41. Knee Injuries - Page 2 Of 3 Clinic. anterior knee pain Patella Femoral syndrome anterior kneepain (patella femoral syndrome) is very common in athletes. http://sportsmedicine.about.com/cs/knee_injuries/index_2.htm

zfp=-1 About Sports Medicine Search in this topic on About on the Web in Products Web Hosting Sports Medicine with Elizabeth Quinn Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS Acute Injury Treatment 6 Injury Warning Signs Alphabetical Injury List ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Knee Injury, Prevention and Treatment Guide picks Previous Next Knee Pain Questions and Answers Knee Anatomy and Physiology ... ACL Injuries Treatment and Rehabilitation From the Encyclopedia of Sports Medicine and Science , a thorough discussion of ACL injuries. Osgood-Schlatter Disease ACL Rehabilitation A week by week exercise program outline for a routine ACL reconstruction. A detailed discussion from the Stone Clinic. Anterior Knee Pain - Patella Femoral Syndrome Anterior knee pain (patella femoral syndrome) is very common in athletes. This article, from Yale explains the cause and treatment. Cruciate Ligament Reconstruction A slick graphical interface for links to the most common types of cruciate ligament reconstruction used today. Knee Exercises A list of exercises to do after an injury, but these could easily be part of a prevention program as well.

42. Anterior Knee Pain anterior knee pain. Definition Alternative Names knee pain runner'scondition; Patellofemoral stress syndrome. Considerations http://www.pennhealth.com/ency/article/001259.htm

Disease Injury Nutrition Poison ... Prevention Anterior knee pain Definition: Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Alternative Names: Knee pain - runner's condition; Patellofemoral stress syndrome Considerations: A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: a joint X-ray a joint CT scan an MRI scan of the knee Causes: The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Review Date: 5/30/2001 Reviewed By: Benjamin D. Roye, M.D., M.P.H., Department of Orthopaedics, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network.

43. Anterior Knee Pain anterior knee pain. Alternative Names knee pain runner's condition;Patellofemoral stress syndrome. Symptoms knee pain below the http://www.pennhealth.com/ency/article/001259sym.htm

Disease Injury Nutrition Poison ... Prevention Anterior knee pain Alternative Names: Knee pain - runner's condition; Patellofemoral stress syndrome Symptoms: knee pain below the knee cap and on the sides of the knee cap at first, pain occurs when running downhill, then pain progresses to all running, then pain is present even when not running Review Date: 5/30/2001 Reviewed By: Benjamin D. Roye, M.D., M.P.H., Department of Orthopaedics, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network.

44. Patellofemoral Pain Syndrome Homepage Patellofemoral pain syndrome is known by other names such as Patellar Chondromalacia,Excessive Lateral Pressure syndrome and simply anterior knee pain. http://www.emedx.com/emedx/diagnosis_information/knee_disorders/patellofemoral_p

Diagnosis PATELLOFEMORAL PAIN SYNDROME Definition Patellofemoral pain syndrome describes a variety of possible disorders that cause pain in the joint between the kneecap (Patella) and the thigh bone (Femur). Model and X-ray of a Normal Knee Details Patellofemoral pain syndrome is known by other names such as: Patellar Chondromalacia, Excessive Lateral Pressure Syndrome and simply Anterior Knee Pain. It is a very common problem especially in women. The pain associated with this disorder may worsen with descending stairs climbing or deep squating. Sitting with your knees flexed for a long period of time in a car or movie theatre may also aggravate the symptoms. Causes A variety of underlying anatomic abnormalities may result in patellofemoral pain syndrome. It can be caused by softening or cracking of the articular cartilage under the kneecap. This is known as chondromalacia. A malalignment of the kneecap or tight tissue around the kneecap can also create tension that may lead to patellofemoral pain syndrome. Usually, this disorder arises without a history of significant trauma. Occasionally, the pain may begin after a blow to the knee or a minor injury.

