Anterior Knee Pain
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
- 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)
Clinically Relevant Anatomy[edit | edit source]
add text here
Epidemiology /Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Diagnostic Procedures[edit | edit source]
add text here related to medical diagnostic procedures
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]
add text here
Physical Therapy Management
[edit | edit source]
add text here
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]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1BcJI_Rc2aE63X86vZdgRpGPTSSyAC1XUrYNmTgDUohGl3B59-|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
see adding references tutorial.