the inferior pole of the patella. […] The accuracy of two clinical signs was assessed by a two-stage study which included physical examination, MRI and a cadaveric study. […] The purpose of this paper is to assess the two clinical signs used routinely at our clinic for patellar tendinitis. […] In both these tests, the patient should note a marked reduction of tenderness to palpation when the knee is flexed or the quadriceps contract, in order to confirm the diagnosis of patellar tendinitis. […] The visual analog pain scale showed statistical significant reduction of pain with flexion or quadriceps contraction (P0.0001). […] The signs discussed in this paper meet these criteria and we suggest using them routinely in the clinical assessment of anterior knee pain.
  • #19 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #20 Patella Tendonitis (“Jumper’s Knee”) – The Foot and Ankle Clinic
    https://www.thefootandankleclinic.com.au/condition/patella-tendonitis-jumpers-knee/
    Patellar tendinopathy (or as it is commonly known patellar tendonitis or tendinitis) is an overuse injury affecting your knee. It is the result of your patella tendon being overstressed. […] Diagnosis of Patella Tendonitis During the exam, your Podiatrist may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Imaging tests Your Podiatrist may request one or more of the following imaging tests: X-rays. X-rays help to exclude other bone problems that can cause knee pain. Ultrasound. This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] At the Foot and Ankle Clinic our highly qualified team of Podiatrists are all members of the Australian Podiatry Association and offer a combined 50 years’ experience. They are trained to diagnose and effectively treat Patellar Tendinopathy via a range of proven treatments.
  • #21 Patellar Tendonitis – Rheumatology Advisor
    https://www.rheumatologyadvisor.com/ddi/patellar-tendonitis/
    Patellar tendonitis presents with a history of activity-related anterior knee pain. Symptoms initially appear after sports activity, particularly sports involving jumping. Diagnosis mainly relies on thorough patient history and physical examination. Detailed information regarding sport, position played, level of performance, and practice and competition schedule should be obtained. Examination should include the entire lower extremity to identify related findings in the hip, knee, foot, or ankle. Typical findings at the knee include localized swelling overlying the patellar tendon with tenderness on palpation. Distinguishing features of patellar tendonitis at the knee include localized swelling on the patellar tendon with tenderness on palpation, Bassets sign of reduced tenderness upon palpation in the flexed position, and standing active quadriceps sign showing significant reduction in tenderness to palpation of the contracted quadriceps muscle. Diagnosis of patellar tendonitis is based on a detailed history and physical examination. Finally, as it pertains to imaging techniques, X-ray can reveal calcification, elongation of patella, and inferior traction spur, MRI findings may show increased signal in the posterior proximal tendon and tendon thickening, and if MRI is not an option ultrasonography can distinguish intratendinous lesions. […] Surgical options for patellar tendonitis are required in 10% of patients who experience partial tendon tear and pain stage 3. This can be executed with either open surgery or arthroscopic surgery.
  • #22
    https://www.orthobullets.com/knee-and-sports/3015/patellar-tendinitis
    Patellar tendinitis is tendinopathy of the patellar tendon associated with activity-related anterior knee pain. […] Diagnosis is primarily made clinically with tenderness to palpation at the distal pole of patella in full extension. […] Basset’s sign: tenderness to palpation at distal pole of patella in full extension. […] Imaging: Radiographs recommended views: AP, lateral, skyline views of knee. […] MRI indications: chronic cases, surgical planning. […] MRI findings: tendon thickening, more diagnostic than presence of edema. […] Cortisone injections are contraindicated due to risk of patellar tendon rupture. […] Surgical excision and suture repair as needed: indications include Blazina Stage III disease, chronic pain and dysfunction not amendable to conservative treatment.
  • #23 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #24 Patella Tendonitis (“Jumper’s Knee”) – The Foot and Ankle Clinic
    https://www.thefootandankleclinic.com.au/condition/patella-tendonitis-jumpers-knee/
    Patellar tendinopathy (or as it is commonly known patellar tendonitis or tendinitis) is an overuse injury affecting your knee. It is the result of your patella tendon being overstressed. […] Diagnosis of Patella Tendonitis During the exam, your Podiatrist may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Imaging tests Your Podiatrist may request one or more of the following imaging tests: X-rays. X-rays help to exclude other bone problems that can cause knee pain. Ultrasound. This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] At the Foot and Ankle Clinic our highly qualified team of Podiatrists are all members of the Australian Podiatry Association and offer a combined 50 years’ experience. They are trained to diagnose and effectively treat Patellar Tendinopathy via a range of proven treatments.