45. Health Library Find Information On Anterior Knee Pain At anterior knee pain. Definition Alternative Names knee pain runner'scondition; Patellofemoral stress syndrome. Considerations http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcns

46. The Physician And Sportsmedicine: and femoral trochlea, which may produce the characteristic anterior knee symptoms(1). Diagnosing and treating patellofemoral pain syndrome is challenging but http://www.physsportsmed.com/issues/1999/08_99/paluska.htm

Using Patellofemoral Braces for Anterior Knee Pain Scott A. Paluska, MD; Douglas B. McKeag, MD, MS Department Editor: William O. Roberts, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 27 - NO. 8 - AUGUST 1999 D isorders of the patellofemoral joint are common in recreational and competitive athletes. The pathophysiology of these disorders is unclear but may be related to malalignment of the patella and femoral trochlea, which may produce the characteristic anterior knee symptoms (1). Diagnosing and treating patellofemoral pain syndrome is challenging but important, since patellofemoral abnormalities can result in substantial discomfort and disability. One treatment measure that many patients find helpful for anterior knee pain is the simple-to-fit, inexpensive patellofemoral knee brace (PFB). These braces are best used as an adjunct to other therapies. Benefits and Uses PFBs were designed to minimize lateral patellar subluxation and dislocation, improve patellofemoral tracking, and decrease anterior knee pain (2). They are also intended to provide proprioceptive feedback and warm the patellofemoral joint. PFB manufacturers have made many claims about the efficacy and benefits of their braces, but most assertions have not been supported by scientific investigation or analysis (3). As with other types of knee braces, however, patients who have worn PFBs report benefits that exceed the objective effects noted by researchers (3,4). While PFBs do not appear to alter underlying biomechanical dysfunction, they provide a static restraint that (in most cases) applies a medially directed force to the lateral patella, thereby decreasing abnormal patellofemoral tracking. The sleeve itself helps compress the tissues and limit excessive patellar movement.

47. The Physician And Sportsmedicine: Femoral Supracondylar Stress Fractures and can cause anterior knee pain. Persistent, intense pain occurs in the knee anddistal thigh and may be mistaken for patellofemoral pain syndrome unless the http://www.physsportsmed.com/issues/2002/09_02/glorioso.htm

Femoral Supracondylar Stress Fractures An Unusual Cause of Knee Pain MAJ John E. Glorioso, Jr, MD; CDR Glen Ross, MD; Wayne B. Leadbetter, MD; Barry P. Boden, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 30 - NO. 9 - SEPTEMBER 2002 For CME accreditation information, instructions and learning objectives, click here In Brief: Supracondylar stress fractures are rare and can cause anterior knee pain. Persistent, intense pain occurs in the knee and distal thigh and may be mistaken for patellofemoral pain syndrome unless the fracture is identified by radiographic modalities (MRI or bone scan). Two cases of supracondylar femoral stress fractures in female runners highlight the need to seek proximal pathologies when patients report knee pain that cannot be explained by other conditions. S tress fractures are well-known overuse injuries in active people. Although the tibia and metatarsals are the most common locations, any lower-extremity weight-bearing bone may be affected. The femur is the fourth most common site of stress fractures, with injury occurring in the neck, subtrochanteric, shaft, or condylar regions.

48. MEDLINEplus Medical Encyclopedia: Anterior Knee Pain anterior knee pain. Alternative names knee pain runner's condition;Patellofemoral stress syndrome. Definition Return to top. knee http://www.nlm.nih.gov/medlineplus/ency/article/001259.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Anterior knee pain Contents of this page: Alternative names Definition Considerations Causes ... Prevention Alternative names Knee pain - runner's condition; Patellofemoral stress syndrome Definition Return to top Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Considerations Return to top A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: a joint X-ray a joint CT scan an MRI scan of the knee Causes Return to top The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Symptoms Return to top knee pain below the knee cap and on the sides of the knee cap at first, pain occurs when running downhill, then pain progresses to all running, then pain is present even when not running First Aid Return to top The treatment involves resting the knee and not resuming running until it can be done without pain.

