popliteus tendon tear
Partial tears may be treated conservatively whereas complete tears retracted beyond the popliteal hiatus require an open or combined approach. A vertical lateral meniscal tear in the red-red zone is also confirmed.
Popliteus pop-lih-t-us tenosynovitis ten-o-sin-o-vi-tis is a tear in the popliteus tendon.
. The femoral insertion has a crescent shape with the superior aspect being concave 10. Sometimes movement of the knee can cause a popping sensation. Actual tears of the substance of the popliteus are less common but do happen and bleeding may occur into the joint.
The tendon was indistinct at the joint line. A case report Abstract A 51-year-old male sustained an injury to his left knee after being pinned between his motorcycle and a road barrier. The popliteus tendon goes from the bottom back of the thighbone across the back of the knee to the top front of the shinbone.
A lateral meniscus tear incarcerated behind the popliteus tendon. Popliteal tendon tears without concomitant damage to the cruciate ligaments or other posterolateral corner ligaments are rare entities with few studies reporting on their existence with rare case reports discussing their treatment. Popliteus injuries or injuries of the popliteus musculotendinous complex occur within the scope of posterolateral corner injuries of the knee and include avulsions complete and partial tendinous and myotendinous tears as well as muscle injuries.
The popliteus tendon originates from the femur just below the fibular collateral ligament and extends inferiorly and obliquely through the. The popliteus therefore functions to provide both static and dynamic stability to the PLC of the knee joint. The popliteus is the primary internal rotator of the knee while in a non-weight bearing position.
There is often pain when straightening the knee fully or when bending the knee against resistance. A high index of sucpicion and accurate palpation of the lateral aspect of the knee lead one to the diagnosis. The Popliteus Muscle tendinous unit is unique in that the distal muscular attachment is designated the insertion and the tendinous proximal femoral attachment is designated the origin.
The muscle inserts into a triangular area along the posteromedial aspect of the proximal tibial metaphysic above the soleal line. In this case the tendon is found to have a full-thickness tear with retraction to the popliteal hiatus Fig 1. Generally people can damage their popliteus tendon after a knee twist or overuse.
Pain is usually worse when walking downhill with stairs and when running. Continued pain instability and effusions are typical symptoms with magnetic resonance imaging being the main tool for. An MRI scan was performed and a complete tear of the popliteus tendon at its musculo-tendinous junction with retraction to the popliteus hiatus and associated oedema around the muscle belly was demonstrated on standard sagittal Fig.
No associated injuries of the lateral collateral. Pain in the back of the knee Tenderness when pressing on the back of. For the popliteus muscle some of these main symptoms that may be present in the event of a strain or tear.
In the ER the patient complained of medial. A tendon is a cord of tough tissue that connects muscles to bones. The area behind the knee is often swollen and tender to the touch and there may be a.
The video shows a tear of the popliteus tendon origin. People with popliteal issues often have pain in the back and outer areas of the knee. The unhealthy tissue is gently debrided with a shaver.
Popliteus Tibialis posterior Flexor digitorum longus Flexor Hallucis Longus Foot Muscles Dorsal Layer. It is also called popliteus tendinitis. A little bit of femur bone is pulled off with the tendon although the tendon itself is not.
The popliteus muscle arises from the proximal posterior surface of the tibia and has insertions into the posterior portion of the lateral meniscus and the femur both deep and anterior to the lateral collateral ligament. In contrast popliteus externally rotates the femur on the tibia during load bearing which is often described as unlocking of the knee joint. 1 and coronalaxial views Fig.
Also the tendon can be injured after a total knee replacement. Popliteus tendon tenosynovitis Abstract This series of case suggests that the entity of tenosynovitis of the popliteus tendon is more common than once recognized. Tears of the popliteus tendon should be characterized as partial or complete intra-articular or extra-articular and with regards to the proximity to the popliteal sulcus and the extent of retraction.
Usually people with popliteus tendinopathy feel pain at the back or outside of the knee during walking stairs and running. Popliteus damage leading to significant incompetence of this structure is generally in the form of an avulsion a tearing off in the region where the tendon attaches to the femur. In addition the knee can.
Arthroscopy is first performed and the popliteus is visualized.
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