Patellar Tendon Tear

A patellar tendon tear is a serious knee injury that can cause significant pain and instability. The patellar tendon attaches the kneecap to the shin bone and plays a crucial role in straightening the leg. 

Benjamin W. Szerlip, DO, specializes in diagnosing and treating patellar tendon injuries in Austin, Texas. Contact our office today to schedule a consultation!

What Patients Are Saying

“Dr. Szerlip was very personable, knowledgeable, and took time for all my questions. He gave great explanations of my problem and potential solutions. I have full confidence in his recommendations for treatment and therapy.” — Pam G. 

What is a Patellar Tendon Tear?

The patellar tendon is a thick band of tissue that connects the bottom of the kneecap (patella) to the shin bone (tibia). This tendon works with the quadriceps muscle and quadriceps tendon to extend the knee. A patellar tendon tear occurs when this structure is partially or completely ruptured, leading to weakness and difficulty in straightening the leg.

These injuries are often the result of trauma, sudden movements, or chronic wear and tear. Athletes and active individuals are at a higher risk, but anyone can experience a patellar tendon injury under the right circumstances.

Types of Patellar Tendon Tears

Patellar tendons can tear to different degrees.

Partial Patellar Tendon Tear

A partial patellar tendon tear occurs when only a portion of the tendon is damaged. Some fibers remain intact, allowing limited movement and function. This type of tear often leads to knee pain, swelling, and weakness but does not always require surgery.

Complete Patellar Tendon Tear

A complete patellar tendon tear, or complete tendon rupture, means the tendon has fully separated from the kneecap or shin bone. In these cases, the quadriceps can no longer straighten the knee, and surgery is typically required to restore function.

A man with knee pain caused by a torn patellar tendon in Austin, Texas.

Symptoms of Patellar Tendon Tear

Recognizing patellar tendon tear symptoms early is crucial for proper treatment. Common signs include:

  • Severe knee pain, especially at the front of the knee
  • Swelling and bruising around the patella
  • Difficulty straightening the leg, bearing weight, or patellar instability
  • A visible gap or indentation below the kneecap (in complete patellar tendon ruptures)
  • A popping sensation at the time of injury
 

If you experience these symptoms, seeking immediate medical attention is essential for an accurate diagnosis and timely treatment.

Who is at Risk?

Certain factors increase the likelihood of experiencing a patellar tendon rupture:

  • Athletes involved in jumping or sudden directional changes (e.g., basketball, soccer).
  • Individuals with patellar tendonitis, which weakens the tendon over time.
  • People with chronic conditions that affect the blood supply to the knee, such as diabetes or rheumatoid arthritis.
  • Use of corticosteroid injections or certain antibiotics, which may weaken the tendon.
  • Previous knee surgeries, such as ACL or knee replacement surgery.
 

While active individuals are at higher risk, anyone can sustain an acute patellar tendon tear due to sudden trauma or excessive force.

How is it Diagnosed?

A patellar tendon tear is typically diagnosed through a combination of:

  1. Physical Examination – A healthcare provider will check for tenderness, swelling, and the ability to extend the leg.
  2. Imaging Tests – X-rays can reveal abnormal positioning of the kneecap, while an MRI provides a detailed look at tendon tears and other soft tissue damage.
 

Dr. Szerlip uses advanced diagnostic techniques to assess the severity of patellar tendon injuries and determine the best course of treatment.

What Treatment is Available?

Treatment for a patella tear depends on the severity of the tear. 

Non-Surgical Treatment

For a partial patellar tendon tear, conservative approaches may be effective:

  • Bracing and Immobilization – A knee brace keeps the leg in an extended position to allow healing.
  • Physical Therapy – Strengthening the quadriceps muscle and improving flexibility can aid recovery.
  • Pain Management – Anti-inflammatory medications and ice therapy help reduce swelling and discomfort.

Surgical Treatment

A severe patellar tendon tear or complete patellar tendon rupture typically requires surgical repair. This procedure typically involves reattaching the tendon to the knee cap and securing it in place. Dr. Szerlip performs minimally invasive surgical techniques whenever possible to promote faster recovery and reduce complications.

Recovery

Recovery from a patellar tendon tear treatment varies depending on the severity of the injury and the chosen treatment method.

Non-Surgical Recovery

If no surgery is needed, as in the case of most partial tears, your recovery will go as follows:

  • Typically requires 6–12 weeks of rest and physical therapy
  • Gradual return to activity with bracing and strengthening exercises

Post-Surgical Recovery

Following surgical repair, your recovery may go as follows:

  • Immobilization for 4 weeks, followed by guided physical therapy
  • Gradual weight-bearing and strengthening exercises to restore function
  • Full recovery may take 6–12 months, with a return to sports after clearance from a specialist
 

Benjamin W. Szerlip, DO, provides personalized rehabilitation programs to help patients regain strength and mobility after a patellar tendon tear.

Expert Patellar Tendon Tear Treatment in Austin, TX

If you’re experiencing knee pain or believe you’ve suffered a patellar tendon injury, don’t wait to seek treatment. Benjamin W. Szerlip, DO, specializes in patellar tendon tear treatment to help patients regain mobility and return to the activities they love.

Schedule an appointment today to receive expert care from our fellowship-trained surgeon in Austin, Texas. Let us help you get back to doing the things you love.