49. MEDLINEplus: Knee Injuries And Disorders Family Physicians); Patellofemoral pain syndrome (American Academy Water on the knee(Mayo Foundation Treatment ACL (anterior Cruciate Ligament) Reconstruction http://www.nlm.nih.gov/medlineplus/kneeinjuriesanddisorders.html

Skip navigation Other health topics: A B C D ... List of All Topics Knee Injuries and Disorders Contents of this page: From the NIH General/Overviews Anatomy/Physiology Diagnosis/Symptoms ... Women Search MEDLINE for recent research articles on Knee Injuries and Disorders You may also be interested in these MEDLINEplus related pages: Leg Injuries and Disorders Bones, Joints and Muscles Injuries and Wounds From the National Institutes of Health Questions and Answers About Knee Problems (National Institute of Arthritis and Musculoskeletal and Skin Diseases) General/Overviews Knee (American Academy of Orthopaedic Surgeons) Knee Pain (Mayo Foundation for Medical Education and Research) Anatomy/Physiology Joints: How They Work (Mayo Foundation for Medical Education and Research) Clinical Trials Clinical Trials: Knee Injuries (CenterWatch, Inc.) - industry-sponsored clinical trials Clinical Trials: Knee Replacement (CenterWatch, Inc.) - industry-sponsored clinical trials Diagnosis/Symptoms Arthrography (American College of Radiology, Radiological Society of North America) Knee Arthroscopy (Patient Education Institute) - requires Flash plug-in Also available in: Spanish Knee Problems: Self-Care Flowcharts (American Academy of Family Physicians) MR Imaging (MRI)-Musculoskeletal (American College of Radiology, Radiological Society of North America)

50. Welcome To ENH.org - Health Encyclopedia: Anterior Knee Pain anterior knee pain. bone). Alternative Names knee pain runner's condition;Patellofemoral stress syndrome. Considerations A http://www.enh.org/Encyclopedia/ency/article/001259.asp

Disease Reference Injury Reference Test Reference Nutrition Reference ... Symptoms Reference Anterior knee pain Disease Injury Nutrition Poison ... Y Definition: Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Alternative Names: Knee pain - runner's condition; Patellofemoral stress syndrome Considerations: A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: a joint X-ray a joint CT scan an MRI scan of the knee Causes: The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Symptoms: knee pain below the knee cap and on the sides of the knee cap at first, pain occurs when running downhill, then pain progresses to all running, then pain is present even when not running First Aid: The treatment involves resting the knee and not resuming running until it can be done without pain.

51. Patellofemoral Pain The Physician And Sports Medicine The definition of patellofemoral syndrome is anterior knee pain inthe joint between the patella and the patellofemoral groove. http://whs.wsd.wednet.edu/sportsmed/VanHoven

Patellofemoral Pain The Physician and Sports Medicine Volume 22, Number 4 (April, 1994) Anthony Micheal Galea, MD; Jan M. Albers, MD Abstract The patellofemoral has been difficult to diagnose for many years. Treatments range from conservative therapy to surgery. It is now known that patellofemoral pain has many causes. Conservative therapy usually resolves pain no matter what the pain is caused from. There are many terms for patellofemoral syndrome, describing knee patella pain. Terms such as petellagia, patellar malalignment syndrome, and patellofemoral compression syndrome all describe the same problem. The definition of patellofemoral syndrome is anterior knee pain in the joint between the patella and the patellofemoral groove. Common characteristics of patients with patellofemoral syndrome include increased Q angle, internal tibial rotation, patellar instability, pes planus, and pain when the patella is compressed with the femur. A tight iliotibial band or hamstrings can also contribute to a problem. A typical patient with patellofemoral syndrome is a young adult with chronic knee pain. This can be brought on by going up and down stairs, jumping, or running. The pain can be relieved by rest and ice. The patient is not necessarily athletic. Osgood-Schlatter disease can also increase your chances of getting this syndrome. When the patient is younger than 17 the knee pain is usually acute and often bilateral. If the pain is due to chondromalacia, the patients tends to be older than 20, with past trauma and swelling.

