Found August 28, 2012 on TheDaveSimsShow:

This has been the week of the patellar tendon tear in the NFL.

Gerald McRath, a Tennessee Titans’ linebacker who had missed some playing time at the close of last season in part due to knee pain, is set for surgery to repair the partially torn left patellar tendon that has continued to hamper him. He is expected to be out for the year.

The Tampa Bay Buccaneers lost right guard Davin Joseph to a what is likely a season-ending right patellar tendon tear suffered on August 24th during a preseason victory over the New England Patriots,

Rounding out the list is promising Steelers’ rookie guard David DeCastro, who hit a terrible trifecta with a dislocated right patella, torn MCL (medial collateral ligament) and partially torn patellar tendon on August 25th in a preseason game against Buffalo. In spite of what is clearly a “severe knee injury”, optimistic reports have DeCastro returning in three to five months.

Jim Leonhard, Ryan Williams, Nate Allen and Clint Sintim are amongst NFL sufferers from recent seasons who could counsel the newest members of the patellar tendon club.

The Patellar Tendon

A tendon connects muscle to bone, while a ligament connects bone to bone.

The patella is also known as the kneecap, and the patellar tendon, which connects it to the tibia (the larger bone of the lower leg), is sometimes referred to as the patellar ligament. This tendon is a part of the extensor mechanism of the knee. The extensor mechanism also includes the quadriceps muscle (located at the front of the thigh), the quadriceps tendon (which attaches the quads to the patella), ligaments that connect the patella to the femur (thigh bone) and tibia, connective tissues that help secure and stabilize the patella, as well as the tibial tubercle (the point of attachment of the patellar tendon to the tibia).

Ruptures of the extensor mechanism occur either to the quadriceps tendon or patellar tendon and may be complete or partial. Patellar tendon ruptures generally occur in those younger than than 40 years of age, while quad tendons are more likely to rupture in those over 40.  Prolonged steroid use is thought to increase the risk of rupture. When either the quad or patellar tendons are completely ruptured, the knee cannot be actively straightened at all. With a partial tear, it is generally possible to extend it at least somewhat.

Most ruptures of the patellar tendon occur when the knee is bent and subject to more of a demand than it can tolerate. Ruptures occur more frequently at the upper part of the tendon and its attachment to the patella than at the lowermost portion where it attaches to the tibia. A patellar tendon rupture may also be referred to as an avulsion, which is the term used to describe the tearing away of a body part. In the case of a tendon tear, a portion of the attaching bone may be torn away as well. Without the tendon to anchor it, when someone has a torn patellar tendon, the kneecap will ride upward and remain there. Interestingly, there is a greater incidence of patellar tendon ruptures amongst those of African decent. The reason for this is not absolutely clear.

Complete rupture of the patellar tendon requires surgical repair, and surgery is best if performed promptly to optimize outcomes. Partial tears may heal sufficiently depending on the degree of disruption and the demands placed on the muscle tendon unit. Newer operative procedures allow patients to avoid prolonged immobilization in a cast and work on mobility of the knee in the post-operative period. This generally accelerates recovery. However, healing and rehab is a process that cannot be rushed. A gradual restoration of full range of motion, muscle flexibility, strength and endurance as well as balance and agility is all a part of that process.




Titans take Britt off PUP, is discipline be next?

The Tennessee Titans announced on Tuesday evening that embattled wide receiver Kenny Britt was taken off the physically unable to perform list and will join the active roster on Wednesday. The news release also said that Britt, whose season was ended early last season because of a knee injury, would not play in the teams final preseason game on Thursday against New Orleans at LP...

Titans take Britt off PUP, is discipline next?

The Tennessee Titans announced on Tuesday evening that embattled wide receiver Kenny Britt was taken off the physically unable to perform list and will join the active roster on Wednesday. The news release also said that Britt, whose season was ended early last season because of a knee injury, would not play in the teams final preseason game on Thursday against the New Orleans Saints...

The curious case of the Tennessee Titans’ offense

The Tennessee Titans have had a very middle of the pack offense in each of the last 2 seasons, ranking 17th by scoring 22.3 points per game in 2010, and 21th by scoring 20.3 points per game in 2011. However, they have the potential to be a top-10 offense in 2012. The reason for this is their playmakers. Once known as a conservative team that didn’t use high picks on offensive playmakers...