  • #25 Boston Sports | Patellar Tendonitis
    https://bostonsportsandbiologics.com/conditions/knee/patellar-tedinopathy
    Patellar tendinopathy is a common overuse injury affecting the patellar tendon, which connects the knee cap to the shin bone, and helps straighten the knee. […] The clinical symptoms of patellar tendinopathy, also known as patellar tendinosis, include: […] Diagnosis is based on detailed history, physical examination, and imaging. During the physical examination, a series of provocative tests may be utilized to further determine presence of injury. […] Advanced imaging may be required to confirm diagnosis and determine the extent of tendon involvement, including: […] Ultrasonography is particularly effective in identifying characteristic changes associated with patellar tendinopathy, such as tendon thickening, hypoechoic areas, and neovascularization. Studies have shown that ultrasonography has a high diagnostic accuracy for patellar tendinopathy. […] MRI can also be used to confirm the diagnosis, showing characteristic changes such as increased signal intensity and tendon thickening.
  • #26 Boston Sports | Patellar Tendonitis
    https://bostonsportsandbiologics.com/conditions/knee/patellar-tedinopathy
    Patellar tendinopathy is a common overuse injury affecting the patellar tendon, which connects the knee cap to the shin bone, and helps straighten the knee. […] The clinical symptoms of patellar tendinopathy, also known as patellar tendinosis, include: […] Diagnosis is based on detailed history, physical examination, and imaging. During the physical examination, a series of provocative tests may be utilized to further determine presence of injury. […] Advanced imaging may be required to confirm diagnosis and determine the extent of tendon involvement, including: […] Ultrasonography is particularly effective in identifying characteristic changes associated with patellar tendinopathy, such as tendon thickening, hypoechoic areas, and neovascularization. Studies have shown that ultrasonography has a high diagnostic accuracy for patellar tendinopathy. […] MRI can also be used to confirm the diagnosis, showing characteristic changes such as increased signal intensity and tendon thickening.
  • #27 Royal London Hospital Test Knee | Patellar Tendinopathy Exam
    https://www.physiotutors.com/wiki/royal-london-hospital-test-knee/
    Patellar Tendinopathy is one entity of anterior knee pain syndromes and is a frequently encountered clinical picture in those who do jumping sports such as volleyball, basketball, or track, and field running. […] Cook et al (2001) evaluated the validity of tendon palpation in the diagnosis of the condition and reported a sensitivity of 68% and low specificity of 9% when comparing to visible tendinopathic lesions on Ultrasound. […] Maffulli et al. (2017) who previously had proposed the Royal London Hospital Test for Achilles tendinopathy now examined a similar test to diagnose patellar tendinopathy and compared it to manual palpation as well. They found a sensitivity of 88 and a specificity of 98% for the royal London hospital test in their small sample of 30 patients. […] To conduct the test, the patient lies in supine and the patella tendon is palpated for local tenderness from proximal to distal while the knee is extended. Once local tenderness is elicited, the tender portion of the tendon is again palpated but now with the knee bent to 90, which places the tendon under tension. […] The test is considered positive if the pain is markedly reduced or absent in knee flexion. The reason why symptoms decrease with the tendon under tension is unknown. […] Common orthopedic tests to assess for patellar tendinopathy are: Patellar Tendon Palpation.
  • #28 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #29 Patella Tendonitis (“Jumper’s Knee”) – The Foot and Ankle Clinic
    https://www.thefootandankleclinic.com.au/condition/patella-tendonitis-jumpers-knee/
    Patellar tendinopathy (or as it is commonly known patellar tendonitis or tendinitis) is an overuse injury affecting your knee. It is the result of your patella tendon being overstressed. […] Diagnosis of Patella Tendonitis During the exam, your Podiatrist may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Imaging tests Your Podiatrist may request one or more of the following imaging tests: X-rays. X-rays help to exclude other bone problems that can cause knee pain. Ultrasound. This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. Magnetic resonance imaging (MRI). MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] At the Foot and Ankle Clinic our highly qualified team of Podiatrists are all members of the Australian Podiatry Association and offer a combined 50 years’ experience. They are trained to diagnose and effectively treat Patellar Tendinopathy via a range of proven treatments.