52. Acupuncture Relieves Knee Pain - Acupuncture Today anterior knee pain in adolescents. Clin J Sports Med 1994;4176181. KarlssonJ, et al. Eleven year followup of patellofemoral pain syndrome. http://www.acupuncturetoday.com/archives2000/apr/04kneepain.html

Other MPAmedia Alternative Health Site Links Chiropractic ChiroExpo.com ChiroWeb.com DynamicChiropractic.com Massage Therapy MassageToday.com Acupuncture Relieves Knee Pain Study Finds "Clear, Durable Effect" in Reducing Pain and Improving Function By Michael Devitt, Managing Editor According to the National Institutes of Health, more than four million people seek medical care for a knee problem each year. A leading cause of chronic knee pain, particularly in young adults, is patellofemoral pain syndrome (PFPS). The condition occurs most frequently in adolescents who participate in sports, and is one of the most common diagnoses given at orthopedic centers and sports medicine clinics worldwide. Despite its prevalence, the contributing factors to patellofemoral pain syndrome are unclear. Although several studies have linked knee pain to certain physical activities, there seems to be no direct correlation between the level of pain and the degree of cartilage damage to one's knee, or to the amount of flexion or extension a person's knee experiences. To date, no single therapy has been shown to be completely effective in treating PFPS. However, acupuncture has shown promise in treating similar conditions such as gonarthrosis and osteoarthritis of the knee.

53. EMedicine - Patellofemoral Joint Syndromes : Article Excerpt By: Jane T Servi, M Synonyms, Key Words, and Related Terms anterior knee pain, chondromalacia patella,patellalgia, patellar compression syndrome, patellofemoral dysfunction http://www.emedicine.com/sports/byname/patellofemoral-joint-syndromes.htm

(advertisement) Excerpt from Patellofemoral Joint Syndromes Synonyms, Key Words, and Related Terms: anterior knee pain, chondromalacia patella, patellalgia, patellar compression syndrome, patellofemoral dysfunction, patellofemoral pain syndrome, peripatellar knee pain, retropatellar knee pain, global or generalized knee pain, joint line pain, posterior knee pain Please click here to view the full topic text: Patellofemoral Joint Syndromes Background: Patellofemoral joint complaints are one of the most common musculoskeletal complaints in all age groups. Complaints vary from anterior knee pain to peripatellar knee pain to retropatellar knee pain. Nonspecific complaints may include global or generalized knee pain, joint line pain, or posterior knee pain. Often, there is a paucity of objective findings despite subjective complaints. The problem may vary from one of short duration to one of a recurrent or chronic nature. The etiology of patellofemoral joint syndrome is multifactorial. Treatment often is conservative in nature. Because of the variable nature of the complaints and often lack of objective identifiable pathologic cause of patellofemoral joint complaints, it can be difficult to evaluate, diagnose, and treat this condition, which may cause great frustration for the physician and patient alike. Frequency: In the US: Patellofemoral joint syndrome may affect as many as 25% of all athletes.

54. Anterior Knee Pain Spanish anterior knee pain. bone). Alternative Names knee pain runner'scondition; Patellofemoral stress syndrome. Considerations A http://www.umm.edu/ency/article/001259.htm

Disease Nutrition Surgery Symptoms Injury Poison Tests Special Topics A ... P Q R S T U V W X Y Z Related Programs at UM Medical Center Department of Orthopaedics Home Medical Reference Encyclopedia (English) Toggle English Spanish Anterior knee pain Overview Symptoms Treatment Prevention Definition: Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Alternative Names: Knee pain - runner's condition; Patellofemoral stress syndrome Considerations: A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: a joint X-ray a joint CT scan an MRI scan of the knee Causes: The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Review Date: 5/30/2001 Reviewed By: Benjamin D. Roye, M.D., M.P.H., Department of Orthopaedics, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Home Health Info Our Physicians Our Services ... Make Appt.

