81. Chondromalacia Patellae chondromalacia patellae. Definition. chondromalacia mechanics. For Your Information.Books Periodicals Organizations Other chondromalacia patellae. http://www.healthatoz.com/healthatoz/Atoz/ency/chondromalacia_patellae.html

Encyclopedia Index C Home Encyclopedia Encyclopedia Index C Chondromalacia patellae Definition Chondromalacia patellae refers to the progressive erosion of the articular cartilage of the knee joint, that is the cartilage underlying the kneecap (patella) that articulates with the knee joint. Description Chondromalacia patellae (CMP), also known as patello-femoral pain syndrome or patello-femoral stress syndrome, is a syndrome that causes pain/discomfort at the front of the knee. It is associated with irritation or wear on the underside of the kneecap, or patella. In a normal knee, the articular cartilage is smooth and elastic and glides smoothly over the surface of the thighbone, or femur, when the knee is bent. Erosion of the cartilage roughens the surface and prevents this smooth action. CMP is most common in adolescent females, although older people may also develop it. An average of two out of 10,000 people develop this condition, many of them runners or other athletes. Causes and symptoms CMP is the result of the normal aging process, overuse, injury, or uneven pressures exerted on the knee joint. In teens, CMP may be caused by uneven growth or uneven strength in the thigh muscles. Growth spurts, common in teens, may result in a mildly abnormal alignment of the patella, which increases the angle formed by the thigh and the patellar tendon (Q-angle). This condition adds to the damage. Symptoms include pain, normally around the kneecap, and a grinding sensation felt when extending the leg. The pain may radiate to the back of the knee, or it may be intermittent and brought on by squatting, kneeling, going up or down stairs, especially down, or by repeated bending of the joint.

82. Chondromalacia Patellae Knee. chondromalacia Patellae. chondromalacia patellae has degenerated.chondromalacia Patellae What does chondromalacia patellae mean? http://jhhs.client.web-health.com/web-health/topics/GeneralHealth/generalhealths

83. Patellofemoral Syndrome Or Chondromalacia:Health Topics:UI Health Care Patellofemoral Syndrome Or chondromalacia. Patellofemoral syndromecauses pain in the knee. It is sometimes called chondromalacia. http://www.uihealthcare.com/topics/bonesjointsmuscles/bone3446.html

Health Topics Category Index Health Topics for Bones, Joints and Muscles Bone and Muscle Cancer Department of Orthopaedics ... UI Back Care - UI Health Care's digital library Send comments and questions to staff@uihealthcare.com University of Iowa Patellofemoral Syndrome Or Chondromalacia Patellofemoral syndrome causes pain in the knee. It is a common problem of young adults, especially female adolescents. It is sometimes called chondromalacia. The long bone of the thigh is called the femur. The femur has a groove in which the kneecap (the patella bone) moves. The kneecap has to be able to move freely up and down when we bend or straighten our knee. If there has been an injury or overuse of the knee, the structures that allow it to move freely can wear down. Over time, the undersurface of the kneecap becomes worn out and inflamed. Signs and symptoms that should be evaluated by a healthcare provider include: knee pain that gets worse when kneeling or walking up and down stairs and knees ache if sitting in one position too long, like at a movie, or on a plane.

84. Chondromalacia Patellae MAIN SEARCH INDEX chondromalacia patellae. knee mechanics. ResourcesBooks Periodicals Organizations Other chondromalacia patellae. http://www.hendrickhealth.org/healthy/002046.htm

