The purpose of the Initiative is to assist regulators in determining whether and how gas production from the Marcellus Shale and other shale formations in Maryland can be accomplished without unacceptable risks of adverse impacts to public health, safety, the environment, and natural resources.
The Patella fracture may consist of a single crack across the kneecap or the kneecap may be broken into several pieces, in what is known as a 'stellate' fracture. In some instances a forceful contraction of the Quadriceps muscles can be enough to cause a fracture of the patella. This causes a horizontal crack across the knee cap, which makes it impossible for the patient to straighten their knee.
Dislocation, Patella (Kneecap). Overview &COPY; Reed Group A patellar dislocation is a shifting of the kneecap (patella) out of its normal position. The patella is a triangular-shaped bone that covers and protects the anterior surface of the knee joint. It is embedded in the tendon of the thigh muscle (quadriceps femoris) that attaches to the top part of the patella and the fibrous capsule of connective tissue that surrounds the knee joint.