55. Knee Pain (Anterior) Referral Guideline knee pain localized to the anterior portion of the knee, either retropatellar education(refer patient to PT for Retropatellar pain syndrome (RPPS) Class). http://www.mamc.amedd.army.mil/referral/guidelines/pt_kneeant.htm

Acute Low Back Pain Ankle Sprain Cervical Pain/Stiffness Knee Pain (Anterior) Knee Pain (Traumatic) Shoulder Bursitis/Tendonitis/ Impingement Syndrome Shoulder Dislocation MAMC Intranet or MAMC Internet Referral Guidelines Guideline Updated: November 2002 Specialty: Orthopedics , Physical Therapy Knee Pain (Anterior) Referral Guideline Please also see the Knee Clinical Standard Diagnosis/Definition Knee pain localized to the anterior portion of the knee, either retropatellar or peripatellar. Usually a gradual, non-traumatic onset aggravated with increased activity, running, squatting, stair climbing, or prolonged sitting. Symptoms normally decrease with rest. Initial Diagnosis and Management History and physical examination. Plain films not required. NSAIDs. Avoidance of aggravating activities; profile for active duty soldiers. Strengthening exercises for quadriceps, stretching exercises for quads, hamstrings, and calf muscle.

56. Knee Pain In Adolescents- TEMPLATE Common conditions OsgoodSchlatter syndrome; Chondromalacia patellae;anterior knee-pain syndrome (patellofemoral arthralgia); Meniscus tear. http://kahn.uicomp.uic.edu/intmedres/template/KneeAdol.htm

Return to list of Templates Internal Medicine Residency Program Primary Care Template: Knee Pain in Adolescents and Young Adults Description: Active adolescents and young adults can develop chronic knee pain from the repetitive trauma of running, playing basketball, and jumping. The causes of this condition differ from the causes of acute knee pain that follow trauma to the knee, and also from the causes of chronic knee pain in the older adult Common conditions: Osgood-Schlatter syndrome Chondromalacia patellae Anterior knee-pain syndrome (patellofemoral arthralgia) Meniscus tear Key historical information: Young adolescent (Osgood-Schlatter, patellofemoral arthralgia) Young adult runner or basketball player (Chondromalacia) Rotational injury while knee flexed (meniscus tear). Aggravated by climbing or descending stairs (Chondromalacia, patellofemoral arthralgia) Relieved by activity (sometimes in patellofemoral arthralgia) Relieved by rest (Chondromalacia) Locking (meniscus tear, sometimes patellofemoral arthralgia) Key physical findings: Effusion (meniscus tear, Chondromalacia)

57. Patellofemoral Pain Syndrome Patellofemoral pain syndrome. Patellofemoral pain is a common ailment affecting onein four of characterized by a diffuse ache in the area of the anterior knee. http://www.bfe.org/protocol/pro01eng.htm

