Case Spotlight: Partial Patellar Tendon Tear in an 18-Year-Old Volleyball Player.

🏐 Case Spotlight: Partial Patellar Tendon Tear in an 18-Year-Old Volleyball Player

An 18-year-old male volleyball player presented with anterior knee pain (specifically, just below the apex of the patella) and reduced jumping ability. After clinical examination and imaging confirmed as a case of partial tear of the patellar tendon.

📸 Attached: Diagnostic Images showing Patellar Tendon partial tear in both axis.

🔹 Intervention:
With all aseptic precaution, a single session of prolotherapy was performed using a dextrose-based solution targeting the affected region. 

🔹 Outcome:
There is no complication. No significant Muscle wasting. Within 7 days, the athlete reported significant improvement in pain and function, particularly during eccentric loading and landing drills.

🔹 Current Concern:
Despite progress, he reports a localized tightness/discomfort over the injection site, raising concerns about residual fibrosis/tendon thickening or anything else.

📸 Attached: Post injection images demonstrating clinical and structural changes.


Question for Discussion:
What could be the cause of the tightness sensation post-prolotherapy, and what should be the next step in managing this promising recovery?

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