Patella stress fractures are very rare. Approximately two out of 10,000 athletes presenting to a sports medicine clinic will have a patella stress fracture. A patella stress fracture usually presents with a history of weeks to months of progressively worsening anterior knee pain. The athleteâ€™s training regimen may be increasing in intensity and involve distance running, repetitive jumping (basketball), or repetitive kicking (soccer). The athlete may note a â€œpopâ€ if the stress fracture acutely displaces. Transverse patella stress fractures usually occur in the distal 1/3 of the patella. All reported cases of longitudinal stress fractures have occurred in the lateral facet and have been associated with distance running. Radiographs are frequently normal. An MRI is preferred to confirm the diagnosis. Once a patella stress fracture has been diagnosed, the treatment is similar to the treatment of other stress fractures of the lower extremity. One should avoid loading of the bone, and keep progression of activities in a pain-free progression.
|Original language||English (US)|
|Title of host publication||Stress Fractures in Athletes|
|Subtitle of host publication||Diagnosis and Management|
|Publisher||Springer International Publishing|
|Number of pages||11|
|State||Published - Jan 1 2015|