  • #30 Patellar Tendonitis – Rheumatology Advisor
    https://www.rheumatologyadvisor.com/ddi/patellar-tendonitis/
    Patellar tendonitis presents with a history of activity-related anterior knee pain. Symptoms initially appear after sports activity, particularly sports involving jumping. Diagnosis mainly relies on thorough patient history and physical examination. Detailed information regarding sport, position played, level of performance, and practice and competition schedule should be obtained. Examination should include the entire lower extremity to identify related findings in the hip, knee, foot, or ankle. Typical findings at the knee include localized swelling overlying the patellar tendon with tenderness on palpation. Distinguishing features of patellar tendonitis at the knee include localized swelling on the patellar tendon with tenderness on palpation, Bassets sign of reduced tenderness upon palpation in the flexed position, and standing active quadriceps sign showing significant reduction in tenderness to palpation of the contracted quadriceps muscle. Diagnosis of patellar tendonitis is based on a detailed history and physical examination. Finally, as it pertains to imaging techniques, X-ray can reveal calcification, elongation of patella, and inferior traction spur, MRI findings may show increased signal in the posterior proximal tendon and tendon thickening, and if MRI is not an option ultrasonography can distinguish intratendinous lesions. […] Surgical options for patellar tendonitis are required in 10% of patients who experience partial tendon tear and pain stage 3. This can be executed with either open surgery or arthroscopic surgery.
  • #31 Boston Sports | Patellar Tendonitis
    https://bostonsportsandbiologics.com/conditions/knee/patellar-tedinopathy
    Patellar tendinopathy is a common overuse injury affecting the patellar tendon, which connects the knee cap to the shin bone, and helps straighten the knee. […] The clinical symptoms of patellar tendinopathy, also known as patellar tendinosis, include: […] Diagnosis is based on detailed history, physical examination, and imaging. During the physical examination, a series of provocative tests may be utilized to further determine presence of injury. […] Advanced imaging may be required to confirm diagnosis and determine the extent of tendon involvement, including: […] Ultrasonography is particularly effective in identifying characteristic changes associated with patellar tendinopathy, such as tendon thickening, hypoechoic areas, and neovascularization. Studies have shown that ultrasonography has a high diagnostic accuracy for patellar tendinopathy. […] MRI can also be used to confirm the diagnosis, showing characteristic changes such as increased signal intensity and tendon thickening.
  • #32
    https://www.orthobullets.com/knee-and-sports/3015/patellar-tendinitis
    Patellar tendinitis is tendinopathy of the patellar tendon associated with activity-related anterior knee pain. […] Diagnosis is primarily made clinically with tenderness to palpation at the distal pole of patella in full extension. […] Basset’s sign: tenderness to palpation at distal pole of patella in full extension. […] Imaging: Radiographs recommended views: AP, lateral, skyline views of knee. […] MRI indications: chronic cases, surgical planning. […] MRI findings: tendon thickening, more diagnostic than presence of edema. […] Cortisone injections are contraindicated due to risk of patellar tendon rupture. […] Surgical excision and suture repair as needed: indications include Blazina Stage III disease, chronic pain and dysfunction not amendable to conservative treatment.
  • #33 Patellar Tendonitis (Jumper’s Knee) | Frisco, TX | Orthopedic Surgeon
    https://doldmd.com/knee-conditions/patellar-tendonitis-jumpers-knee/
    Patellar Tendonitis (Jumpers Knee) […] The hallmark features of patellar tendinopathy are: (1) pain localized to the inferior pole of the patella and (2) load-related pain that increases with the demand on the knee extensors, notably in activities that store and release energy in the patellar tendon (ex. jumping sports like basketball). […] While imaging may assist in making an accurate diagnosis, the diagnosis of patellar tendinopathy remains clinical, as asymptomatic tendon pathology may exist in people who have pain from other anterior knee sources. A thorough examination is required to diagnose patellar tendinopathy and contributing factors. […] The diagnosis of patellar tendonitis can usually be made in the clinical setting with a good history and physical exam. […] A thorough physical exam will help diagnose patellar tendonitis. […] Plain radiographic films of the knee are typically normal in patellar tendinopathy. […] MRI is usually not required to make the diagnosis of patellar tendonitis, but can help identify the source of inflammation, confirm the diagnosis, and rule out other pathologies.
  • #34 Patellar Tendonitis (Jumper’s Knee) | Alexander Orthopaedics
    https://alexanderorthopaedics.com/patellar-tendonitis-jumpers-knee/
    Patellar tendonitis occurs when the tendon that connects the patella, or kneecap, is injured or inflamed. […] To diagnose jumper’s knee, the doctor will first record your medical history and conduct a physical exam. For athletes, the Journal of Physiotherapy states that the VISA-P (Victorian Institute of Sports Assessment for the Patellar tendon) can be completed as a baseline to monitor pain and function. This brief questionnaire assesses symptoms and tests the ability to participate in sports. […] The physician may also confirm the diagnosis using X-rays, which can help exclude bone problems or other sources of pain, such as a fracture. An MRI can reveal damage to soft tissue.
