{"id":4242,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/overuseinjuriesknee\/"},"modified":"2024-05-23T17:05:01","modified_gmt":"2024-05-23T16:05:01","slug":"overuseinjuriesknee","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneenohistoryoftrauma\/overuseinjuriesknee\/","title":{"rendered":"Overuse Injuries (Knee)"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sports related<\/li>\n\n\n\n<li>Recent increase in activity<\/li>\n\n\n\n<li>Recent change in activity\/work<\/li>\n\n\n\n<li>Well localised pain<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Local tenderness<\/li>\n\n\n\n<li>Commonly patella tendon &#8211; proximal end<\/li>\n\n\n\n<li>Tibial tuberosity pain &#8211; distal end patella tendon<\/li>\n\n\n\n<li>Rarely quads tendon insertion, upper pole patella<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:20% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"611\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Inferior-pole-patella-1024x611.png\" alt=\"Inferior pole patella\" class=\"wp-image-11177 size-full\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Inferior-pole-patella-1024x611.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Inferior-pole-patella-300x179.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Inferior-pole-patella-768x458.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Inferior-pole-patella.png 1098w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Usually lower pole patella<\/p>\n\n\n\n<p><em>image copyright NHS Lothian<\/em><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">\u200bSecondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Only if primary care treatment exhausted<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Primary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>USS for appropriate tendon (patella or quadriceps)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Primary care treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Advice<\/li>\n\n\n\n<li>Rest\/activity modification<\/li>\n\n\n\n<li>Timescales &#8211; many months<\/li>\n\n\n\n<li>Physiotherapy for appropriate tendon loading programme<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs Usually lower pole patella image copyright NHS Lothian<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4074,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[406],"class_list":["post-4242","page","type-page","status-publish","hentry","category-overuseinjuriesknee"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneenohistoryoftrauma\/overuseinjuriesknee\/\" rel=\"tag\">Overuse Injuries (Knee)<\/a>","rttpg_excerpt":"History Signs Usually lower pole patella image copyright NHS Lothian","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4242"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4242\/revisions"}],"predecessor-version":[{"id":19588,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4242\/revisions\/19588"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4074"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}