Tendon repair surgeries are usually straightforward but come with some minor risks. eCollection 2022 Jul. Now please understand, I am not condoning driving while injured, but sometimes you need to do what needs to be done especially if you have no other choice or workarounds. Biceps tenodesis treats biceps tendon tears caused by injury or overuse. Small tears of this tendon cause pain or make it difficult to walk and participate in other daily activities. Driving After an Orthopedic Injury or Surgery. This movement should start as soon as you are comfortable, on the day of surgery. This was a question I had immediately after my first quad tear surgery. xZ[o~7p@ In fact, in some instances, you could be charged with "driving under the influence of drugs" (DUID) if you're pulled over by the police and have been using opioids. I still had my eBay business to bring in daily income so all was good in my book. 22 0 obj eCollection 2022. Tendon injuries are relatively common and often require surgery to repair them. Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study. <> The procedure involves removing the damaged joint surfaces and replacing them with metal and plastic implants. While many insurance companies may not cover you if you're in an accident while wearing a cast or brace, if you're taking pain killers, if you have an unhealed fracture, or if you've had "recent" surgery (they need to define for you what they deem "recent"), some will. Gandhi MJ, Freitas D, Lewis M, et al. The bulges are sometimes called Popeye syndrome. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. Klein, L. J., & Crimmins, C. A. A systematic review. Most people who have biceps tenodesis surgery have physical therapy to increase shoulder range of motion and strength. Tendons are strong bands of tissue that attach muscles to bones. w] a You might receive a pain block that will keep your shoulder numb for several hours after your surgery. The existing evidence regarding the management of quadriceps tendon rupture remains obscure. Tendon injury may occur anywhere in the body where there are tendons. If you have limited movement of a body part or pain, you may need to avoid driving for an extended period of time. % Patients are able to walk on the leg right away, but will have limitations on the amount of knee flexion for 1-2 months. Common reasons for tendon repair surgery. It is typically safe to begin some quadriceps strengthening exercises six weeks after surgery. Please enable it to take advantage of the complete set of features! While doctors can advise you about whether you're ready to operate a vehicle, their opinion doesn't hold any legal force. You have shoulder pain that hasnt been helped by rest, physical therapy or pain medication. Your age. You might have some pain and discomfort after the surgery. 7 soft tissue injuries of the hand. If this is the case, the surgeon will graft an extra piece of tendon between the ends to make them meet. Your doctor should also advise you about whether driving is safe while taking any prescription medication. endstream endobj startxref Post-operative Rehabilitation Protocol. The brace should be worn 24 hours a day, but can be removed for washing. What is a bilateral quadriceps tendon rupture? Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Disclaimer. Mechanisms of tendon injury and repair. Patella Tendon / Quad Tendon Repair Michael E. Joyce, MD Bandages & Ace Wrap: Your post-operative dressing has three layers you need to understand in order to properly care for your knee for the two weeks following surgery. 52 0 obj <> endobj Nonsurgical treatment RICE. Maffulli, G., Del Buono, A., Richards, P., Oliva, F., & Maffulli, N. (2017, January). Tang, J. This is typically arranged through your local Department of Motor Vehicles (DMV) or Department of Transportation (DOT). Not smoking can help your heart and lung function better during surgery. Can poor sleep impact your weight loss goals? 31 0 obj %PDF-1.5 One of the most common questions people ask after undergoing a medical procedure is "When can I start driving again?" 