Anterior Knee Pain anterior knee painPatella Femoral syndrome anterior knee pain (patella femoral syndrome) is very common in athletes. Typically, pain is increased during activities involving stair climbing, squatting or kneeling. http://info.med.yale.edu/ortho/ysmc/injuries/knee.htm
Extractions: Anterior Knee Pain-Patella Femoral Syndrome Anterior knee pain (patella femoral syndrome) is very common in athletes. Typically, pain is increased during activities involving stair climbing, squatting or kneeling. Patella femoral syndrome is caused by an irritation on the undersurface of the patella or knee cap, which can lead to softening and eventual loss of the cartilage lining the bone of the joint. There are many causes for patella femoral syndrome including malalignment of the lower extremity expressed as flat feet, knock knees, or internally rotated hips. The patella glides up and down in a shallow groove at the front of the femur or thigh bone. Patella femoral syndrome is generally caused by an imbalance of the muscle forces around the knee cap causing it to pull laterally and produce abnormal stresses on the undersurface of the knee cap. This is similar to having the front tire of your car slightly out of alignment leading to abnormal wear on the tire. Other causes for patella femoral syndrome include weak quadriceps muscles, injury to the knee, obesity and overuse. Initial treatment involves reducing inflammation and re-establishing the proper alignment between the knee cap and its groove. Rest is used for the painful swollen knee until symptoms improve. Stair climbing and squatting are avoided. Ice and anti-inflammatory medications are also used to decrease inflammation. Treatment is directed at strengthening the thigh muscles of the inside of the knee and stretching of the tight muscles and connective tissues of the outside of the knee. Malalignments of the flat feet are corrected with shoes with good medial arch support or through the use of orthotics. Hip rotation is improved through stretching exercises.
Extractions: A chief complaint for many patients is anterior knee pain. This is more common in females; the incidence is two to three times than that in males. The challenge for the physician is to determine the etiology, the diagnosis, and the best treatment. The goal of this article is to provide key elements of the history, physical examination, and treatment options to help assist in the management of patients with anterior knee pain or patellofemoral pain syndrome.
ANTERIOR KNEE PAIN In all probability youve just experienced what doctors call anteriorknee pain syndrome or patellofemoral disorder . Its http://sportsmed.ph/Articles/article anterior_knee_pain.htm
Anterior Tibial Syndrome - Leg Ache, Leg Pain, Goode Wraps May Relieve Pain University tested on varsity athletes. New sports wrap system. No chemicals, drugs or magnets. anterior TIBIAL syndrome LEG ACHE, LEG pain. Goode Wraps reduce pain, swelling and was suffering from patella tendinitis (knee pain). I ordered one of the knee wraps and http://www.200.com/ats.html
Extractions: Time: 7:47:21 PM I have to tell everyone about the relief I got from my goode wraps. I was skeptical but had found nothing that would work very well or last very long. I wear the wraps after soccer and to bed and have had no problems. Thank you goode wraps. Julie n, anterior tibial ache, trauma, chrondral, femoral, anterior symdrome pain, injury, treatment, surgerys,cruciatibial tendonitis, shin splint tendote pain, knee The most advanced sports wrap available, take a peek Anterior Tibial Syndrome / S hin Splint Wraps REGULAR Shin or Calf Wrap
Anterior Knee Pain syndrome (which we use throughout this book), patellofemoral pain syndrome, patellofemoraljoint syndrome, anterior knee pain, extensor mechanism disorder. http://www.clinicalsportsmedicine.com/chapters/24b.htm
Extractions: References Patellofemoral syndrome As this is the single most common condition seen by most sports medicine practitioners we devote substantial attention to it in this book. We discuss nomenclature, etiology of the pain, functional anatomy and predisposing factors, before outlining clinical assessment and treatment in detail. Nomenclature and origin of the pain Patellofemoral syndrome is the term used to describe pain in and around the patella. From the 1930s until the 1970s, the term 'chondromalacia patellae' was synonymous with patellofemoral pain, because softening was noted on the undersurface of the patella. This term is now out of vogue and has been replaced by nonspecific terms such as patellofemoral syndrome (which we use throughout this book), patellofemoral pain syndrome, patellofemoral joint syndrome, anterior knee pain, extensor mechanism disorder. There are two schools of thought as to the aetiology of patellofemoral pain. The longer standing theory invokes malalignment patellar malalignment relative to the femoral trochlea causes abnormalities within articular cartilage, which may or may not be visible to the naked eye. Correction of the malalignment should therefore decrease the patient's symptoms and even out loading of the articular cartilage. There is, however, poor correlation between articular cartilage lesions and pain, so patellar malalignment only explain a proportion of patellofemoral problems.
