Understanding Patellar Tendon Tears: Symptoms, Treatments, and Recovery Guide

The patellar tendon connects the kneecap (patella) to the shin bone at the tibial tubercle. Though it’s often referred to as a ligament, the patellar tendon is essentially a continuation of the quadriceps tendon. It is crucial in extending your knee, as it links the powerful quadriceps muscle to the lower leg. Basic movements like walking or kicking would be impossible without this vital tendon. But when it becomes damaged, the result is a patellar ligament tear, leading to significant pain and dysfunction.

Patellar Tendon Tear Symptoms

Recognizing a torn patellar tendon is essential for prompt treatment. Common patella tear symptoms include:

• Severe, acute pain in the front of the knee
• Inability to straighten the leg or walk properly
• Visible abnormality: The patella may appear shifted upward
• Swelling, stiffness, and bruising (black and blue discoloration)
• A sunken appearance in the front of the knee when bent

When a patellar tendon tear occurs, the tendon usually detaches from the bottom of the kneecap. These tears are often caused by high-impact activities like running or jumping, particularly when the tendon is weakened by age or overuse.

What Should You Do if You Suspect a Patella Tear?

If you believe you’ve suffered a torn patella, it’s essential to seek medical attention promptly. While it’s not always an emergency, early surgical intervention within a few days or weeks provides the best chances for successful recovery.

“If you believe that you have torn your patellar tendon, seek medical care promptly. Not only can they confirm the diagnosis, but they can also make sure no other significant injury has occurred, help you with your pain, and provide a brace and crutches that will enable you to walk,” says Orthopedic Surgeon and Sports Medicine Specialist Dr. Jeffrey Berg.

Patellar Tendon Tear Surgery: What to Expect

In most cases, patellar ligament tear surgery is straightforward and performed on an outpatient basis. Surgeons will reattach the patella tendon to the kneecap through an incision in the front of the knee using sutures or surgical strings. If nearby tissues are damaged, they are also repaired during the procedure.

While the tendon will eventually heal to the patella, early motion is typically restricted to prevent strain on the sutures. In some cases, surgeons may reinforce the tendon with additional protective sutures to allow for safer, earlier movement during the healing process.

Recovery After Patellar Tendon Tear Surgery

Recovering from a torn patellar tendon surgery involves patience and careful rehabilitation. Here’s what you can expect:

• Protective bracing: Following surgery, a brace is typically worn to stabilize the knee and restrict movement to safe limits.
• Healing timeline: The tendon takes approximately three months to heal fully to the patella. During this period, the knee will require protection.
• Physical therapy: Formal physical therapy is essential to regain strength, flexibility, and coordination. However, jogging or high-impact activities are typically only recommended four to five months after surgery.
• Long-term recovery: Range of motion continues to improve six months after surgery, and overall strength and endurance increase for up to a year.

Life After a Patella Tear

While recovering from a patellar tendon tear may result in some loss of knee flexibility, most patients can return to their regular activities with dedication and hard work. Loss of flexibility typically affects the knee’s bending capacity. Motivated patients can regain strength and function with consistent effort and physical therapy.

Final Thoughts

A torn patellar tendon can be a daunting injury, but a full recovery is possible with timely intervention and a commitment to rehabilitation. If you’re experiencing patella tear symptoms or suspect you may have suffered a patellar ligament tear, don’t hesitate to seek professional help.

If you have a torn patellar tendon, our Town Center Orthopaedics Sports Medicine specialists will guide you through treatment and recovery. Learn more about our services or book an appointment today to get the care you need.