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.
What to Do If You Dislocate Your Kneecap. The kneecap is under that brown tendon. by James Hubbard, MD, MPH. A dislocated kneecap is another one of the multiple knee injuries you can get.And you wonât be going far until itâs fixed. Itâs painful, most of the time thereâs a lot of swelling, and your knee canât straighten. Wrap it with an elastic bandage or use a knee brace. 2  This does little or nothing to keep the kneecap in place, but moderate compression can keep the swelling down. 3  Stay off of your injured leg if you can and apply ice packs, if available, for 10 minutes at a time intermittently. 4  Use a cane or crutches.