Anterior Knee Pain Two common causes of anterior knee pain in sportspeople are the patellofemoral syndrome and patellar tendinopathy. http://www.clinicalsportsmedicine.com/chapters/24a.htm
Extractions: References Anterior knee pain is possibly the most common presenting symptom in clinical sports medicine practice. Two common causes of anterior knee pain in sportspeople are the patellofemoral syndrome and patellar tendinopathy. Patellar tendinopathy was formerly known as patellar tendinitis but this misnomer is progressively falling out of favor (see page XX in chapter 2) [1]. Fat pad impingement is an underdiagnosed cause of anterior knee pain that may mimic features of both patellofemoral syndrome and patellar tendinopathy. Anterior knee anatomy is depicted in Figure 24.1 In this chapter, we first outline a practical approach to assessing the patient with anterior knee pain, particularly with a view to distinguishing the conditions, and we then detail their management. The chapter concludes with an outline of other causes of anterior knee pain.
Extractions: with Jenny McConnell and Jill Cook Anterior knee pain is possibly the most common presenting symptom in clinical sports medicine practise. Two common causes of anterior knee pain in sportspeople are the patellofemoral syndrome and patellar tendinopathy. Patellar tendinopathy was formerly known as patellar tendinitis but this misnomer is progressively falling out of favor (see Chapter 2 ). Fat pad impingement is an underdiagnosed cause of anterior knee pain that may mimic features of both patellofemoral syndrome and patellar tendinopathy. The anterior knee anatomy is depicted in Figure 24.1. In this chapter, we first outline a practical approach to assessing the patient with anterior knee pain, particularly with a view to distinguishing the conditions, and we then detail their management. The chapter concludes with an outline of other causes of anterior knee pain. Clinical approach Distinguishing between patellofemoral syndrome and patellar tendinopathy as a cause of anterior knee pain can be difficult as their clinical features can be similar. Furthermore, the two conditions may both be present. Both conditions may appear simultaneously as a result of the same biomechanical abnormality or because of overuse, or one may occur first and predispose to the other (see below). The causes of anterior knee pain are listed in Table 24.1.
Orthopaedic Web Links (OWL): Patient Information/Knee/Anterior Knee Pain AAOS Online Service Fact SheetAdolescent anterior knee pain. http// Patellofemoral pain syndrome. Patellofemoral pain syndrome. http//www.familydoctor.org/handouts/479. html http://owl.orthogate.com/Patient_Information/Knee/Anterior_Knee_Pain
Extractions: MassageToday.com by Warren Hammer,MS,DC,DABCO The etiology and treatment of anterior knee pain is often difficult to determine, as evidenced by the variety of procedures and treatments that have been proposed. The pathology called chondromalacia patella is often used as a "catch-all" diagnosis. Lateral malalignment of the patella caused by inadequate activation of the vastus medialis obliquus; tight lateral soft tissue structures; bony malalignment; patellar tilt or rotation due to imbalance of the retinacular restraints; or patella malalignment are some of the etiologies mentioned. Soft tissue surgery, such as lateral retinacular release, proximal or distal reconstruction of the extensor mechanism, and resection of a symptomatic plica are some of the surgical methods used for this problem. Patellar taping to improve patella alignment and quadriceps function has proven beneficial, especially in relieving pain and allowing painless rehabilitation. Why taping works has not been fully evaluated. For years, soft tissue methods such as fascial release and friction massage have helped patients with anterior knee pain, with much of the treatment directed to the medial and lateral retinaculum. The retinaculum represents the static stabilization of the patella along with the patellofemoral ligaments. The dynamic quadriceps and hamstring muscles can also be treated by soft tissue methods if found shortened. I was happy to read in a recent edition of the American Journal of Sports Medicine
McConnell Treatment For Anterior Knee Pain - Physio-net Patellofemoral pain syndrome is characterised by anterior or peripatellarknee pain in the absence of other knee pathology. This http://www.physiotherapy.net.au/reference/treatmenttechniques/mcconnell.htm
