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.
Your kneecap normally resides over the joint of your knee. When you bend your knee, the movement causes the backside of your kneecap to glide over the bones of the knee, specifically the femur or thigh bone. Tendons and ligaments attach your kneecap to your shinbone and your thigh muscle to the kneecap. When any of these components fails to move properly, it can cause your kneecap to rub up against your bone. This rubbing can lead to deterioration in the patella, and then chondromalacia or runnerâs knee.