  • #35
    https://drpress.org/ojs/index.php/HSET/article/view/1188
    Patellar tendinitis is one of the most common complications of patellar fracture in the adolescent population. […] The examination includes both self-examination and medical examination. When the diagnosis is conducted, differentiating patellar tendinitis from other similar diseases is needed. […] The common treatments include conservative treatment and medical therapy.
  • #36 Patellar Tendinitis — The Knee and Shoulder Centers
    https://www.kneeandshouldermd.com/pat
    Patellar tendinitis can be thought of as the „tennis elbow of the knee”. […] The symptoms of patellar tendinitis are relatively easy to recognize. The patient will feel pain, not directly behind their kneecap (as in the condition of chondromalacia), but just below (distal to) it. Tenderness is present within the upper (proximal) patellar tendon, and in particular where its mid-section attaches to the lower end of the patella. […] Because most cases of patellar tendinitis are not advanced, and therefore not diagnosable with an MRI scan, general physicians and even orthopedic surgeons may sometimes fail to identify this common problem! […] While the symptoms of jumper’s knee are not hard to recognize if one listens carefully to the patient’s detailed description of what they have been experiencing, specific diagnostic tests are often required on physical examination to confirm the presence of this malady.
  • #37 Patellar Tendinitis — The Knee and Shoulder Centers
    https://www.kneeandshouldermd.com/pat
    If the knee is examined for proximal patellar tendon tenderness at the wrong joint flexion angle and/or with incorrect patellar posture, no tenderness may be elicited and the diagnosis may therefore be missed. […] In my experience, approximately 9 out of 10 cases of patellar tendinitis respond satisfactorily to non-operative treatment. […] If you have been told you have „chondromalacia” but you are not getting better and your pain is worse just below your kneecap rather than directly behind it, you may have patellar tendinitis. Consultation with a knee specialist may be needed.
  • #38 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #39 Patellar tendinitis – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
    During the exam, your doctor may apply pressure to parts of your knee to determine where you hurt. Usually, pain from patellar tendinitis is on the front part of your knee, just below your kneecap. […] Your doctor may suggest one or more of the following imaging tests: […] X-rays help to exclude other bone problems that can cause knee pain. […] This test uses sound waves to create an image of your knee, revealing tears in your patellar tendon. […] MRI uses a magnetic field and radio waves to create detailed images that can reveal subtle changes in the patellar tendon. […] If conservative treatments don’t help, your doctor may suggest other therapies, such as: […] An ultrasound-guided corticosteroid injection into the sheath around the patellar tendon may help relieve pain. […] This type of injection has been tried in some people with chronic patellar tendon problems.
  • #40 Patellar tendonitis: Diagnosis & therapy | medi
    https://www.medi.de/en/diagnosis-treatment/knee-pain/patellar-tendinopathy/
    Patellar tendonitis (jumpers knee) develops when the patellar tendon is irritated by unusual or severe tensile stress. […] Patellar tendonitis is also widespread among runners, which is why it also called jumper’s knee or runner’s knee. […] The pain is felt around the tip of the kneecap. […] Doctors do not normally divide the patella tip syndrome into different stages. This four-part classification helps patients understand the clinical picture better. […] Initially, the pain is usually only felt after sports. […] In the further course, the patient develops „start-up” pain and feels pain during exercise, or even during everyday activities such as climbing stairs or after sitting for long periods. […] The persistent character of the symptoms is typical. It is often a chronic clinical picture that persists for many months or even years.
  • #41 Patellar tendonitis: Diagnosis & therapy | medi
    https://www.medi.de/en/diagnosis-treatment/knee-pain/patellar-tendinopathy/
    Patellar tendonitis (jumpers knee) develops when the patellar tendon is irritated by unusual or severe tensile stress. […] Patellar tendonitis is also widespread among runners, which is why it also called jumper’s knee or runner’s knee. […] The pain is felt around the tip of the kneecap. […] Doctors do not normally divide the patella tip syndrome into different stages. This four-part classification helps patients understand the clinical picture better. […] Initially, the pain is usually only felt after sports. […] In the further course, the patient develops „start-up” pain and feels pain during exercise, or even during everyday activities such as climbing stairs or after sitting for long periods. […] The persistent character of the symptoms is typical. It is often a chronic clinical picture that persists for many months or even years.
