Anterior knee pain
From Physiopedia
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
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]
- 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. [2]
- Osteochondritis dissecans
- Patellafemoral instability/subluxation
| [3] |
- 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
add text here
Epidemiology /Etiology
add text here
Characteristics/Clinical Presentation
add text here
Differential Diagnosis
add text here
Diagnostic Procedures
add text here related to medical diagnostic procedures
Outcome Measures
add links to outcome measures here (also see Outcome Measures Database)
Examination
add text here related to physical examination and assessment
Medical Management
add text here
Physical Therapy Management
add text here
Key Research
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
add text here
Clinical Bottom Line
add text here
Recent Related Research (from Pubmed)
- Meniscal, plica, patellar, and patellofemoral injuries of the knee: updates, controversies and advancements.
- The role of muscle strength & activation patterns in patellofemoral pain.
- Does the change in Q angle magnitude in unilateral stance differ when comparing asymptomatic individuals to those with patellofemoral pain?
References
- ↑ 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.
- ↑ http://orthoinfo.aaos.org/topic.cfm?topic=A00074
- ↑ Livestrong. Patellofemoral Pain Syndrome Health Byte. Available from: http://www.youtube.com/watch?v=96nP8RaYQ6Y [last accessed 27/08/12]
- ↑ 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)
