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SPORTS MEDICINE AND ORTHOPEDIC SURGERY INFORMATION
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KNEE SHOULDER FOOT and ANKLE BACK and NECK ELBOW and WRIST HIP and PELVIS COMPLETE INDEX


Diagnosis 

PATELLOFEMORAL PAIN SYNDROME

Definition  Pain typically in the front of the knee arising from the joint between the kneecap (Patella) and the thigh bone (Femur)

Picture of Normal Knee

Model and X-ray of a Normal Knee
Details
This is a very common problem especially in women. The pain may worsen with stair climbing, knee extension exercises or deep squats. Sitting with your knees flexed for a long period of time in a car or movie theatre may aggravate your symptoms.
Causes
Patellofemoral pain syndrome can be caused by softening of the cartilage under the kneecap (Chondromalacia). A malalignment of the kneecap or tight tissue around the kneecap can also create tension that may lead to patellofemoral pain syndrome.
Diagnosis Patellofemoral pain syndrome is diagnosed via the set of characteristic symptoms outlined above. The physical exam will reveal painful kneecap movement or tight structures around it. X-rays, CT Scans and or MRI Scans may be used to confirm the diagnosis.

Physical Exam of Patellofemoral Pain Syndrome
Treatment Phase I: Control of pain and inflammation REST, Icing, Stretching, Anti-inflammatory medication
Phase II: Restore strength and function
Phase III: Return to sports or exercise program

Evaluate feet for orthotics, consider brace for kneecap

If non-operative measures fail, arthroscopic (minimally invasive) surgery may be required to smooth cartilage or release tight structures. More involved kneecap realignment surgery may also be needed if the symptoms are severe.

Arthroscopic Surgery--smoothing of the knee cap cartilage
Prevention

Avoid training error such as overuse and knee extension exercises
Maintain strong and flexible quadriceps and hamstring muscles
Always warm up before playing or training


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