Anterior Knee Pain: Difference between revisions
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== Definition/Description == | == Definition/Description == | ||
Anterior knee pain is a pain that occurs in the front and | Anterior knee pain is a pain that occurs in the front and centre of the knee. It can be caused by a number of conditions: <ref>Sala D, Silvestre A, Gomar-Sancho F. Intraosseous hyperpressure of the patella as a cause of anterior knee pain. Medscape Orth Sports Med. 1999;3:1–8.</ref> | ||
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*[[Knee Bursitis|Knee bursitis/Hoffa’s disease]] | *[[Knee Bursitis|Knee bursitis/Hoffa’s disease]] | ||
*[[Articular Cartilage Lesions|Articular cartilage injury]] | *[[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 | *<u>Bone tumors</u>: Most patients will experience pain in the area of the tumor. Pain can become worse during physical activity and often awakens patients during the night. Bone mass around the tumor becomes weaker and the bone may fracture as a result. <ref>http://orthoinfo.aaos.org/topic.cfm?topic=A00074</ref> | ||
*[[Osteochondritis Dissecans of the Knee|Osteochondritis dissecans]] | *[[Osteochondritis Dissecans of the Knee|Osteochondritis dissecans]] | ||
*[[Patellofemoral Instability|Patellafemoral instability/subluxation]] | *[[Patellofemoral Instability|Patellafemoral instability/subluxation]] | ||
*<u>Patellar stress fracture</u>: | *<u>Patellar stress fracture</u>: A stress fracture in the patella is caused by a combination of muscular weakness and muscle contraction which initiates a disturbance in bone remodelling. It reduces shock absorption such that high repetitions of load may lead to a stress fracture. <ref>Crowther MA, Mandal A, Sarangi PP. Propagation of stress fracture of the patella. Br J Sports Med. 2005;39(2):e6. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725122/pdf/v039p000e6.pdf (accessed 29 Aug 2012) </ref> <br> | ||
*[[Patellar Tendinitis|Patellar tendinitis]] | *[[Patellar Tendinitis|Patellar tendinitis]] | ||
*[[Knee Osteoarthritis|Patellofemoral osteoarthritis]] | *[[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 | *<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 tenderness in the inferomedial aspect of the knee joint. <ref>Helfenstein M Jr, Kuromoto J. Anserine syndrome. Rev Bras Reumatol. 2010;50(3):313-327.</ref> | ||
*[[Patellar Tendinitis|Quadriceps tendinopathy]] | *[[Patellar Tendinitis|Quadriceps tendinopathy]] | ||
*[[Prepatellar bursitis|Prepatellar bursitis]] | *[[Prepatellar bursitis|Prepatellar bursitis]] | ||
Revision as of 19:02, 31 August 2012
Original Editors - Maxime Tuerlinckx
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Definition/Description[edit | edit source]
Anterior knee pain is a pain that occurs in the front and centre of the knee. It can be caused by a number of conditions: [1]
| [2] |
- Patellofemoral pain syndrome
- Chondromalacia Patellae
- Osgood-Schlatter’s disease
- 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 often awakens patients during the night. Bone mass around the tumor becomes weaker and the bone may fracture as a result. [3]
- Osteochondritis dissecans
- Patellafemoral instability/subluxation
- Patellar stress fracture: A stress fracture in the patella is caused by a combination of muscular weakness and muscle contraction which initiates a disturbance in bone remodelling. It reduces shock absorption such that high repetitions of load may lead to 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 tenderness in the inferomedial aspect of the knee joint. [5]
- Quadriceps tendinopathy
- Prepatellar bursitis
- Iliotibial band syndrome [6]
Clinically Relevant Anatomy[edit | edit source]
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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]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ Sala D, Silvestre A, Gomar-Sancho F. Intraosseous hyperpressure of the patella as a cause of anterior knee pain. Medscape Orth Sports Med. 1999;3:1–8.
- ↑ Livestrong. Patellofemoral Pain Syndrome Health Byte. Available from: http://www.youtube.com/watch?v=96nP8RaYQ6Y [last accessed 27/08/12]
- ↑ http://orthoinfo.aaos.org/topic.cfm?topic=A00074
- ↑ Crowther MA, Mandal A, Sarangi PP. Propagation of stress fracture of the patella. Br J Sports Med. 2005;39(2):e6. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1725122/pdf/v039p000e6.pdf (accessed 29 Aug 2012)
- ↑ Helfenstein M Jr, Kuromoto J. Anserine syndrome. Rev Bras Reumatol. 2010;50(3):313-327.
- ↑ Dixit S, DiFiori JP, Burton M, Mines B. Management of patellofemoral pain syndrome. Am Fam Physician. 2007;75(2):194-202.fckLRAvailable at: http://www.drwilliamsilva.com.br/files/artigos/artigo08.pdf (accessed 29 Aug 2012)
