Knee Conditions
- Anatomy
- Conditions
- Procedures
Kneecap Bursitis
Bursitis refers to the inflammation and swelling of the bursa. Inflammation of the bursa in front of the kneecap (patella) is known as kneecap bursitis or prepatellar bursitis.
Baker's Cyst
The knee consists of a fluid called synovial fluid, which reduces the friction between the bones of the knee joint while you move your leg. Sometimes this fluid is produced in excess, resulting in its accumulation in the back of your knee. A Baker’s cyst or popliteal cyst is a fluid-filled swelling that develops into a lump behind the knee. This causes stiffness, tightness, and pain behind your knee. It is commonly seen in women and people aged over 40 (although it can develop at any age).
Iliotibial Band Syndrome
Iliotibial band syndrome is an overuse injury resulting from the inflammation of the iliotibial band. It occurs when the iliotibial band and the lower outside portion of the thighbone at the knee joint rub against each other.
Lateral Patellar Compression Syndrome
Lateral patellar compression syndrome refers to pain under and around your kneecap. It is a common complaint among runners, jumpers and other athletes such as skiers, cyclists, and soccer players.
Knee Injury
Pain, swelling, and stiffness are the common symptoms of any damage or injury to the knee. If care is not taken during the initial phases of injury, it may lead to joint damage, which may end up destroying your knee.
Goosefoot Bursitis of the Knee
A bursa is a small fluid-filled sac found between soft tissues and bones. It lubricates and acts as a cushion, decreasing the friction between bones when they move. Bursitis refers to the inflammation and swelling of the bursa. Goosefoot bursitis or pes anserine bursitis is the inflammation of the bursa present between the tendons of the hamstring muscle and the tibia (shinbone) on the inner side of the knee.
Knee Sprain
Knee sprain is a common injury that occurs from overstretching of the ligaments that support the knee joint. A knee sprain occurs when the knee ligaments are twisted or turned beyond its normal range, causing the ligaments to tear.
MCL Tears
The medial collateral ligament (MCL) is the ligament located on the inner part of the knee joint. It runs from the femur (thighbone) to the top of the tibia (shinbone) and helps in stabilizing the knee.
Runner's Knee
Patellofemoral pain syndrome also called runner’s knee refers to pain under and around your kneecap. Patellofemoral pain is associated with a number of medical conditions such as anterior knee pain syndrome, patellofemoral malalignment, and chondromalacia patella. Patellofemoral pain is a common complaint among runners, jumpers, and other athletes such as skiers, cyclists, and soccer players; thus the common name, runner’s knee.
Osgood-Schlatter Disease
Osgood-Schlatter disease refers to an overuse injury that occurs in the knee of growing children and adolescents. This is caused by inflammation of the tendon located below the kneecap (patellar tendon). Children and adolescents who participate in sports such as soccer, gymnastics, basketball, and distance running are at a higher risk of this disease.
Meniscal Injuries
Meniscal tears are among the commonest injuries to the knee joint. It can occur at any age but are more common in athletes involved in contact sports. The meniscus has no direct blood supply and for that reason, when there is an injury to the meniscus, healing is difficult.
Meniscal Tears
A meniscal tear is a common knee injury in athletes, especially those involved in contact sports. A sudden bend or twist in your knee causes the meniscus to tear. Elderly people are more prone to degenerative meniscal tears as the cartilage wears out and weakens with age.
Ligament Injuries
The knee is a complex joint that consists of bone, cartilage, ligaments, and tendons that help in your joint’s movements. The knee is a hinge joint made up of two bones, the thighbone (femur) and shinbone (tibia). Ligaments are tough bands of tissue that connect one bone to another bone. The ligaments of the knee stabilize the knee joint. There are two important groups of ligaments that hold the bones of the knee joint together, collateral and cruciate ligaments - medial collateral ligament (MCL) and lateral collateral ligament (LCL), and anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL).
Patellofemoral Pain Syndrome
Patellofemoral pain syndrome, also referred to as PFPS, is one of the most commonly reported knee problems, accounting for one in four knee complaints seen by Orthopedists. Patellofemoral Pain Syndrome is caused by a multitude of factors that affect the way the patella moves along the groove of the femur (trochlear groove) when the leg is bent or straightened.
Patellofemoral Instability
Patellofemoral instability means that the patella (kneecap) moves out of its normal pattern of alignment. This malalignment can damage the underlying soft structures such as muscles and ligaments that hold the knee in place.