  • #42 Patellar tendonitis: Diagnosis & therapy | medi
    https://www.medi.de/en/diagnosis-treatment/knee-pain/patellar-tendinopathy/
    Patellar tendonitis (jumpers knee) develops when the patellar tendon is irritated by unusual or severe tensile stress. […] Patellar tendonitis is also widespread among runners, which is why it also called jumper’s knee or runner’s knee. […] The pain is felt around the tip of the kneecap. […] Doctors do not normally divide the patella tip syndrome into different stages. This four-part classification helps patients understand the clinical picture better. […] Initially, the pain is usually only felt after sports. […] In the further course, the patient develops „start-up” pain and feels pain during exercise, or even during everyday activities such as climbing stairs or after sitting for long periods. […] The persistent character of the symptoms is typical. It is often a chronic clinical picture that persists for many months or even years.
  • #43 Patellar tendonitis: Diagnosis & therapy | medi
    https://www.medi.de/en/diagnosis-treatment/knee-pain/patellar-tendinopathy/
    Patellar tendonitis (jumpers knee) develops when the patellar tendon is irritated by unusual or severe tensile stress. […] Patellar tendonitis is also widespread among runners, which is why it also called jumper’s knee or runner’s knee. […] The pain is felt around the tip of the kneecap. […] Doctors do not normally divide the patella tip syndrome into different stages. This four-part classification helps patients understand the clinical picture better. […] Initially, the pain is usually only felt after sports. […] In the further course, the patient develops „start-up” pain and feels pain during exercise, or even during everyday activities such as climbing stairs or after sitting for long periods. […] The persistent character of the symptoms is typical. It is often a chronic clinical picture that persists for many months or even years.
  • #44 Jumper’s knee: diagnosis and therapy – Priv.-Doz. DDr. Christian Albrecht, Knee and cartilage specialist
    https://www.knieschmerzen-wien.at/jumpers-knee-en.html
    Jumper’s knee is a painful disease of the patellar tendon insertion (insertion tendinopathy) in the area of the lower patellar pole. […] The diagnosis of jumper’s knee is primarily made after clinical examination. For further assessment of the severity of the disease, or if the clinical examination is unclear, additional image-diagnostic (radiological) procedures are used. […] The clinical diagnosis includes a detailed discussion with the patient (anamnesis), which provides initial indications of the underlying disease. This is followed by the clinical physical examination, in which the characteristic symptoms are specifically sought out and which should confirm the suspicion of jumper’s knee. […] Various imaging (radiological) procedures are available for further clarification. In this case, magnetic resonance imaging (MRI) is of the greatest importance. […] The information obtained from the patient interview, clinical physical examination and imaging allows the classification of jumper’s knee into 5 stages. […] The level of the stage correlates with the severity of the disease and determines the further course of therapy.
  • #45 Patellar tendonitis: Treatment, exercises, symptoms, and recovery time
    https://www.medicalnewstoday.com/articles/321294
    It is important not to ignore ongoing knee pain or discomfort. Identifying patellar tendonitis early means the condition will be easier and quicker to treat, reducing a persons risk of serious injury. […] A doctor or physical therapist will diagnose this condition by doing a physical exam. They may put some gentle pressure on the knee and test its range of motion. Additionally, they might ask about a persons symptoms and how long they have been experiencing pain. […] There are several ways to diagnose patellar tendonitis, so a persons experience may vary. Doctors commonly use ultrasound to identify the condition and look for any serious tendon damage. They may order an MRI to get a detailed picture of a persons injury in more severe cases.
  • #46 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #47 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #48 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #49 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #50 Patellar tendinitis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113
    Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping such as basketball and volleyball. […] For most people, treatment of patellar tendinitis begins with physical therapy to stretch and strengthen the muscles around the knee. […] Call your doctor if your pain: […] Continues or worsens […] Interferes with your ability to perform routine daily activities […] Is associated with swelling or redness about the joint. […] Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. […] The stress results in tiny tears in the tendon, which your body attempts to repair. […] If you try to work through your pain, ignoring your body’s warning signs, you could cause increasingly larger tears in the patellar tendon.
  • #51 Patellar tendinitis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113
    Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping such as basketball and volleyball. […] For most people, treatment of patellar tendinitis begins with physical therapy to stretch and strengthen the muscles around the knee. […] Call your doctor if your pain: […] Continues or worsens […] Interferes with your ability to perform routine daily activities […] Is associated with swelling or redness about the joint. […] Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. […] The stress results in tiny tears in the tendon, which your body attempts to repair. […] If you try to work through your pain, ignoring your body’s warning signs, you could cause increasingly larger tears in the patellar tendon.
