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Patellar Tendinopathy N072

Document
Last amended 
28 February 2017
Current RMA Instruments
Reasonable Hypothesis SOP114 of 2011
Balance of Probabilities SOP 115 of 2011
Changes from previous Instruments

SOP Bulletin 153

ICD Coding
  • ICD-9-CM Codes:726.64
  • ICD-10-AM Codes: M76.5
Brief description

This is an overuse condition affecting the patella tendon.  The patella tendon connects the patella (knee cap) to the tibia (below the knee).  The tendon from the patella to the quadriceps muscle (above the knee) is the quadriceps tendon.  Quadriceps tendinopathy / tendinitis is a similar overuse condition but it is not covered by this SOP.

Confirming the diagnosis

This diagnosis is clinical but is assisted by ultrasound scan or MRI [Magnetic resonance imaging] scanning.

The relevant medical specialist is an orthopaedic surgeon.

Additional diagnoses covered by SOP

Patella tendinitis

Additional diagnoses that may be covered by SOP (further information required)

Jumper’s knee

Conditions excluded from SOP
  • Anterior knee pain (further information required)
  • Bipartite patella#
  • Chondromalacia patella*
  • Dislocation of patella*
  • Enthesopathy or tendonitis as part of systemic inflammatory disease
  • Patella fat pad (impingement) syndrome#
  • Hoffa’s disease#
  • Juvenile osteochondrosis of patella / tibia#
  • Osgood-Schlatter’s disease#
  • Osteoarthritis of the patella*
  • Patella maltracking#
  • Patellar bursitis#
  • Patellar fracture*
  • Patellar tendon or quadriceps tendon strain or rupture* - sprain and strain
  • Patellofemoral (pain) syndrome (further information required)
  • Quadriceps tendinopathy#
  • Sinding-Larsen-Johansson Disease#

* another SOP applies

# non-SOP condition

Clinical onset

Clinical onset will usually be based on a self-report of when pain in the patella tendon, worse with activity, first began.

Clinical worsening

The condition may slowly resolve with appropriate treatment and avoidance of the triggering activity, but a protracted course with limited or poor response to treatment is common.  Exacerbations with activity may occur.