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Patellar Tendinopathy N072
Current RMA Instruments
|Reasonable Hypothesis SOP||114 of 2011|
|Balance of Probabilities SOP||115 of 2011|
Changes from previous Instruments
- ICD-9-CM Codes:726.64
- ICD-10-AM Codes: M76.5
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
Additional diagnoses that may be covered by SOP (further information required)
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 will usually be based on a self-report of when pain in the patella tendon, worse with activity, first began.
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.