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.
You may also have pain underneath your kneecap. You may have swelling in your knee. You may have pain walking or running. The outside of your knee may become swollen if the bursa is bruised.The bursa is a fluid filled sac just in front of the patella.e or she may order an X-ray. To treat this condition: 1  Put an ice pack, gel pack, or package of frozen vegetables wrapped in a cloth on the injured area every 3 to 4 hours for up to 20 minutes at a time until the pain and swelling go away.