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. Over time (normally 6 weeks), Mr Gordon will assess your knee and may gradually increase the range of movement set on the brace. Call for an appointment (03) 6231 2477, Hip Replacement for Residual Hip Dysplasia, Long Head of Biceps Pathology (at shoulder), Shoulder Arthritis and Total Shoulder Replacement, Chronic Compartment Syndrome Fasciotomy Rehab Protocol, Rotator Cuff Repair, including Subscapularis, Rehab, Shoulder Instability Bankart Repair Rehab, Brace locked in full extension for 6 weeks, Ice and modalities to reduce pain and inflammation, Range of motion 0 degrees to 30 degrees flexion, Continue with aggressive patella mobility, Heel slides and total knee extension with ankle on towel, Increase intensity with quadriceps strength and straight leg raises, Continue with swelling control and patella mobility, Gradually progress to full range of motion, Begin mutli-plane straight leg raising and closed kinetic chain strengthening, Initiate open kinetic chain progressing to closed kinetic chain multi-plane hip, Progress open and closed kinetic chain program from bilateral to unilateral, Begin treadmill walking program forward and backward, Advance unilateral open and closed kinetic chain strengthening, Advance open and closed kinetic chain strengthening, Increase intensity on bike, treadmill, and elliptical trainer, Increase difficulty and intensity on proprioception drills, Begin gym strengthening: leg press, hamstring curls, ab/adduction; avoid lunges and, Begin multi-directional functional core program, May begin leg extensions; 30 degrees to 0 degrees progressing to full ROM as patellofemoral arthrokinematics normalize, Begin pool running program advancing to land as tolerated, Begin multi-directional field/court drills, Begin bilateral progressing to unilateral plyometric drills. Khazai RS, Lee CS, Boyajian HH, Shi LL, Athiviraham A. Li M, Shaikh AB, Sun J, Shang P, Shang X. Murar_Quad-Tendon-Repair_Post-Op_3.19.20 Author: kmurray Created Date: 3/19 . You will have physical therapy that begins about two weeks after your surgery and continues for several months. Its connected to your labrum, which is cartilage that lines your shoulder socket. Your surgeons make several tiny cuts in your shoulder to insert a tiny camera called an arthroscope. R-Truth Confirms He Will Need Surgery After Suffering Quad Tendon Tear Injury. % Surgery and rehabilitation for primary flexor tendon repair in the digit. This site needs JavaScript to work properly. J of Opioid Management. No range of motion until 2 weeks, at 2 to 4 weeks 0 to 20 degrees. endobj doi: 10.1016/j.asmr.2022.09.009. It often. 2014;12(1):26-31. doi:10.1016/j.surge.2013.05.006, Disilvestro KJ, Santoro AJ, Tjoumakaris FP, Levicoff EA, Freedman KB. Wide-awake primary flexor tendon repair, tenolysis, and tendon transfer. Biceps tenodesis is successful more than 70% of the time. However, some studies have provided insight into which injuries may require the most attention when deciding whether you're ready to drive again. endobj Fracture in the right foot: It took an average of six weeks to have reasonable control when braking. 2022 Jul 6;30(spe1):e245692. While both procedures treat the symptoms your torn biceps causes, people who have biceps tenotomy are more likely to develop unusually large bulges in their biceps. I brainstormed on how I could get to work. Your surgeon will probably refer you to a physical therapist to work on range of motion of the knee, flexibility and strength of the core, hip and quadriceps muscles. Malta LMA, Dos Santos AASMD, Malta MC, Machado LM, Lugon JR. Acta Ortop Bras. Your surgeon cuts into the area where the top of your biceps tendon connects to your labrum. Learn more about this injury common in athletes who jump. Before There are a number of factors you need to consider when determining if it's safe to start driving after surgery. z"*nt. All rights reserved. 10.1016/j.fas.2019.12.006, Dammerer D, Waidmann C, Haid C, Thaler M, Krismer M, Liebensteiner MC. Redness, pain, swelling or a yellowish discharge from the surgery site. A person may need surgery if they experience a deep cut or tear to one or more of their tendons. yeX_qO#y>8] [Quadriceps and patellar tendon ruptures]. PLoS One. Your incisions were closed with a single long stitch, which were covered with small white tapes called Steri-Strips. They use the arthroscope to view your biceps tendon and labrum. 