Description
The presentation by James Murray focuses on the importance of the extensor mechanism in knee function, likening it to a drive chain in a bike or car, facilitating knee movement through the quads tendon, patella, and patellar tendon. He discusses potential complications such as acute trauma versus gradual deterioration due to tendinopathy or surgical intervention (iatrogenic issues). Key assessment techniques are highlighted, including examining straight leg raises and identifying palpable gaps indicative of tendon injuries.
Murray also emphasizes the need for proper imaging to diagnose conditions, particularly differentiating acute versus chronic injuries. He presents various cases, showing acute patellar and quadriceps tendon ruptures, which can lead to severe joint injuries, including fractures and multiligament damage.
The presentation further explores treatment options, advocating for surgical repairs of ruptured tendons, with recommendations for rehabilitation protocols involving progressive range of motion exercises and appropriate bracing. Special emphasis is placed on the need for reinforcement techniques and careful consideration in revision cases, where more complex surgical methods may be necessary. Lastly, when dealing with chronic cases or significant soft tissue damage, options may include more invasive procedures such as arthrodesis or amputation.