  • #52 Patellar tendinitis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113
    Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping such as basketball and volleyball. […] For most people, treatment of patellar tendinitis begins with physical therapy to stretch and strengthen the muscles around the knee. […] Call your doctor if your pain: […] Continues or worsens […] Interferes with your ability to perform routine daily activities […] Is associated with swelling or redness about the joint. […] Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. […] The stress results in tiny tears in the tendon, which your body attempts to repair. […] If you try to work through your pain, ignoring your body’s warning signs, you could cause increasingly larger tears in the patellar tendon.
  • #53 Patellar tendinitis – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/patellar-tendinitis/symptoms-causes/syc-20376113
    Patellar tendinitis, also known as jumper’s knee, is most common in athletes whose sports involve frequent jumping such as basketball and volleyball. […] For most people, treatment of patellar tendinitis begins with physical therapy to stretch and strengthen the muscles around the knee. […] Call your doctor if your pain: […] Continues or worsens […] Interferes with your ability to perform routine daily activities […] Is associated with swelling or redness about the joint. […] Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. […] The stress results in tiny tears in the tendon, which your body attempts to repair. […] If you try to work through your pain, ignoring your body’s warning signs, you could cause increasingly larger tears in the patellar tendon.
  • #54 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #55 Patellar Tendinopathy | NHS Lanarkshire
    https://www.nhslanarkshire.scot.nhs.uk/services/physiotherapy-msk/patellar-tendinopathy/
    Please seek immediate medical attention by phoning 111 if you experience knee trauma/injury with: A sudden pop/snap sensation, Severe pain/swelling, The inability to straighten your knee. […] If you experience swelling, redness with heat around your knee, please seek advice from your GP. […] If after following the above advice, your symptoms have not improved within 6 to 12 weeks, a referral to a physiotherapist may be beneficial.
  • #56 Patellar Tendinitis — The Knee and Shoulder Centers
    https://www.kneeandshouldermd.com/pat
    Patellar tendinitis can be thought of as the „tennis elbow of the knee”. […] The symptoms of patellar tendinitis are relatively easy to recognize. The patient will feel pain, not directly behind their kneecap (as in the condition of chondromalacia), but just below (distal to) it. Tenderness is present within the upper (proximal) patellar tendon, and in particular where its mid-section attaches to the lower end of the patella. […] Because most cases of patellar tendinitis are not advanced, and therefore not diagnosable with an MRI scan, general physicians and even orthopedic surgeons may sometimes fail to identify this common problem! […] While the symptoms of jumper’s knee are not hard to recognize if one listens carefully to the patient’s detailed description of what they have been experiencing, specific diagnostic tests are often required on physical examination to confirm the presence of this malady.
  • #57 Patellar Tendinitis — The Knee and Shoulder Centers
    https://www.kneeandshouldermd.com/pat
    If the knee is examined for proximal patellar tendon tenderness at the wrong joint flexion angle and/or with incorrect patellar posture, no tenderness may be elicited and the diagnosis may therefore be missed. […] In my experience, approximately 9 out of 10 cases of patellar tendinitis respond satisfactorily to non-operative treatment. […] If you have been told you have „chondromalacia” but you are not getting better and your pain is worse just below your kneecap rather than directly behind it, you may have patellar tendinitis. Consultation with a knee specialist may be needed.
  • #58 Understanding Patellar Tendinitis
    https://www.kneepaincentersofamerica.com/blog/patellar-tendinitis
    Identifying patellar tendinitis accurately is important for successful treatment. The diagnosis process typically involves a physical examination and, in some cases, imaging tests. […] The first step in diagnosing patellar tendinitis is a thorough physical examination. The healthcare provider may apply pressure to specific parts of the knee to determine the location of the pain. The pain is typically felt on the front part of the knee just below the kneecap. […] In cases of persistent or advanced patellar tendinitis, imaging tests may be required to observe any structural damage to the patellar tendon. These tests may include X-rays, ultrasounds, and Magnetic Resonance Imaging (MRI) scans. […] It’s important to note that while imaging tests can provide valuable insights into the condition of the patellar tendon, they don’t always capture subtle overuse injuries to tendon tissues clearly. Therefore, these tests are typically used in conjunction with a comprehensive physical examination for a more accurate diagnosis.
  • #59 Patellar tendonitis: Treatment, exercises, symptoms, and recovery time
    https://www.medicalnewstoday.com/articles/321294
    It is important not to ignore ongoing knee pain or discomfort. Identifying patellar tendonitis early means the condition will be easier and quicker to treat, reducing a persons risk of serious injury. […] A doctor or physical therapist will diagnose this condition by doing a physical exam. They may put some gentle pressure on the knee and test its range of motion. Additionally, they might ask about a persons symptoms and how long they have been experiencing pain. […] There are several ways to diagnose patellar tendonitis, so a persons experience may vary. Doctors commonly use ultrasound to identify the condition and look for any serious tendon damage. They may order an MRI to get a detailed picture of a persons injury in more severe cases.