2015;46(11):2278-2282. doi:10.1016/j.injury.2015.07.038, Coyle PC, Schrack JA, Hicks GE. U A&Mo79# foreign objects, if the injury is due to a cut, to bring back normal range of motion and function to an injured tendon, anything else the surgeon needs to do in addition to the tendon repair. Continued Stretching and flexibility exercises to help the tendon heal completely and avoid long-term pain. MNT is the registered trade mark of Healthline Media. A person may require a tendon transfer. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://journals.lww.com/plasreconsurg/pages/articleviewer.aspx?year=2015&issue=06000&article=00034&type=abstract, https://doi.org/10.1016/J.MPSUR.2016.01.007, https://www.jstor.org/stable/j.ctt1g69xq0.13, https://www.sciencedirect.com/science/article/pii/B9780323077477000113?via%3Dihub, https://www.e-aps.org/journal/view.php?doi=10.5999/aps.2014.41.4.312, https://www.mltj.org/common/php/portiere.php?ID=8daaaa97e443ef0788717cb25d6438d0, https://www.sciencedirect.com/science/article/pii/S1742706117305469?via%3Dihub, https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2015.7.3.275, https://onlinelibrary.wiley.com/doi/abs/10.1002/jor.22806, https://online.boneandjoint.org.uk/doi/full/10.1302/2058-5241.2.160075. The most common mechanism of injury was simple fall (61.5%). Bruising. Your doctor can offer guidance on when you may be healed and no longer impaired by medication, but if you need an official approval that you're able to drive, you may need to arrange for an evaluation of your driving skills through your local DMV or DOT. Safe driving after propofol sedation. Loose K, Rudolph J, Schlsser M, Willauschus M, Rther J, Schuster P, Bail HJ, Millrose M, Gelein M. J Pers Med. Snedeker, J. G., & Foolen, J. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. The existing evidence regarding the management of quadriceps tendon rupture remains obscure. How long does a Grade 1 quad strain take to heal? Doctor, when can I drive? They attach to the front of the kneecap (patella) and help straighten the leg. Results. Physical therapy. After the surgery, a person should slowly regain their range of motion. Range of functional ankle motion during driving. A splint or similar dressing can reduce tension while the tendon heals. You can drive if you arent taking medication that affects your ability to drive and once your shoulder doesnt hurt when you control the wheel. MeSH Youll receive general anesthesia (youre asleep) or regional anesthesia (youre awake but cant feel or move your arm) before the procedure. and transmitted securely. Y:ATW ; Get useful, helpful and relevant health + wellness information. 2016 Jan;26(1):85-92. doi: 10.1007/s00590-015-1710-6. The quadriceps muscle becomes the quadriceps tendon that inserts onto the patella. endstream endobj 1744 0 obj <>/Metadata 87 0 R/Outlines 107 0 R/PageLayout/OneColumn/Pages 1738 0 R/StructTreeRoot 344 0 R/Type/Catalog>> endobj 1745 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 1746 0 obj <>stream Anaesthesia. The injured tendon may need to be supported with a splint or cast to take tension off of the repaired tendon. Driving itself wasnt such a big issue, getting into my SUV was. While a robust tendon a good source for an ACL autograft the quadriceps tendon hasn't been used or researched as much as other graft sources. Strengthening exercises to help you rebuild tendon strength and avoid future injuries. 71 0 obj These medications don't put you totally out but do make you less aware and are used to block pain. An Internet based search of the English literature of the last 25 years was carried out. You feel cramps in your upper arm, especially when youve been carrying or lifting heavy objects. I finally figured out that using a small towel or bandanna to wrap and lift up my brace and get my leg in was the ticket. Your surgeon will remove sutures or staples about two weeks after surgery. The surgeon will usually take the healthy tendon tissue for the graft from another part of the persons body. Policy. doi: 10.1016/j.eats.2022.08.022. The procedure also treats SLAP tears tears in your labrum (cartilage that lines the inner part of your shoulder joint.) Once the swelling gets better, your doctor may suggest you visit a physical therapist. Bleeding that soaks through your dressing and doesn't stop when you place pressure over the area. The first-line treatment for quadriceps tendinitis is a method called RICE. Out of 474 studies identified, 12 met the inclusion criteria. Following an Patellar or Quadriceps Tendon Repair procedure, you may fully weight bearing and wean from walker/crutches as you are able. 2014;69(9):1062-1063. doi:10.1111/anae.12809, Pergolizzi, Jr, MD JV, Taylor, Jr, PhD R, Bisney, MA J, et al. Before you can do that, however, youll need physical therapy and a healthy dose of patience so your biceps tendon can heal. What's to know about extensor tendonitis? When the procedure is related to an orthopedic injury, the concern is all the greater. Cardiovascular health: Insomnia linked to greater risk of heart attack. It appears that the type of surgical repair does not influence the clinical results. 