Patellar Instability
Any damage to the supporting ligaments may cause the patella to slip out of the groove either partially (subluxation) or completely (dislocation). This misalignment can damage the underlying soft structures such as muscles and ligaments that hold the kneecap in place. Once damaged, these soft structures are unable to keep the patella (kneecap) in position. Repeated subluxation or dislocation makes the knee unstable. This condition is called knee instability. Patellar (kneecap) instability results from one or more complete or partial dislocations (subluxations).
Patellar Dislocation/Patellofemoral Dislocation
Patellar dislocation occurs when the patella moves out of the patellofemoral groove, (trochlea) onto the bony head of the femur. If the kneecap partially comes out of the groove, it is called subluxation; if the kneecap completely comes out, it is called dislocation (luxation).
Chondral or Articular Cartilage Defects
The articular or hyaline cartilage is the tissue lining the surface of the two bones in the knee joint. Cartilage helps the bones move smoothly against each other and can withstand the weight of your body during activities such as running and jumping. Articular cartilage does not have a direct blood supply to it, so has less capacity to repair itself. Once the cartilage is torn it will not heal easily and can lead to degeneration of the articular surface, leading to the development of osteoarthritis.
Patella Fracture
The kneecap or patella forms a part of the knee joint. It is present at the front of the knee, protecting the knee and providing attachment to various muscle groups of the thigh and leg. The undersurface of the kneecap and the lower end of the femur are coated with articular cartilage, which helps in smooth movement of the knee joint. A fracture in the kneecap is rare but common in adult males.
Quadriceps Tendon Rupture
The quadriceps can rupture after a fall, direct blow to the leg and when you land on your leg awkwardly from a jump. Quadriceps tendon rupture most commonly occurs in middle-aged people who participate in sports that involve jumping and running. Other causes include tendonitis (inflammation of quadriceps tendon), diseases such as rheumatoid arthritis, diabetes mellitus, infection and chronic renal failure, which weaken the quadriceps tendon. Use of medications such as steroids and some antibiotics also weakens the quadriceps tendon.
Patellar Tendon Rupture
The patellar tendon works together with the quadriceps muscle and the quadriceps tendon to allow your knee to straighten out. Patella tendon rupture is the rupture of the tendon that connects the patella (kneecap) to the top portion of the tibia (shinbone).
Tibial Eminence Spine Avulsion Fracture
Tibial eminence spine avulsion fracture is the avulsion (tearing away) of the tibial eminence.This injury may occur because of abnormal outward bending or twisting injuries caused by a sudden halt of moving joints, excessive flexion (bending inwards) and internal rotation, which usually occur during skiing and motor vehicle accidents.
Knee Fracture
A fracture is a condition in which there is a break in the continuity of the bone. In younger individuals, these fractures are caused by high energy injuries, as from a motor vehicle accident. In older people, the most common cause is a weak and fragile bone.
Patellar Tendinitis
Patellar tendinitis, also known as "jumper's knee", is an inflammation of the patellar tendon that connects your kneecap (patella) to your shinbone. This tendon helps in extension of the lower leg.
Women and ACL Injuries
The anterior cruciate ligament is one of the four major ligaments of the knee that connects the femur (thigh bone) to the tibia (shin bone) and helps stabilize the knee joint. Anterior cruciate ligament (ACL) injury is one of the common injuries of the knee. An injury to the ACL commonly occurs during sports or activities that involve twisting, overextension, landing from a jump incorrectly and abrupt change in direction or speed of movements.
Medial Meniscus Syndrome
Medial meniscal injuries are usually considered as either traumatic or degenerative. Whilst degenerate tears may present with a gradual history of increasing symptoms, traumatic injuries will usually occur as the knee is extended and rotated from a flexed position against resistance. This may occur as a single event during a sporting endeavor or during a period of unaccustomed squatting such as laying flooring or playing with children. The most commonly injured area is the posterior horn.
Multiligament Knee Injuries
Injury to more than one knee ligament is called a multiligament knee injury and may occur during sports or other physical activities.
Knee Pain
Knee pain is a common condition affecting individuals of different age groups. It not only affects movement but also impacts your quality of life. An injury or disease of the knee joint or any structure surrounding the knee can result in knee pain. A precise diagnosis of the underlying cause is important to develop an appropriate treatment plan.