  • #60
    https://www.mountelizabeth.com.sg/conditions-diseases/patellar-tendonitis/diagnosis-treatment
    Patellar tendonitis may be diagnosed based on: […] Your doctor will ask about your symptoms and conduct an examination to review the location and severity of your pain. You will also be asked to demonstrate your range of movement by bending and extending your leg. […] An MRI can help to reveal damage to the tendon or any of the soft tissues around the knee. […] An ultrasound is another imaging test that can help to reveal damage to the tendon or any of the soft tissues around the knee. […] An X-ray allows your doctor to see if there is any bone damage such as a fracture or displacement of the kneecap. […] As your condition may get worse without treatment, its best to have your knee pain medically diagnosed so that you can receive appropriate treatment.
  • #61 Accurate ICD-10 Codes for Patellar Tendonitis Documentation
    https://www.outsourcestrategies.com/blog/patellar-tendonitis-documentation-with-icd-10-codes/
    Those interested in sports will be quite familiar with the term “Patellar tendonitis”. Also referred to as “jumper’s knee”, it is a knee injury affecting the patella tendon. […] Diagnosis by an expert sports orthopedic professional or a sports medicine specialist is important as soon as such a rupture occurs. […] Typical signs pointing to a diagnosis of patellar tendon rupture include an inability to place weight on the involved leg, elevated patella, inability to extend the knee, significant bruising, and pain/tenderness around the knee. […] For complete ruptures of the patellar tendon, surgery is recommended, which is followed by certain rehabilitation programs and exercises. […] Orthopedic medical coding involves the use of specific ICD-10 codes to document any such conditions, including patellar tendonitis. Billable/specific ICD-10-CM codes that can be used to indicate a diagnosis of patellar tendonitis for reimbursement purposes are: M76.50 – Patellar tendinitis, unspecified knee, M76.51 – Patellar tendinitis, right knee, M76.52 – Patellar tendinitis, left knee.
  • #62 Accurate ICD-10 Codes for Patellar Tendonitis Documentation
    https://www.outsourcestrategies.com/blog/patellar-tendonitis-documentation-with-icd-10-codes/
    Those interested in sports will be quite familiar with the term “Patellar tendonitis”. Also referred to as “jumper’s knee”, it is a knee injury affecting the patella tendon. […] Diagnosis by an expert sports orthopedic professional or a sports medicine specialist is important as soon as such a rupture occurs. […] Typical signs pointing to a diagnosis of patellar tendon rupture include an inability to place weight on the involved leg, elevated patella, inability to extend the knee, significant bruising, and pain/tenderness around the knee. […] For complete ruptures of the patellar tendon, surgery is recommended, which is followed by certain rehabilitation programs and exercises. […] Orthopedic medical coding involves the use of specific ICD-10 codes to document any such conditions, including patellar tendonitis. Billable/specific ICD-10-CM codes that can be used to indicate a diagnosis of patellar tendonitis for reimbursement purposes are: M76.50 – Patellar tendinitis, unspecified knee, M76.51 – Patellar tendinitis, right knee, M76.52 – Patellar tendinitis, left knee.
  • #63 Accurate ICD-10 Codes for Patellar Tendonitis Documentation
    https://www.outsourcestrategies.com/blog/patellar-tendonitis-documentation-with-icd-10-codes/
    Those interested in sports will be quite familiar with the term “Patellar tendonitis”. Also referred to as “jumper’s knee”, it is a knee injury affecting the patella tendon. […] Diagnosis by an expert sports orthopedic professional or a sports medicine specialist is important as soon as such a rupture occurs. […] Typical signs pointing to a diagnosis of patellar tendon rupture include an inability to place weight on the involved leg, elevated patella, inability to extend the knee, significant bruising, and pain/tenderness around the knee. […] For complete ruptures of the patellar tendon, surgery is recommended, which is followed by certain rehabilitation programs and exercises. […] Orthopedic medical coding involves the use of specific ICD-10 codes to document any such conditions, including patellar tendonitis. Billable/specific ICD-10-CM codes that can be used to indicate a diagnosis of patellar tendonitis for reimbursement purposes are: M76.50 – Patellar tendinitis, unspecified knee, M76.51 – Patellar tendinitis, right knee, M76.52 – Patellar tendinitis, left knee.