2016;474(12):2557-2570. doi:10.1007/s11999-016-5007-9. Quadriceps tendon tear is an injury that occurs when the tendon that attaches the quadriceps muscle (a group of 4 muscles in the front part of the femur) to the patella or kneecap tears. If your movements are impaired because of braces or stiffness, your reaction time will be much slower when trying to brake. Your labrum tears and your biceps tendon is either torn in the process or is disconnected from your shoulder. Anesthesia or other sedative medications can impair driving for at least 24 hours. Additional medical conditions can affect how successful tendon repair surgery is. 30 0 obj How long to recovery after tendon surgery? endstream endobj 1747 0 obj <>stream In some cases, however, the tendon can tear again. The following steps occur during most tendon repair operations: The tendon may be too short for the surgeon to sew it back together as it is. My vehicle was a 2001 Nissan Xterra. But for some of us, like me who didnt have easy access to help, you have to make due with other ways. If youre taking opioid painkillers, you may not be able to drive until you stop using them. This is tested during surgery. Will You Need Surgery? Talk to your healthcare provider about your concerns. Plesser S, Keilani M, Vekszler G, Hasenoehrl T, Palma S, Reschl M, Crevenna R, Hajdu S, Widhalm HK. When I incurred my injury in 2007 I had landed a job a few days prior to the accident. They are poorly protected by fat and therefore prone to injury. How long does it take for a quad to heal? Federal government websites often end in .gov or .mil. How can I speed up tendon healing after surgery? A. How long does it take for tendons to heal after surgery? 59 0 obj [Effectiveness of a suture bridge technique for repair of quadriceps tendon rupture in uraemic patients]. Driving after upper or lower extremity orthopaedic surgery. In some cases, the Achilles tendon repair surgery can be done as a minimally invasive procedure. Tears can be complete or partial. 1 0 obj Is the ketogenic diet right for autoimmune conditions? The patient is then placed into a knee immobilizer keeping the knee straight after surgery. Treatment for Quadriceps Tendon Rupture (QTR) Conservative Treatment Steps for Quadriceps Tendon Rupture (QTR) RICE (Rest, Ice, Compression, Elevation) technique should be applied immediately on sustaining quadriceps tendon rupture. The https:// ensures that you are connecting to the As an orthopedic injury heals, you may not be allowed to move the injured body part for a long period of time. How long does it take to recover from knee tendon surgery? If the strained quad is severe, it may require four to eight weeks to achieve full recovery. -Driving o You may not drive while taking pain medication. It is essential to keep the area elevated to prevent pain and swelling for the first few days. Post-operative fractures of the right knee, ankle, thigh, or calf bone: Patients could reasonably return to driving after six weeks of weight-bearing therapy. In the biceps tenodesis procedure, your surgeon releases your torn biceps tendon from your labrum. B. This bulge is sometimes called a Popeye bulge. hTn {bD)85b'=k)q 2>e)3sXA. With few exceptions, you cannot drive if you have a body joint that is in a hard brace or cast. 1743 0 obj <> endobj Driving after quad tendon surgery is the question that will come up. A tendon transfer involves a surgeon removing a tendon that is close to the severed tendon and sewing it into the place of the broken tendon to restore function. This is done with several small incisions instead of one large one. A (reluctant) two-timer quadriceps tendon rupture, Bilateral Quadriceps Tendon Repair Gets Patient Jogging Again, Getting back to skiing after a Quadriceps Tendon Tear. Quadriceps Tendon Ruptures in Middle-Aged to Older Patients: A Retrospective Study on the Preoperative MRI Injury Patterns and Mid-Term Patient-Reported Outcome Measures. A systematic review. Foot and Ankle Surgery. <>/MediaBox[0 0 612 792]/Parent 2 0 R/Resources<>/ProcSet[/PDF /Text /ImageB /ImageC /ImageI]>>/StructParents 1/Tabs/S/Type/Page>> That's because slower response times and limited range of motion put you at risk for an accident. TUn(NJ)Z} DJ vhh|^.7GR4T( 8x\xy?T ~*d'"y1Hr%6.Q9q'w8>XeIp The affected limb was immobilised in a cast for a period of 3-10 weeks. 