Anterior Knee Pain
Anterior knee pain is characterized by chronic pain over the front and center of the knee joint. It is common in athletes, active adolescents (especially girls) and overweight individuals. Anterior knee pain refers to various conditions, which include runner's knee or patellar tendinitis, and chondromalacia of the patella. There is an inter-individual variation in the duration and presentation of pain.
Chondromalacia Patella
Chondromalacia patella is a common condition characterized by softening, weakening and damage of the cartilage. The condition is most often seen in young athletes and older adults who have arthritis of the knee. It especially occurs in women.
Jumper's Knee
Jumper’s knee, also known as patellar tendinitis, is inflammation of the patellar tendon that connects your kneecap (patella) to your shinbone. This tendon helps in the extension of the lower leg.
Osteochondritis Dissecans of the Knee
Osteochondritis dissecans is a joint condition in which a piece of cartilage, along with a thin layer of the bone separates from the end of the bone because of inadequate blood supply. The separated fragments are sometimes called “joint mice”. These fragments may be localized or may detach and fall into the joint space, causing pain and joint instability. Osteochondritis dissecans occurs within the lateral aspect of the medial femoral condyle. The condition can also occur in other joints, including your elbows, ankles, shoulders, and hips.
Pediatric ACL Tears
The anterior cruciate ligament (ACL) is a ligament that provides stability, reduces stress and prevents the knee from rotating or slipping out of position while jumping, running and landing. This ligament can tear during sports activities and exercise, as a result of a non-contact twisting injury, and is becoming a common injury in children.
ACL Tears
The anterior cruciate ligament (ACL) is one of the major ligaments of the knee. It is located in the middle of the knee and runs from the femur (thighbone) to the tibia (shinbone). The ACL prevents the tibia from sliding out in front of the femur. Together with the posterior cruciate ligament (PCL), it provides rotational stability to the knee.
Articular Cartilage Injury
Articular or hyaline cartilage is the tissue lining the surface of the two bones in the knee joint. Cartilage helps the bones move smoothly against each other and can withstand the weight of the body during activities such as running and jumping. Articular cartilage does not have a direct blood supply to it so has little capacity to repair itself. Once the cartilage is torn it will not heal easily and can lead to degeneration of the articular surface, leading to the development of osteoarthritis.
Loose Bodies in the Knee
Loose bodies are fragments of detached cartilage or bone inside the knee joint. These fragments may be free floating (unstable) or may be trapped (stable) within the joint. Depending on the severity, you may have one or more loose bodies in your knee joint.
MCL Sprains
MCL sprains occur due to a sudden impact from the outside of your knee, most commonly while playing sports such as rugby and football. Rarely, the MCL can get injured when the knee gets twisted or following a quick change in direction.
Multiligament Instability
The knee is a complex joint of the body that is vital for movement. The four major ligaments of the knee are anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and lateral collateral ligament (LCL). They play an important role in maintaining the stability of the knee. A multiligament injury is a tear in one or more ligaments of the knee, which affects the knee stability.
PCL Injuries
Posterior cruciate ligament (PCL), one of the four major ligaments of the knee, is situated at the back of the knee. It connects the thighbone (femur) to the shinbone (tibia). The PCL limits the backward motion of the shinbone. PCL injuries are very rare and more difficult to detect than other knee ligament injuries. Cartilage injuries, bone bruises, and ligament injuries often occur in combination with PCL injuries.
Recurrent Patella Dislocation
The patella (kneecap) is a small bone that shields your knee joint. It is present in front of your knee, on a groove called the trochlear groove that sits at the junction of the femur (thighbone) and tibia (shinbone). Articular cartilage presents below the patella and end of the femur cushion and helps the bones glide smoothly over each other when the legs move. This joint is stabilized and supported by a network of soft tissues. The medial patellofemoral ligament (MPFL) connects to the inner side of the patella and helps to keep it from slipping away from the knee. Damage to this ligament leads to patellar dislocation.
Lateral Meniscus Syndrome
Lateral meniscus syndrome is characterized by an injury caused by the tearing of the cartilage tissue or a rare case of a congenital abnormality called a discoid meniscus, which results in knee pain.
Knee Sports Injuries
Trauma is any injury caused during physical activity, motor vehicle accidents, electric shock, or other activities. Sports trauma or sports injuries refer to injuries caused while playing indoor or outdoor sports and exercising. Sports trauma can result from accidents, inadequate training, improper use of protective devices, or insufficient stretching or warm-up exercises. The most common sports injuries are sprains and strains, fractures, and dislocations.