Partial rupture of the patellar ligament

Abstract

Eighty-one patients with 91 partial ruptures of the pa tellar ligament verified by ultrasonography were treated conservatively with a standardized training program based on the principles of eccentric loading. The partial ruptures were quantified by measuring the length of the hypoechoic lesion using ultrasonography in longi tudinal projection. The partial ruptures were then di vided into three groups: Grade I (<10 mm), Grade II (10 to 20 mm), and Grade III (>20 mm). The results after the training program were significantly better in Grade I ruptures than in Grades II and III. The overall need for surgery was 29.6%: highest in Grade III ruptures (38.5%) and lowest in Grade I ruptures (6.6%). The outcome of conservative management, as well as the need for surgery of partial ruptures of the patellar ligament, may to some extent be predicted by the use of ultrasonography.