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MPX1861_synpic20765

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MPX1861_synpic20766

Image

Patellar Tendinosis (Jumper's Knee) with probable partial tear of the patellar tendon.

Image ID
MPX1861_synpic20765
Case U_id
MPX1861
Modality
MR · MR - PDW Proton Density
Plane
Sagittal
Location
Musculoskeletal (Spine and Muscles)
Age / Sex
23 / male
Caption
Sagittal Proton Density MR Image demonstrates increased signal and thickening of the patellar enthesis of the patellar tendon.
ACR Codes
4.4

Clinical case

History
23 year old male with acute onset left knee pain, worse with full extension.
Exam
No obvious external deformity. Tender to Palpation over the Patella. Relatively Weak Left Knee Extension.
Findings
Increased signal intensity and thickening within the patellar enthesis of the patellar tendon on Proton Density and T2 weighted sequences.
Differential Diagnosis
Patellar Tendinosis (Jumper's Knee) Patellar Tendon Rupture
Case Diagnosis
Patellar Tendinosis (Jumper's Knee) with probable partial tear of the patellar tendon.
Diagnosis By
MRI

Topic

Category
Trauma
ACR Code
4.4

Disease discussion

Patellar tendinosis, also known as Jumper's Knee, is the result of micro and partial macro-tearing of patellar tendon fibers, usually due to repetitive running and/or jumping (Basketball, Football, and Volleyball). Either the patellar or tibial enthesis may be involved; however the condition is most often associated with patellar attachment involvement. Treatment is generally conservative.