Orthopedic Case of the Week – 17 Year Old Track Athlete with Anterior Knee Pain

Dr. Steve Meyers
July 2, 2024

Orthopedic Case of the week:
17 year old track athlete with anterior knee pain for 2 years. Progressive, sharp pain that increases with running, jumping and squatting activities. Physical therapy has provided minimal relief. Despite the pain, he continues to train. MRI shows tendinopathy of the proximal patellar tendon with intrasubstance tear. Ultrasound imaging confirms the injury and shows significant abnormal blood flow within the area of damaged tendon (neovascularization). After discussing treatment options, the damaged tendon will be treated with high-dose PRP (platelet rich plasma) injection along with separating (hydrodissection of) Hoffa's fat pad from the tendon to disrupt the abnormal blood flow. This will be followed by shockwave treatment and physical therapy. Unfortunately, he has the exact same issue in both knees. Both will be treated in a staged manner.

Looking for the latest, non-surgical, cutting-edge treatments for orthopedic issues? Give me a call!

SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
817.335.4316

Posted by Steve Meyers, MD – Sports & Regenerative Orthopedics on Monday, July 1, 2024

17 year old track athlete with anterior knee pain for 2 years. Progressive, sharp pain that increases with running, jumping and squatting activities. Physical therapy has provided minimal relief. Despite the pain, he continues to train.

MRI shows tendinopathy of the proximal patellar tendon with intrasubstance tear. Ultrasound imaging confirms the injury and shows significant abnormal blood flow within the area of damaged tendon (neovascularization).

After discussing treatment options, the damaged tendon will be treated with high-dose PRP (platelet rich plasma) injection along with separating (hydrodissection of) Hoffa’s fat pad from the tendon to disrupt the abnormal blood flow. This will be followed by shockwave treatment and physical therapy. Unfortunately, he has the exact same issue in both knees. Both will be treated in a staged manner.

Looking for the latest, non-surgical, cutting-edge treatments for orthopedic issues? Give me a call!

SteveMeyersMD.com
Texas Health Care Bone & Joint Clinic
1651 W Rosedale #200
Ft Worth, TX. 76104
817.335.4316

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