Anterior Knee Pain: Difference between revisions
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'''Original Editors ''' - [[User:Maxime Tuerlinckx|Maxime Tuerlinckx]] | '''Original Editors ''' - [[User:Maxime Tuerlinckx|Maxime Tuerlinckx]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Definition/Description == | == Definition/Description == | ||
Anterior knee pain is a pain that occurs in the front and center of the knee and that can be caused by a number of conditions (1): | Anterior knee pain is a pain that occurs in the front and center of the knee and that can be caused by a number of conditions (1):[[Chondromalacia Patellae|Chondromalacia Patellae]] | ||
-[[Iliotibial Band Syndrome|Iliotibial band syndrome]] | *[[Chondromalacia Patellae|Chondromalacia Patellae]] | ||
*[[Osgood-Schlatter's Disease|Osgood-Schlatter’s disease]] | |||
*[[Patellofemoral Pain Syndrome|Patellofemoral pain syndrome]] | |||
*[[Sinding Larsen Johansson Syndrome|Sinding Larsen Johansson syndrome]] | |||
*[[Plica Syndrome|Plica synovialis syndrome]] | |||
*[[Knee Bursitis|Knee bursitis/Hoffa’s disease]] | |||
*[[Articular Cartilage Lesions|Articular cartilage injury]] | |||
*<u>Bone tumors</u>: Most patients will experience pain in the area of the tumor. Pain can become worse during physical activity and the pain often awakens patients during the night. Bone mass around the tumor becomes weaker and the bone may break due to this. (5) | |||
*[[Osteochondritis Dissecans of the Knee|Osteochondritis dissecans]] | |||
*[[Patellofemoral Instability|Patellafemoral instability/subluxation]] | |||
*<u>Patellar stress fracture</u>: Stress fracture in the patella are caused by a combination of muscular weakness and muscle contraction wich initiates a disturbance in bone remodelling. It reduces shock absorption so high repetitions of loads may result in a stress fracture. (4) | |||
*[[Patellar Tendinitis|Patellar tendinitis]] | |||
*[[Knee Osteoarthritis|Patellofemoral osteoarthritis]] | |||
*<u>Pes anserine bursitis</u>: The anserine bursa is one of 13 bursae found around the knee, located just below the pes anserinus. Patients with pes anserine bursitis often complain of spontaneous knee pain with also tenderness in the inferomedial aspect of the knee joint. (3) | |||
*[[Patellar Tendinitis|Quadriceps tendinopathy]] | |||
*[[Prepatellar bursitis|Prepatellar bursitis]] | |||
*[[Iliotibial Band Syndrome|Iliotibial band syndrome]] (2) | |||
Patellofemoral pain syndrome is the most common condition in patients with anterior knee pain, but be aware of the fact that other conditions also occur in the knee and that they diserve an other treatment<br> | |||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
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add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br> | ||
== Resources <br> == | == Resources <br> == | ||
1.Diego Sala, MD;Antonio Silvestre, MD; Fransisco Gomar-Sancho, MD. Intraosseous Hyperpressure of the Patella as a Cause of Anterior Knee Pain. 19 januari 1999 http://www.medscape.com/viewarticle/717387_4 (D)<br>2. Sameer Dixit, MD; John P. Difiori, MD; Monique Burton, MD; Brandon Mines, MD. Management of patellofemoral pain syndrome. 15 januari 2007 http://www.ncbi.nlm.nih.gov/pubmed/17263214 (D)<br>3. Helfenstein M Jr; Kuromoto J. Anserine syndrome. Rev Bras Reumatol 2010 Jun; 50(3):313-327. www.ncbi.nlm.nih.gov/pubmed/21125167 (D)<br>4. Crowther MA; Mandal A; Sarangi PP. Propagation of stress fracture of the patella. Februari 2005 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725122/pdf/v039p000e6.pdf (D)<br>5. [http://orthoinfo.aaos.org/topic.cfm?topic=A00074 http://orthoinfo.aaos.org/topic.cfm?topic=A00074] (D)<br> | 1.Diego Sala, MD;Antonio Silvestre, MD; Fransisco Gomar-Sancho, MD. Intraosseous Hyperpressure of the Patella as a Cause of Anterior Knee Pain. 19 januari 1999 http://www.medscape.com/viewarticle/717387_4 (D)<br>2. Sameer Dixit, MD; John P. Difiori, MD; Monique Burton, MD; Brandon Mines, MD. Management of patellofemoral pain syndrome. 15 januari 2007 http://www.ncbi.nlm.nih.gov/pubmed/17263214 (D)<br>3. Helfenstein M Jr; Kuromoto J. Anserine syndrome. Rev Bras Reumatol 2010 Jun; 50(3):313-327. www.ncbi.nlm.nih.gov/pubmed/21125167 (D)<br>4. Crowther MA; Mandal A; Sarangi PP. Propagation of stress fracture of the patella. Februari 2005 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725122/pdf/v039p000e6.pdf (D)<br>5. [http://orthoinfo.aaos.org/topic.cfm?topic=A00074 http://orthoinfo.aaos.org/topic.cfm?topic=A00074] (D)<br> | ||
