Knee Cap Pain
The knee joint is a weight-bearing joint. The knee is the largest joint and the most complex part in the body. Four bones namely femur, tibia, fibula and the patella make up a knee joint. Muscles, ligaments, and tendons connect those four bones by strapping them from inside and outside. The femur is the largest bone in the thigh. The tibia is the large shin-bone. The fibula is the smaller shinbone, which is located next to the tibia. The patella is the small bone in the front of the knee. It slides up and down in a groove in the femur or the femoral groove as the knee bends and straightens. The patella is also known as the kneecap.
Medial meniscus and a lateral meniscus are the two structures that provide stability to the knee cap acting as shock absorbers and are found between the femur and the tibia. Ligaments too provide stability to the joints and helps holding the patella in the center of femoral groove. Tendons connect the muscles to bone. In the knee joint, articular cartilage helps the knee bones to move easily as the knee bends and straightens. It covers the ends of the femur, the femoral groove, and the top of the tibia and the bottom of the patella.
Knee cap pain is an extremely common complaint. Pain can occur in the knee cap from diseases or conditions that involve the knee joint, the soft tissues and bones surrounding the knee, or the nerves that supply sensation to the knee area. In fact, the knee joint is the most commonly involved joint in rheumatic diseases and immune diseases that affect various tissues of the body including the joints to cause arthritis.
The various causes for kneecap pain are arthritis, ligament injuries, cartilage injuries, meniscal tear, patellar tendonitis, chondromalacia patella, dislocating kneecap, baker's cyst, bursitis, plica syndrome, osgood-schlatter disease, osteochondritis dissecans and gout.
Tendonitis occurs around the kneecap joint and is most common of the patellar tendon, which is the large tendon located over the front of the knee. Chondromalacia Patella causes knee pain under the kneecap. This ailment is found in young patients in the 15-35 years old age group. This is caused by the softening of the cartilage, which covers the kneecap. Cartilage tears are seen in young and old patients alike, and are also an extremely common cause of knee pain. A dislocating kneecap causes acute symptoms like difficulty in walking during the dislocation, but can also lead to chronic kneecap pain. Bursitis is a kind of kneecap ailment, which affects the joint just above the kneecap. This is most common in people who kneel for work, such as gardeners or carpet layers.
The possible signs for kneecap pain are inability to walk comfortably on the affected side, injury that causes deformity around the joint, pain that occurs at night or while resting in the knee joint, pain that persists more than a few days, inability to bend the knee, swelling of the joint or the calf area and signs of an infection, including fever, redness and warmth.
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