  • #64 Accurate ICD-10 Codes for Patellar Tendonitis Documentation
    https://www.outsourcestrategies.com/blog/patellar-tendonitis-documentation-with-icd-10-codes/
    Those interested in sports will be quite familiar with the term “Patellar tendonitis”. Also referred to as “jumper’s knee”, it is a knee injury affecting the patella tendon. […] Diagnosis by an expert sports orthopedic professional or a sports medicine specialist is important as soon as such a rupture occurs. […] Typical signs pointing to a diagnosis of patellar tendon rupture include an inability to place weight on the involved leg, elevated patella, inability to extend the knee, significant bruising, and pain/tenderness around the knee. […] For complete ruptures of the patellar tendon, surgery is recommended, which is followed by certain rehabilitation programs and exercises. […] Orthopedic medical coding involves the use of specific ICD-10 codes to document any such conditions, including patellar tendonitis. Billable/specific ICD-10-CM codes that can be used to indicate a diagnosis of patellar tendonitis for reimbursement purposes are: M76.50 – Patellar tendinitis, unspecified knee, M76.51 – Patellar tendinitis, right knee, M76.52 – Patellar tendinitis, left knee.
  • #65 2025 ICD-10-CM Diagnosis Code M76.50: Patellar tendinitis, unspecified knee
    https://www.icd10data.com/ICD10CM/Codes/M00-M99/M70-M79/M76-/M76.50
    M76.50 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. […] The 2025 edition of ICD-10-CM M76.50 became effective on October 1, 2024. […] Approximate Synonyms: Patellar (kneecap) tendonitis, Patellar tendonitis. […] ICD-10-CM M76.50 is grouped within Diagnostic Related Group(s) (MS-DRG v42.0): 557 Tendonitis, myositis and bursitis with mcc, 558 Tendonitis, myositis and bursitis without mcc.
  • #66 Patellar Tendinitis (Jumper’s Knee): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/patellar-tendonitis-jumpers-knee
    Its rare to need surgery for patellar tendinitis. Your provider will usually only suggest surgery if your patellar tendon is torn. […] Visit a provider if you experience: A dull ache around your knee that lasts for a while after you stop activity, Sharp, severe knee pains after a sudden movement, Knee pain that gets worse during physical activity. […] Questions your may want to ask your provider include: Do I need any tests? Which treatments will I need? What can I do to help my body heal? When can I resume training or other physical activities?
  • #67 Patellar Tendinitis (Jumper’s Knee): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/patellar-tendonitis-jumpers-knee
    Its rare to need surgery for patellar tendinitis. Your provider will usually only suggest surgery if your patellar tendon is torn. […] Visit a provider if you experience: A dull ache around your knee that lasts for a while after you stop activity, Sharp, severe knee pains after a sudden movement, Knee pain that gets worse during physical activity. […] Questions your may want to ask your provider include: Do I need any tests? Which treatments will I need? What can I do to help my body heal? When can I resume training or other physical activities?
  • #68 Patellar Tendinitis (Jumper’s Knee): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/patellar-tendonitis-jumpers-knee
    Its rare to need surgery for patellar tendinitis. Your provider will usually only suggest surgery if your patellar tendon is torn. […] Visit a provider if you experience: A dull ache around your knee that lasts for a while after you stop activity, Sharp, severe knee pains after a sudden movement, Knee pain that gets worse during physical activity. […] Questions your may want to ask your provider include: Do I need any tests? Which treatments will I need? What can I do to help my body heal? When can I resume training or other physical activities?
  • #69 Patellar Tendinitis (Jumper’s Knee): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/patellar-tendonitis-jumpers-knee
    Its rare to need surgery for patellar tendinitis. Your provider will usually only suggest surgery if your patellar tendon is torn. […] Visit a provider if you experience: A dull ache around your knee that lasts for a while after you stop activity, Sharp, severe knee pains after a sudden movement, Knee pain that gets worse during physical activity. […] Questions your may want to ask your provider include: Do I need any tests? Which treatments will I need? What can I do to help my body heal? When can I resume training or other physical activities?
  • #70 Patellar Tendinitis (Jumper’s Knee): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/patellar-tendonitis-jumpers-knee
    Its rare to need surgery for patellar tendinitis. Your provider will usually only suggest surgery if your patellar tendon is torn. […] Visit a provider if you experience: A dull ache around your knee that lasts for a while after you stop activity, Sharp, severe knee pains after a sudden movement, Knee pain that gets worse during physical activity. […] Questions your may want to ask your provider include: Do I need any tests? Which treatments will I need? What can I do to help my body heal? When can I resume training or other physical activities?