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anatomy

Patella

The kneecap - a small, triangular bone at the front of the knee that protects the joint and improves the mechanical advantage of the quadriceps muscle.

Extended Definition

The patella (kneecap) is the largest sesamoid bone in the human body—a bone embedded within a tendon. It sits within the quadriceps tendon at the front of the knee joint.

Functions

  1. Protects the knee - Shields the joint from direct trauma
  2. Increases leverage - Acts as a pulley, increasing quadriceps power by 30-50%
  3. Reduces friction - Cartilage-covered underside glides smoothly on the femur

Patellofemoral Arthritis

The underside of the patella can develop arthritis (patellofemoral OA):

  • Causes pain with stairs, squatting, and prolonged sitting
  • Often occurs alongside tibiofemoral (main knee compartment) OA
  • Visible on X-rays as joint space narrowing between patella and femur

Treatment Considerations

Hyaluronic acid injections can help patellofemoral OA by improving lubrication throughout the entire knee joint, including the patellofemoral compartment.

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