103 0 obj <>stream Journal of PeriAnesthesia Nursing. If any joint has been placed in a cast or brace, you should avoid driving even if it's a soft brace or bandage since your range of motion is still restricted. As a result, you might need to take off work or ask for help with everyday activities. Advertising on our site helps support our mission. What Is an Anterior Tibialis Tendon Rupture? After surgery for a Quadriceps Tendon or Patellar Tendon Rupture, patients will be placed in a brace and be prescribed physical therapy. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Once your motion,. Yaw Boachie-Adjei, MD, is a board-certified, double-fellowship Orthopedic Surgeon at Kaiser Permanente in Georgia. Khan, H., & Sivakumar, B. <>stream The Surgeon. Sprained Ankle vs. Tendon repair is done to bring back normal movement to a joint. The most common sites of tear were noted between 1cm and 2 cm of the superior pole of the patella and, in the older people, at the osseotendinous junction. These muscles extend the legs at the knee and are important for standing, walking, and almost all activities involving the legs. Their job is to allow the body to move and to transfer weight. A person with a grade 1 injury will likely recover within 12 weeks if they rest the muscle as much as possible. After 6 weeks, your leg should be able to handle your full body weight. In fact, for the first day, you should refrain from many things in addition to driving such as operating machinery, cooking, or doing any task that could obviously lead to injury, including handling a kitchen knife. After taking any sedative medication, you shouldn't drive for at least 24 hours. It is often reported that a patient should not drive with a plaster cast on the wrist. Peroneal tendonitis affects these tendons, and can make. Having been advised by my doctor soon after surgery that I wasnt supposed to drive for several weeks, I became very stressed out on what to do about my situation. Should I get a Femoral Nerve Block before Quadriceps Tendon Surgery? Physical therapy or occupational therapy is usually necessary to return movement in a safe manner. It also discusses the role your doctor plays in helping you determine when youre ready to get behind the wheel. MacKenzie JS, Bitzer AM, Familiari F, Papalia R, McFarland EG. Last medically reviewed on August 6, 2018, The peroneal tendons are in the feet and provide balance and stability during movement. Youll need to wear an arm sling for four to six weeks after your surgery. Doctors carry out tendon repair surgery to fix a tendon injury. "ydL@78 o K| Exceptions may include an injury to your left knee, ankle, or foot. . After Quadriceps Tendon Repair Rehabilitation Protocol Phase One- Maximum Protection (Weeks 0-6) 0 to 2 weeks Brace locked in full extension for 6 weeks FULL weight bearing in Splint Ice and modalities to reduce pain and inflammation Aggressive patella mobility Range of motion 0 degrees to 30 degrees flexion Weeks 2 to 4 In some cases, the quadriceps (thigh) muscles may need to be cut during the surgery. 621 SCIENCE DRIVE MADISON, WI 53711 4602 EASTPARK BLVD. Stop taking herbal supplements for one or two weeks before surgery. AUGyAI5 K"c>R$?0GNs9Du 1 If1~>M9fh+4^Q}H&|XvHc)pr~'e1~+:Yv%CJ0vSOCE oxkC*T _d{%Ugv+C3k!6 5H%%R=$HD]9o%OSSyL$\F=RTtztmO~%n-xpyAQl{#6ybo j_"6c4v C:VgFw'zM Cleveland Clinic is a non-profit academic medical center. . 6D~* 6mTXZ+nq*;"aUJCNi%Ek>.{aP7u Your healthcare provider will give you specific instructions, but heres some general guidance: Scars from open biceps tenodesis are small. They drill a small hole in your upper arm. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Speak with your doctor about whether or not you seem ready to start driving after surgery. Simultaneous bilateral quadriceps tendon ruptures (SBQTR) are uncommon knee injuries and most frequently occur in male patients, over 50 years of age. How long after knee tendon surgery Can you walk? Anti-inflammatory medications. They might have recommendations such as occupational therapy or sports therapy to help you ease back into your usual routines. In total 319 patients were analysed with a mean age of 57 years (16-85). Suture anchor repair has been shown to be stronger than transosseous repair and facilitates a smaller incision. They use small surgical tools to cut your biceps tendon from your labrum. This makes the joint immobilized or unable to bend at all. 2018;06(04):232-240. doi:10.1055/s-0039-1678562, Summerlin-Grady L, Austin PN, Gabaldon DA. FOIA It may also be necessary if you're permanently impaired and need to confirm that this injury won't affect your ability to drive. (2013). After that, use as necessary. INSTRUCTIONS FOR IMMEDIATELY AFTER SURGERY:-Activity o Apply ice to your knee but keep the bandages dry PMC It is very important that the patient knows the recovery process is difficult and time consuming. Regain knee motion, begin Continuous passive motion machine 3. Then strong sutures are placed into the tendon and tied back down to the top of the patella. HTn6}W#YT=,V6.VjM;CX,Z2L sfFawh/%=}5w,ZA||PhyqSi;_[R]?6 w> Typically, theyre around 3-4 centimeters. Brace will be worn 12 weeks after surgery. endobj 4 0 obj People who may require tendon repair surgery include those with: a deep cut that severs a. 2 0 obj doi: 10.1590/1413-785220223001e245692. David Gordon, Consultant Orthopaedic Surgeon - Quadriceps Tendon Repair Surgery : A Patient Guide June 2012 Physiotherapy and Exercise You can place your full weight through the leg and bend and straighten the knee within the range set by the brace . Dont drive if youre experiencing pain since it can lead you to become suddenly distracted or unable to move freely. By Jonathan Cluett, MD It usually takes four to six months to recover from biceps tenodesis. 2014. S"VN] w7X=zPEz*mdrDEDGl-^B^iY/a'Q 6Z{ J>1ZTEX@}1-9@x!X%4wWF\2zE5GP>s6;A/6F|}#$<=PDW[7G0pRD_! */k~;+{a'{}tfGTHd[k >O[iwq$fy9{~0 7 Common Fractures of the Leg, Ankle, and Foot, Medial Malleolus Fracture and Broken Ankle Treatment. If you need to legally prove youre capable of driving, youll need to have an evaluation done through your DMV or the DOT. Impaired movement can delay time to check mirrors or avoid an accident. At this time, your sutures will be removed and . 0 Surgeons usually take tendons from areas where the body has two tendons but can manage with just one. Broken Ankle: What Are the Differences? Your . 2 This includes general anesthesia and conscious sedation. (2015, June). They will also likely ask the person to try to move the damaged part of their body in different directions to get a more accurate diagnosis of the injury. Jonathan Cluett, MD, is board-certified in orthopedic surgery. All those reactions can cause problems on the road. Performance Is Regained Within 2 Seasons After Quadriceps Tendon Tears in National Basketball Association Players. N!c&Wo K=&)KmOO Joints. You can re-injure your biceps tendon by resuming sports and other activities before your tendon heals. Unauthorized use of these marks is strictly prohibited. How long does pain last after tendon surgery? 2022 Jun 14;11(7):e1209-e1217. Progression to running and functional activities for sports often takes three to four months. The site is secure. When can I drive after orthopaedic surgery? 83*CARRv Copyright 2012 Elsevier Ltd. All rights reserved. I was supposed to start a few days after my surgery. (https://pubmed.ncbi.nlm.nih.gov/30723678/), Visitation, mask requirements and COVID-19 information. Her additional health-related coverage includes death and dying, skin care, and autism spectrum disorder. Tendon injuries often require surgical treatment. Return to sports activities can often take six months from the time of surgery. The job was computer support so I would be sitting all day which was something I could do, but how was I going to get to the job. Tk@ 4:$R3\^A1^77"d2T2{*F4ti"[_c?;`T1si8FK5KAyh*eW9/}vK_3QXke}z6'Yk=#)"wmTi\Y*| a=p 6f$hP5vt`OY&gl"AfEXM!UlIrJ-ya8p$6m] What is calcific tendonitis and what causes it? The muscles that form the quadriceps femoris unite proximal to the knee and attach to the patella via the quadriceps tendon.

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