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.
How a Dislocated Kneecap Happens. When the kneecap partially moves out of its position, doctors call the condition a subluxation. A partially dislocated kneecap can be the result of a previous dislocation or an inherited tendency for the kneecap to slide to the outside.There could be tenderness under the kneecap and pain when the person twists the knee or climbs stairs. A feeling of the kneeâs instability is a common complaint.islocated Knee Versus Dislocated Kneecap. âA dislocated knee (as opposed to a kneecap) is one of the most challenging sports injuries in terms of recovery,â says Joshua Hackel, MD, the director of Primary Care Sports Medicine at the Andrews Institute in Gulf Breeze, Florida.