Magnetic resonance imaging of patellar tendonitis.
The radiological and MRI appearances of 24 knees with patellar tendonitis resistant to conservative therapy were analysed to identify the characteristic MRI appearance and to determine if the patellar morphology was abnormal. A significant thickening of the tendon was found in all cases; this was a more reliable diagnostic feature than a high signal within the superior posterior and central aspect of the tendon at its proximal attachment. The site of the lesion shown by MRI is more compatible with impingement of the inferior pole of the patella against the patellar tendon than a stress overload of the tendon. There were no significant differences in the length of the patella, inferior pole or length of the articular surface when the patellar morphology was compared with that of a matched control group.
Johnson
D P
DP
Glen Hospital, Bristol, England.
Wakeley
C J
CJ
Watt
I
I
D000328:Adult; D001696:Biomechanical Phenomena; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010329:Patella; D011446:Prospective Studies; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D052256:Tendinopathy / Q000145:classification / Q000175:diagnosis* / Q000628:therapy; D013710:Tendons / Q000473:pathology*; D017211:Treatment Failure