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Patellofemoral syndrome and diagnosis

Matthew D Mucha, Wade Caldwell, Emily L Schlueter, Carly Walters, Amy Hassen
OBJECTIVES: Determine the association between hip abduction strength and lower extremity running related injury in distance runners. DESIGN: Systematic review. METHODS: Prospective longitudinal and cross sectional studies that quantified hip abduction strength and provided diagnosis of running related injury in distance runners were included and assessed for quality. Effect size was calculated for between group differences in hip abduction strength...
September 20, 2016: Journal of Science and Medicine in Sport
Yubao Gong, Chen Yang, Yang Liu, Jianguo Liu, Xin Qi
Hereditary onycho-osteodysplasia, also known as nail-patella syndrome (NPS), is a rare genetic disorder that is primarily characterized by poorly developed nails and patella. Patients with NPS frequently suffer from patellar instability that requires surgical management. The present case report describes a 25-year-old man with NPS. The patient presented with left knee pain and was found to have recurrent left patellar dislocation. The knee pain was first reported 1-year after a minor knee trauma incident. Following complete evaluation, a diagnosis of NPS was reached...
June 2016: Experimental and Therapeutic Medicine
Justin M Lantz, Alicia J Emerson-Kavchak, John J Mischke, Carol A Courtney
BACKGROUND AND PURPOSE: Patellofemoral pain syndrome (PFPS) is a common source of anterior knee pain. Controversy exists over the exact clinical findings which define PFPS, thus, diagnosis and management can be challenging for clinicians. There is paucity in the literature concerning joint mobilization as treatment for PFPS, particularly at the tibiofemoral joint, as standard management is currently focused on therapeutic exercise, orthotics, bracing and taping. Therefore, the purpose of this case report is to describe the effects of tibiofemoral joint mobilization in the successful treatment of an individual with chronic PFPS as it relates to pain, function and central processing of pain...
June 2016: International Journal of Sports Physical Therapy
Jason Bonar, Shannon Clutton Carr, Diana De Carvalho, Jay S Wunder
Balancing the assessment of musculoskeletal dysfunctions with a high level of suspicion for non-mechanical origins can be a challenge for the clinician examining a sports injury. Without timely diagnosis, non-mechanical complaints could result in surgery or loss of limb. This case describes the discovery of a Giant Cell Tumor of Bone (GCTB) following the re-evaluation of an athlete who had undergone five years of conservative management for patellofemoral pain syndrome (PFPS). Knee injuries account for 32.6% of sports injuries with PFPS being the most common and most likely diagnosis for anterior knee pain...
March 2016: Journal of the Canadian Chiropractic Association
Caroline N Park, Peter B White, Morteza Meftah, Amar S Ranawat, Chitranjan S Ranawat
Although total knee arthroplasty is a successful and cost-effective procedure, patient dissatisfaction remains as high as 50%. Postoperative residual knee pain after total knee arthroplasty, with or without crepitation, is a major factor that contributes to patient dissatisfaction. The most common location for residual pain after total knee arthroplasty is anteriorly. Because residual pain has been associated with an un-resurfaced patella, this review includes only registry data and total knee arthroplasty with patella replacement...
March 2016: Orthopedics
Kay M Crossley, Michael J Callaghan, Robbart van Linschoten
No abstract text is available yet for this article.
2015: BMJ: British Medical Journal
Sutida Sakunkaruna, Yosawin Sakunkaruna, Prasert Sakulsriprasert
OBJECTIVE: To conduct a cross-cultural adaptation and determine the test-retest reliability of the Thai version of the Kujala Patellofemoral questionnaire (KPQ). MATERIAL AND METHOD: The present study comprised two phases: cross-cultural adaptation and test-retest reliability. The KPQ was first translated and cross-culturally adaptedfrom English to Thai. The content validity test was conducted, and the final version of the Thai version of Kujala Patellofemoral Questionnaire was developed...
June 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Amy X Yin, Dai Sugimoto, Daniel J Martin, Andrea Stracciolini
OBJECTIVE: The purpose of this study was to analyze characteristics of dance injuries evaluated by sports medicine physicians. DESIGN: A cross-sectional epidemiological study of a 5% random probability sample of patients presenting for sports medicine evaluation between January 1, 2000, and December 31, 2009. SETTING: Sports medicine clinic of a tertiary-level pediatric medical center. PATIENTS: A total of 181 pediatric dancers (171 female and 10 male; 14...
April 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
B Otterbach
BACKGROUND: Patellofemoral pain syndrome is not really a diagnosis but rather describes the symptoms of this non-traumatic knee joint disease. Decreased movement control of the entire leg is discussed as a reason for the developing pain. Assessments of movement control include functional performance tests. A test to assess postural control and movement control of the foot, knee, hip and lumbar spine is the "Single Leg Pick-Up Test". The aim of the present study is to evaluate the interrater reliability of this test...
September 2015: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Luca Dei Giudici, Davide Enea, Laura Pierdicca, Stefano Cecconi, Serena Ulisse, Serena Arima, Andrea Giovagnoni, Antonio Gigante
Patello-femoral malalignment (PFM) is a common cause of disability often related to patello-femoral syndrome (PFS). Several causes have been taken into account; a proper diagnosis requires instrumental imaging and a methodical evaluation of different parameters. The aim of the present study was to identify the most reliable parameters for measuring patello-femoral and inferior limb alignment by CT. Twenty randomly selected patients suffering from PFS for a total of 40 knees were studied by static CT scans in order to assess patellar tilt, patellar displacement, patellar and trochlear morphology and inferior limb alignment...