Extractions: Home Reference Treatment Techniques McConnell Treatment for Anterior Knee Pain Patellofemoral pain, also referred to as anterior knee pain, is a common musculoskeletal condition in the general and sporting communities. It affects up to 25% of the population, 36% of adolescents and is more prevalent in females. Patellofemoral Pain Syndrome is characterised by anterior or peri-patellar knee pain in the absence of other knee pathology. This pain can be diffuse or sharp and is usually associated with at least two of the following activities: It may be associated with crepitus on knee movements, occasional swelling particularly after exercise, and pseudo locking or giving way. Role of physiotherapy Physiotherapy is the mainstay of conservative treatment for this condition and the Australian physiotherapy profession has received international recognition for anterior knee pain management. The most effective treatment for patellofemoral pain is a McConnell program, designed and monitored by a physiotherapist according to the patient's individual needs. This recognised anterior knee pain management program was first introduced by Jenny McConnell, an Australian physiotherapist (McConnell, 1986). The approach uses a specialised, functional exercise program to improve the muscle control around the knee and taping to reposition the patella.
Orthopaedic Web Links (OWL): Patient Information/Knee/Anterior Knee Pain anterior knee pain, several different problems that affect the patella and thegroove that it runs through as the knee is bent. Patellofemoral pain syndrome, http://www.orthopaedicweblinks.com/Patient_Information/Knee/Anterior_Knee_Pain/
Petella Femoral Syndrom : Anterior Knee Pain-Tendinitis-No Drugs No Magnets!! Click Here for Online Ordering or Additional Information. Anteriorknee pain (patella femoral syndrome). Is very common in athletes. http://members.aol.com/goode200/Petella-Femoral-Syndrome.html
Extractions: 1-888-972-7200, leave a message Anterior knee pain (patella femoral syndrome) Is very common in athletes. Typically, pain is increased during activities involving stair climbing, squatting or kneeling. Patella femoral syndrome is caused by an irritation on the undersurface of the patella or knee cap, which can lead to softening and eventual loss of the cartilage lining the bone of the joint. There are many causes for patella femoral syndrome including malalignment of the lower extremity expressed as flat feet, knock knees, or internally rotated hips. The patella glides up and down in a shallow groove at the front of the femur or thigh bone. Patella femoral syndrome is generally caused by an imbalance of the muscle forces around the knee cap causing it to pull laterally and produce abnormal stresses on the undersurface of the knee cap. Goode wraps relax muscles and allow increased normal healing. What are Goode Wraps, anyway?
Member Sign In This condition, mainly demonstrated by anterior knee pain, was named intraosseousengorgementpain syndrome. Similar to avascular necrosis of the femoral head http://www.medscape.com/viewarticle/408493
References N, Diemer H Bone scan in the patellofemoral pain syndrome. increased osseous metabolicactivity about the knee. joint in young adults with anterior knee pain. http://www.medscape.com/content/1999/00/40/84/408493/408493_ref.html
Extractions: References for: Intraosseous Hyperpressure of the Patella as a Cause of Anterior Knee Pain Brookes M, Helal B: Primary osteoarthritis, venous engorgement and osteogenesis. J Bone Joint Surg 50B:493-504, 1968. Lemperg RK, Arnoldi CC: The significance of intraosseous pressure in normal and diseased states with special reference to the intraosseous engorgement-pain syndrome. Clin Orthop 136:143-56, 1978. Mont M, Hungerford D: Current Concepts Review. Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg 77A:459-74, 1995. Scapinelli R: Blood supply of the human patella. Its relation to ischemic necrosis after fracture. J Bone Joint Surg 49B:563-70, 1967. Shim S. Leung G: Blood supply of the knee joint. Clin Orthop 208:119-23, 1986. Waisbrod H, Treiman N: Intra-osseous venography in patellofemoral disorders. A preliminary report. J Bone Joint Surg 62B:454-6, 1980. Slater RN, Spencer JD, Churchill MA, et al: Observations on the intrinsic blood supply to the human patella: Disruption correlated with articular surface degeneration. J R Soc Mec 84:606-7, 1991. Arnoldi CC: Patellar pain. Acta Orthop Scand 62 (suppl.244), 1991.
