Anterior Knee Pain
Original Editors - Maxime Tuerlinckx
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Search Strategy[edit | edit source]
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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
-Sinding Larsen Johansson syndrome
-Knee bursitis/Hoffa’s disease
-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)
-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)
-Patellofemoral osteoarthritis
-Pes anserine bursitis: The anserine bursa is one of 13 bursae found around the knee, located just below the pes anserinus being located immediately 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)
(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]
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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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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)
Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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