November 2015: La Radiologia Medica
Marcus A Rothermich, Neal R Glaviano, Jiacheng Li, Joe M Hart
Patients with anterior knee pain present a complex and common problem to health care providers. The diagnosis and treatment of these patients often involve a comprehensive evaluation that includes assessing the chronicity of the pain, the specific location of the complaint, and the previous treatment modalities attempted by the patient. This common diagnosis includes a wide variety of different pathologic abnormalities that can be present independently or concomitantly and cause a spectrum of disabilities for the patient...
April 2015: Clinics in Sports Medicine
K Brooke Pengel
Pediatric overuse injury is a common complaint presenting to pediatricians. Overuse injury can affect the soft tissues or bone, and results from an imbalance between training and load to the tissues and recovery time. In the skeletally immature athlete, physeal and apophyseal tissue is particularly vulnerable to overuse resulting in different patterns of injury compared to adults. Awareness of age-dependent patterns of overuse is necessary for proper recognition, treatment, and prevention of injury. This article reviews the most common pediatric overuse injuries with emphasis on risk factors, diagnosis, and treatment...
December 2014: Pediatric Annals
Higor Grando, Eric Y Chang, Karen C Chen, Christine B Chung
The knee has unique anatomy regarding the relationship between the synovial and capsular layers, with interposed fat pads at certain locations. The extrasynovial impingement and inflammation syndromes about the knee are underdiagnosed and should be included in the differential diagnosis of anterior knee pain. MR imaging is the best imaging modality for evaluation of the anatomy and disorders of these extrasynovial compartments.
November 2014: Magnetic Resonance Imaging Clinics of North America
M Kastelein, P A J Luijsterburg, E M Heintjes, M van Middelkoop, J A N Verhaar, B W Koes, S M A Bierma-Zeinstra
AIMS: (1) To assess the 1-year and 6-year courses of non-traumatic knee symptoms in adolescents and young adults presenting in general practice. (2) To identify prognostic factors for persistent knee symptoms at 1-year follow-up. METHODS: Adolescents and young adults (12-35 years; n=172) with non-traumatic knee symptoms were included in the cohort study by their general practitioner (GP) and followed for 6 years. Multivariable logistic regression analysis was used to identify prognostic factors for persistent knee symptoms at 1-year follow-up and the area under the receiver operating curve (AUC) was calculated...
March 2015: British Journal of Sports Medicine
Kim D Barber Foss, Gregory D Myer, Robert A Magnussen, Timothy E Hewett
BACKGROUND: The purpose of this study was to determine if there is a sex difference in the prevalence of specific patellofemoral disorders that cause anterior knee pain in adolescent basketball players undergoing pre-participation screening. METHODS: SETTING Biomechanical Laboratory. METHODS: PARTICIPANTS A total of 810 (688 female and 122 male) basketball players from a single county public school district. METHODS: MAIN OUTCOME MEASURES Prior to the start of three consecutive basketball seasons, participants were evaluated for anterior knee pain...
January 10, 2014: Journal of Athletic Enhancement
Claire Tabouret-Viaud, Ismini Mainta, Sana Boudabbous, Gaël Amzalag, Osman Ratib, Olivier Rager, Frédéric Paycha
We report the case of a 56-year-old male with bilateral total knee prostheses suffering from bilateral knee pain mainly on the right side and referred for bone scintigraphy. The medical history of the patient revealed an opening wedge high tibial osteotomy performed nine years earlier, with insertion of two blocks of ceramic made of hydroxyapatite and tricalcium phosphate in a wedge configuration as synthetic bone substitutes. The porous structure of these implants is analogous to the architecture of cancellous bone and permits fibrovascular and bone ingrowth, promoting the healing process...
December 2014: Knee
John Winslow
STUDY DESIGN: Prospective case series. BACKGROUND: These case reports present results of the treatment of lateral knee pain in four female amateur triathletes. The athletes were referred to the author's clinic with either a diagnosis of iliotibial band friction syndrome or patellofemoral pain syndrome, all four having symptoms for longer than seven months. Changes in training routines were identified as the possible cause of the overuse injuries that eventually developed into chronic conditions...
September 2014: International Journal of Therapeutic Massage & Bodywork
M Saubade, R Martin, A Becker, G Gremion
Patellofemoral pain syndrome (PFPS) is one of the most frequent cause of anterior knee pain in adolescents and adults. Due to its complex etiology, which is multifactorial and still poorly understood, its management is a major challenge for the practitioner. The diagnosis is made primarily on the history and clinical examination of the knee, but also of the entire lower limb, which may sometimes require the completion of imaging. The treatment is mostly conservative, focussing on rehabilitation with targeted and personalized therapy...
July 16, 2014: Revue Médicale Suisse
Laurie Anne Hiemstra, Sarah Kerslake, Christopher Irving
Given that the patellofemoral joint is one of the most highly loaded in the human body, the high prevalence of anterior knee pain (AKP) in athletes is unsurprising. Athletes with AKP present a significant diagnostic and therapeutic challenge. A clear understanding of the etiology of patellofemoral pain in this population is essential in guiding a focused history and physical examination, and achieving an appropriate diagnosis and treatment approach. This clinical review provides an assessment framework and a guide for neuromuscular function testing, and an overview of the causes and treatments of AKP in this challenging patient population...
July 2014: Clinics in Sports Medicine
Brad G Simpson, Corey B Simon
A 40-year old female presented to physical therapy with a one-year history of insidious right anteromedial and anterolateral knee pain. Additionally, the patient had a history of multiple lateral ankle sprains bilaterally, the last sprain occurring on the right ankle 1 year prior to the onset of knee pain. The patient was evaluated and given a physical therapy diagnosis of patellofemoral pain syndrome (PFPS), with associated talocrural and tibiofemoral joint hypomobility limiting ankle dorsiflexion and knee extension, respectively...
May 2014: Journal of Manual & Manipulative Therapy
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