Chondromalacia Patellae: Difference between revisions

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== Definition/Description  ==
== Definition/Description  ==


Chondromalacia patellae (CMP) is referred as anterior knee pain due to physical and biomechanical changes <ref name="2">Lee Herrington and Abdullah Al-Sherhi, A Controlled Trial of Weight-Bearing Versus Non–Weight-Bearing Exercises for Patellofemoral Pain, journal of orthopaedic &amp; sports physical therapy, 2007, 37(4), 155-160</ref>. It manifests as’ softening, swelling, fraying, and erosion of the hyaline cartilage overlying the patella and sclerosis of underlying bone’ <ref name="4">Gagliardi et al., Detection and Staging of Chondromalacia Patellae: Relative Efficacies of Conventional MR Imaging, MR Arthrography, and CT Arthrography, ARJ, 1994, 163, 629-636</ref>.<br>Simplified, it means that the posterior surface of the patella is going though softening and degenerative changes.<ref name="12">http://www.e-radiography.net/radpath/c/chondromalaciap.htm</ref><br>CMP is also known as “Patellofemoral pain syndrome (PFP)” <ref name="2">Lee Herrington and Abdullah Al-Sherhi, A Controlled Trial of Weight-Bearing Versus Non–Weight-Bearing Exercises for Patellofemoral Pain, journal of orthopaedic &amp; sports physical therapy, 2007, 37(4), 155-160</ref><ref name="11">http://www.ubsportsmed.buffalo.edu/education/patfem.html</ref> and “Runner’s Knee”<ref name="13">http://orthopedics.about.com/cs/patelladisorders/a/chondromalacia.htm</ref>.<br>
Chondromalacia patellae (CMP) is referred as anterior knee pain due to physical and biomechanical changes <ref name="2">Lee Herrington and Abdullah Al-Sherhi, A Controlled Trial of Weight-Bearing Versus Non–Weight-Bearing Exercises for Patellofemoral Pain, journal of orthopaedic &amp;amp; sports physical therapy, 2007, 37(4), 155-160</ref>. It manifests as’ softening, swelling, fraying, and erosion of the hyaline cartilage overlying the patella and sclerosis of underlying bone’ <ref name="4">Gagliardi et al., Detection and Staging of Chondromalacia Patellae: Relative Efficacies of Conventional MR Imaging, MR Arthrography, and CT Arthrography, ARJ, 1994, 163, 629-636</ref>.<br>Simplified, it means that the posterior surface of the patella is going though softening and degenerative changes.<ref name="12">http://www.e-radiography.net/radpath/c/chondromalaciap.htm</ref><br>CMP is also known as “Patellofemoral pain syndrome (PFP)” <ref name="2">Lee Herrington and Abdullah Al-Sherhi, A Controlled Trial of Weight-Bearing Versus Non–Weight-Bearing Exercises for Patellofemoral Pain, journal of orthopaedic &amp;amp; sports physical therapy, 2007, 37(4), 155-160</ref><ref name="11">http://www.ubsportsmed.buffalo.edu/education/patfem.html</ref> and “Runner’s Knee”<ref name="13">http://orthopedics.about.com/cs/patelladisorders/a/chondromalacia.htm</ref>.<br>


== Clinically Relevant Anatomy  ==
== Clinically Relevant Anatomy  ==

Revision as of 14:37, 27 December 2010

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Key Words

  • Chondromalacia
  1. Patellae
  2. Therapy
  3. Orthoses
  4. Physiotherapy
  5. Anatomy
  6. Ice Application
  • Chondropathie
  • Patellofemoral Pain Syndrome
  1. Therapy
  2. Anatomy
  3. Physiotherapy
  • McConnell Tape
  • Ice Application

Definition/Description[edit | edit source]

Chondromalacia patellae (CMP) is referred as anterior knee pain due to physical and biomechanical changes Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title. It manifests as’ softening, swelling, fraying, and erosion of the hyaline cartilage overlying the patella and sclerosis of underlying bone’ Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.
Simplified, it means that the posterior surface of the patella is going though softening and degenerative changes.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
CMP is also known as “Patellofemoral pain syndrome (PFP)” Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title and “Runner’s Knee”Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title.

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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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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11. http://www.ubsportsmed.buffalo.edu/education/patfem.html

12. http://www.e-radiography.net/radpath/c/chondromalaciap.htm

13. http://orthopedics.about.com/cs/patelladisorders/a/chondromalacia.htm

14. http://www.aafp.org/afp/991101ap/2012.htm

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]

1. Bill Vicenzino, Natalie Collins, Kay Crossley, Elaine Beller, Ross Darnell and Thomas McPoil, Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trial, BioMed Central, 2008

2. Lee Herrington and Abdullah Al-Sherhi, A Controlled Trial of Weight-Bearing Versus Non–Weight-Bearing Exercises for Patellofemoral Pain, journal of orthopaedic & sports physical therapy, 2007, 37(4), 155-160

3. Iraj Salehi, Shabnam Khazaeli, Parta Hatami, Mahdi Malekpour, Bone density in patients with chondromalacia patella, Springer-Verlag, 2009

4. Gagliardi et al., Detection and Staging of Chondromalacia Patellae: Relative Efficacies of Conventional MR Imaging, MR Arthrography, and CT Arthrography, ARJ, 1994, 163, 629-636

5. R van Linschoten et al., Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial, BMJ, 2009

6. florence peterson kendall et al., Spieren : tests en functies, Bohn Stafleu van Loghum, Nederland, 469p (383)

7. P. van der Tas & J.M. Klomp-Jacobs; Chondropathie Patellae; Maatschap voor Sport-Fysiotherapie, Manuele Therapie en Medische Trainings Therapie


8. Derasari A. et al.;McConnell taping shifts the patella inferiorly in patients with patellofemoral pain: a dynamic magnetic resonance imaging study; Journal of the American Physical Therapy association; 2010; 90(3): 411–419.


9. Naoko Aminaka & Phillip A Gribble; A Systematic Review of the Effects of Therapeutic Taping on Patellofemoral Pain Syndrome; Journal of Athletic Training; 2005; 40(4): 341–351


10. Bleakley C, McDonough S, MacAuley D. The use of ice in the treatment of acute soft-tissue injury: a systematic review of randomized controlled trials. Am J Sport Med.; 2004; 32:251-261.

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