== Clinical Bottom Line == | == Clinical Bottom Line == | ||
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see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]] | ||
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== References == | == References == | ||
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<references /> | <references /> | ||
[[Category:Vrije_Universiteit_Brussel_Project| | [[Category:Vrije_Universiteit_Brussel_Project]] [[Category:Articles]] [[Category:Knee]] [[Category:Musculoskeletal/Orthopaedics|Orthopaedics]] |
Revision as of 18:32, 17 August 2012
Original Editors - Maxime Tuerlinckx
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
Anterior knee pain is a pain that occurs in the front and center of the knee and that can be caused by a number of conditions (1):Chondromalacia Patellae
- Chondromalacia Patellae
- Osgood-Schlatter’s disease
- Patellofemoral pain syndrome
- Sinding Larsen Johansson syndrome
- Plica synovialis syndrome
- Knee bursitis/Hoffa’s disease
- Articular cartilage injury
- Bone tumors: Most patients will experience pain in the area of the tumor. Pain can become worse during physical activity and the pain often awakens patients during the night. Bone mass around the tumor becomes weaker and the bone may break due to this. (5)
- Osteochondritis dissecans
- Patellafemoral instability/subluxation
- Patellar stress fracture: Stress fracture in the patella are caused by a combination of muscular weakness and muscle contraction wich initiates a disturbance in bone remodelling. It reduces shock absorption so high repetitions of loads may result in a stress fracture. (4)
- Patellar tendinitis
- Patellofemoral osteoarthritis
- Pes anserine bursitis: The anserine bursa is one of 13 bursae found around the knee, located just below the pes anserinus. Patients with pes anserine bursitis often complain of spontaneous knee pain with also tenderness in the inferomedial aspect of the knee joint. (3)
- Quadriceps tendinopathy
- Prepatellar bursitis
- Iliotibial band syndrome (2)
Patellofemoral pain syndrome is the most common condition in patients with anterior knee pain, but be aware of the fact that other conditions also occur in the knee and that they diserve an other treatment
Clinically Relevant Anatomy[edit | edit source]
add text here
Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Medical Management
[edit | edit source]
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Physical Therapy Management
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Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
1.Diego Sala, MD;Antonio Silvestre, MD; Fransisco Gomar-Sancho, MD. Intraosseous Hyperpressure of the Patella as a Cause of Anterior Knee Pain. 19 januari 1999 http://www.medscape.com/viewarticle/717387_4 (D)
2. Sameer Dixit, MD; John P. Difiori, MD; Monique Burton, MD; Brandon Mines, MD. Management of patellofemoral pain syndrome. 15 januari 2007 http://www.ncbi.nlm.nih.gov/pubmed/17263214 (D)
3. Helfenstein M Jr; Kuromoto J. Anserine syndrome. Rev Bras Reumatol 2010 Jun; 50(3):313-327. www.ncbi.nlm.nih.gov/pubmed/21125167 (D)
4. Crowther MA; Mandal A; Sarangi PP. Propagation of stress fracture of the patella. Februari 2005 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725122/pdf/v039p000e6.pdf (D)
5. http://orthoinfo.aaos.org/topic.cfm?topic=A00074 (D)
Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1jg5TR3me1-MQejKMTKvkPiZ2C9aaFDL_MLUYE273dZ3VabYB4|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
see adding references tutorial.