Patellofemoral Pain Syndrome The Use Of Electromyographic Biofeedback For Training The Vastus Medialis Obliquus In Patients With Patellofemoral Pain. Charles R.Felder, PT, SCS, ATC Maureen A. Leeson, B.App.Sc.(Phty) Introduction Patellofemoral pain is a common ailment affecting one in four of the general population(6). It is caused by a variety of factors including abnormal lower limb mechanics, Vastus Medialis Obliquus (VMO) insufficiency, tight lateral structures and tight anterior and posterior muscles. The condition often develops gradually and is characterized by a diffuse ache in the area of the anterior knee. Pain is a significant factor since it will inhibit muscular activity and alter lower limb function. Anterior knee pain is often diagnosed as chondromalacia patella(2). This diagnosis is only correct when a softened and fissured patellar under-surface is seen during diagnostic imaging or surgery(2). Often, no cartilaginous pathological findings are present in patients who otherwise complain of severe knee pain and functional disability, especially during prolonged sitting, stair climbing or sporting activities. The VMO muscle is the dynamic medial stabilizer of the patella. Therefore it is important to understand the anatomy and function of the VMO when treating patients with patellofemoral dysfunction. The fibers of the VMO insert into the patella at an angle of 50-55 degrees from the vertical axis(10)(see figure 1). The VMO is active throughout the full range of extension of the knee and is the only dynamic medial stabilizer of the patella(4). Insufficiency of the VMO will contribute to lateral tracking of the patella(3). Training the VMO is important to prevent lateral tracking of the patella and eliminate patellofemoral dysfunction.

58. Injurytreatment.com.au > Injury Regions > Knee > Anterior (Front) Knee Pain Joint pain) anterior knee pain or what is commonly known as patellofemoral joint(PFJ) syndrome is a very common cause of pain at the front of the knee. http://www.injurytreatment.com.au/home/injuries/knee/141

Home Injury Regions Locality Guide Ask the Experts ... Featured Product e: p: Not a member? Join now With a free membership you can access extra information and features that will help you get back on track faster. Home Injury Regions Knee Anterior (Front) Knee Pain Anterior (Front) Knee Pain Injury Information Patella Dislocation/Subluxation: The patella, or knee-cap as it is commonly known, is the round shaped bone at the front of the knee. It is used by the powerful leg muscles such as the quadriceps to provide the fulcrum for leverage and power. The patella tendon runs down from the knee-cap to connect to the lower leg bone, tibia. When bumped with force, the knee-cap can sometimes be moved from its place at the front of the knee to either side but most commonly to the outside. A dislocation has been sustained when it 'pops' out of its groove and stays there. If the patella only slides out part of the way this is known as a subluxation. Intense pain and patellofemoral joint swelling will be experienced. Patella tendonitis: Patella tendonitis usually is caused from excessive stress to the patella tendon. Jumpers knee is a term commonly used. It is not a sudden injury but a wear and tear soreness the you may notice over time during and after activity. Pain will be felt as a burning and will be worst following exercise. Quadriceps tightness and weakness may accompany patella tendon pain Kicking a ball regularly or constantly squatting or climbing stairs might trigger the soreness.

59. Anterior Knee Pain Encyclopedia Injury - A - anterior knee pain. anterior knee pain. AlternateNames knee pain - runner's condition; Patellofemoral stress syndrome. http://www.rwjuhh.net/Atoz/Encyclopedia/article/001259.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Injury A -> Anterior knee pain Anterior knee pain Alternate Names: Knee pain - runner's condition; Patellofemoral stress syndrome Considerations: A physical examination of the knee will confirm the presence of a painful joint. Tests that may be performed to rule out possible structural damage to the knee or connective tissue: a joint X-ray a joint CT scan an MRI scan of the knee Causes: The most common cause of runner's knee is pronation and lateral (away from the middle) pulling of the patella. This causes misalignment with the connective tissues and muscles involved with knee movement. Symptoms: knee pain below the knee cap and on the sides of the knee cap at first, pain occurs when running downhill, then pain progresses to all running, then pain is present even when not running Do Not: recurrent injury Call If: Call your health care provider if knee pain persists in spite of resting the joint. First Aid: The treatment involves resting the knee and not resuming running until it can be done without pain.

60. Medical Resource Library anterior knee pain. anterior knee pain, also called patellar pain syndrome and patellofemoral pain , is very common in adolescents. http://www.orthospecialist.com/resources/resources.asp?kneepain=True

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