Extractions: Brian J. Krabak, M.D. Patellofemoral pain syndrome is a term used to describe pain originating from the region of the patella (kneecap) and femur (thigh bone). It is an extremely common entity and probably the most common complaint of athletes and nonathletes presenting to the physicians who take care of knee problems. Other names for this syndrome include: retropatellar pain, anterior knee pain, and chondromalacia patellae. None of these terms accurately describe the cause of this pain, which remains elusive and poorly understood. The differential diagnosis of anterior knee pain is extensive and includes prepatellar bursitis, patellar and quadriceps tendinitis, patellofemoral arthrosis, patellar subluxation and dislocation, knee ligamentous and meniscal pathology and rarely soft tissue and bony tumors. In the past, this entity was called "chondromalacia". Chondromalacia specifically means abnormal softening of the articular cartilage on the undersurface of the patella. This diagnosis requires direct surgical observation and therefore should not be used synonymously with patellofemoral pain syndrome.
Fabella Syndrome Causes of patellofemoral or anterior knee pain Soft tissue causes Osteochondritisdissecans of the knee; Chondral fracture. Functional causes Hip pain; Ankle pain. http://www.fpnotebook.com/ORT214.htm
Extractions: Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Orthopedics Knee Fracture ... Knee Osteochondritis Dissecans Assorted Pages Anatomy Fabella Syndrome Iliotibial Band Syndrome Anterior Cruciate Ligament Tear ... Rheumatologic Conditions affecting the Knee Fabella Syndrome Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Orthopedics Index Ankle Brachial Cervical Spine Dermatology Elbow Examination Foot Forearm Fracture Hand Hematology and Oncology Hip Infectious Disease Knee General Pulmonology L-Spine Neurology Pediatrics Prevention Procedure Radiology Rheumatology Shoulder Sports Medicine Symptom Evaluation T-Spine Wrist Page Knee Index Anatomy Fabella Fracture OCD Iliotibial Band Ligament ACL Ligament Collateral Tear Ligament PCL Meniscus Patella Patella Bursitis Patella Chronic Injury Patella Dislocation Patella Osgood Schlatter Patella Tendon Rupture Plica Definition: Fabella Sesamoid bone of lateral gastrocnemius Normal variant in 10-20% of patients Posterior to lateral femoral condyle Epidemiology More common in early teen years Mechanism Friction of fabella on posterolateral femoral condyle Symptoms Slow, insidious pain onset
Health Ency.: Injury: Anterior Knee Pain Ency. home Injury A anterior knee pain. anterior knee pain. Alternative namesknee pain runner's condition; Patellofemoral stress syndrome. Definition http://www.accessatlanta.com/shared/health/adam/ency/article/001259.html
Extractions: Important notice Ency. home Injury A Anterior knee pain Overview Symptoms Treatment Prevention Alternative names: Knee pain - runner's condition; Patellofemoral stress syndrome Definition: Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Considerations A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: Causes The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Ency. home Injury A Please read this Important notice
Health Ency.: Injury: Anterior Knee Pain Ency. home Injury A anterior knee pain. anterior knee pain. Alternative namesknee pain runner's condition; Patellofemoral stress syndrome. Symptoms. http://www.accessatlanta.com/shared/health/adam/ency/article/001259sym.html
Pediatric Sports Medicine - Anterior Knee Pain the patella is a common cause of anterior knee pain. the trochlear groove during normalknee range of factors that predisposes someone to malalignment syndrome? http://www.ucch.org/sections/sports/anteriorkneepain.html
Extractions: 1Up Health Anterior knee pain Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Anterior knee pain Information Anterior knee pain : Considerations Alternative names : Knee pain - runner's condition, Patellofemoral stress syndrome Definition : Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). A physical examination of the knee will confirm the presence of a painful joint.