Titans remove WR Britt from PUP list

The Tennessee Titans have removed receiver Kenny Britt from the physically unable to perform list, though he will not play Thursday night in the team's preseason finale against New Orleans. Coach Mike Munchak said after practice Tuesday they were close to activating Britt, and the team announced the move 3 three hours later. Britt will join the active roster Wednesday, allowing...

2012 NFL Depth Chart Updates: Tennessee Titans

Coming off a season in which the Titans quietly finished 9-7, just one game behind the division-winning Texans, head coach Mike Munchak headed into camp with a singular vision.Instead of being an also-ran, Munchak was prepared to shake up a solid roster with the goal of kicking down the door to the playoffs.The Titans featured an offense and defense that were both solid, but not...

2012 NFL Preview: AFC South

    With just a couple short weeks until the opening kickoff of the 2012 NFL season, it’s finally time to make my official predictions, knowing full well they will be shot to pieces faster than Carson Palmer can throw 10 INT’s. Still, gotta fill the time somehow, right?     In case you missed them, here are the divisions we’ve already previewed:   ...

Titans Trim Roster to Get Down to 75 Players

The Tennessee Titans made a handful of roster moves on Sunday in preparation for roster-sizes being cut down to 75 players. Among the moves made, wide receiver Marc Mariani was placed on injured reserve after breaking his leg, making him ineligible to return to the team in the upcoming season. To get down to the roster limit, the Titans also released 11 players (listed below). QB...

2012 Tennessee Titans preseason positional analysis: ST

We continue our look at the Titans position by position as we rapidly approach the 2012 regular season with an analysis of the special teams, where the Titans have two returning stalwarts and two players who will be filling new jobs.My preferred metric for evaluating special teams play, and not just because I write for them, is Football Outsiders' ratings. That's for the...

Kenny Britt Activated From PUP List

According to the Associated Press, the Titans have removed receiver Kenny Britt (knee) from the PUP list.Fantasy Spin:Britt won't play Thursday in the team's final preseason game, but he can take part in practice starting Wednesday. The Titans' receiver, who has had three knee surgeries since last September, may also face a suspension from the NFL for a DUI arrest in...

Kenny Britt expected to activated soon

Getty According to Jim Wyatt of the Tennessean, Titans head coach Mike Munchak has indicated that wide receiver Kenny Britt is expected to be activated from the PUP list soon. Titans WR Kenny Britt is expected to come off PUP in the next few days, Munchak said — Jim Wyatt (@jwyattsports) August 28, 2012 The Titans are still waiting to hear from the NFL to find out if Britt will...

Titans activate Britt

Wide receiver Kenny Britt passed his physical and was activated from the physically unable to perform list, the Titans announced. Britt tore his ACL and MCL last September and has since undergone three knee surgeries. He will not play in the team's preseason finale against New Orleans on Thursday and can't practice for three days, per the collective bargaining agreement...

Fantasy Football 2012: Breaking Down the Tennessee Titans

What can the Tennessee Titans do for you this fantasy season? Check out Athlon Sports' team report as we break down the rookies, veteran players to...

AFC South: The Tennessee Titans time to shine?

The Tennessee Titans are coming off an impressive 2011 campaign that saw them exceed expectations and finish 9-7 with only a New York Jets victory away from the playoffs.  The 2012 season is seeing similar pessimism from those outside the Titan fan base, where there is optimism in the air, as there were last year with question marks surrounding the quarterback position, running...
NFL News
Delivered to your inbox
You'll also receive Yardbarker's daily Top 10, featuring the best sports stories from around the web. Customize your newsletter to get articles on your favorite sports and teams. And the best part? It's free!

Today's Best Stuff
For Bloggers

Join the Yardbarker Network for more promotion, traffic, and money.

Company Info
What is Yardbarker?

Yardbarker is the largest network of sports blogs and pro athlete blogs on the web. This site is the hub of the Yardbarker Network, where our editors and algorithms curate the best sports content from our network and beyond.