MAIN SEARCH INDEX Chondromalacia patellae Definition Description Causes and symptoms Diagnosis ... Resources Definition Chondromalacia patellae refers to the progressive erosion of the articular cartilage of the knee joint, that is the cartilage underlying the kneecap (patella) that articulates with the knee joint. Description Chondromalacia patellae (CMP), also known as patello-femoral pain syndrome or patello-femoral stress syndrome, is a syndrome that causes pain/discomfort at the front of the knee. It is associated with irritation or wear on the underside of the kneecap, or patella. In a normal knee, the articular cartilage is smooth and elastic and glides smoothly over the surface of the thighbone, or femur, when the knee is bent. Erosion of the cartilage roughens the surface and prevents this smooth action. CMP is most common in adolescent females, although older people may also develop it. An average of two out of 10,000 people develop this condition, many of them runners or other athletes. Causes and symptoms CMP is the result of the normal aging process, overuse, injury, or uneven pressures exerted on the knee joint. In teens, CMP may be caused by uneven growth or uneven strength in the thigh muscles. Growth spurts, common in teens, may result in a mildly abnormal alignment of the patella, which increases the angle formed by the thigh and the patellar tendon (Q-angle). This condition adds to the damage. Symptoms include pain, normally around the kneecap, and a grinding sensation felt when extending the leg. The pain may radiate to the back of the knee, or it may be intermittent and brought on by squatting, kneeling, going up or down stairs, especially down, or by repeated bending of the joint.

85. Chondromalacia Meddie Health Search chondromalacia Patella Darla sports a Grade 4 osteochondral lesion on her patellaand suffers from CP. (Rating 0.00 Votes 0) Rate It. What is chondromalacia? http://www.meddie.com/search/Health/Conditions_and_Diseases/Musculoskeletal_Diso

86. - Chondromalacia Patella: Knee Pain: Sports Rehab: Physical Therapy educator and coach additional injuryrecognition skills, this article will discussassessment of one patellofemoral syndrome known as chondromalacia patella. http://www.cuttingedgenutrition.com/chonpatsep24.html

The physical educator, stength coach and personal trainer must pay particular attention when a student or athlete or an complains of knee pain. Fortunately, the majority of knee injuries are not serious and usually originate from over-training or improper training techniques. The preponderance of knee complaints stemming from overuse and faulty training originate around and under the patella (2,5). In an effort to give the physical educator and coach additional injury-recognition skills, this article will discuss assessment of one patellofemoral syndrome known as chondromalacia patella. ANATOMY: The knee joint complex consists of the femur, tibia, fibula and patella. The distal ends of the femur form the medial and lateral femoral condyles. The patella, a sesamoid bone, is located in the tendon of the quadriceps femoris muscle. As the knee bends and straightens, the patella glides in the intercondylar groove between the medial and lateral femoral condyles. A smooth white glistening material called articular cartilage covers the undersurface of the patella and femoral condyles. Its main purpose is to eliminate patellofemoral friction. Any defect in the patella's undersurface or femoral condyles leads to increased contact forces between the patella and femur. This contact force changes as the knee bends and straightens. For example, as the knee approaches extension, contact forces are created between the lateral femoral condyle and the patella's lateral edge or lateral facet. As the knee flexes beyond 90 degrees, contact force is created between the medial femoral condyle and the patella's medial edge or medial facet. Any abnormal movement of the patella along its course in the intercondylar groove results in excessive contact forces or increased patellofemoral pressures. Excessive contact forces or patellofemoral pressures can eventually lead to degenerative changes in the articular surfaces of the patella and femur which predisposes athletes to chondromalacia patella.

87. Chondromalacia chondromalacia. What is it? chondromalacia is a softening or wearing away and crackingof the cartilage under the kneecap, resulting in pain and inflammation. http://pages.ivillage.com/sgsamson/chondromalacia.html

'); document.writeln(' Click Here! MENU Home Programs Who Are We? Articles ... Past Newsletters Chondromalacia What is it? Chondromalacia is a softening or wearing away and cracking of the cartilage under the kneecap, resulting in pain and inflammation. What happens is that the cartilage becomes like sandpaper because the kneecap is not riding smoothly over the knee. What Are the Symptoms?: Pain beneath or on the sides of the kneecap. "It's a soreness, a nagging discomfort," says Dave Apple, M.D., an orthopedic surgeon at Atlanta's Piedmont Hospital. Pain can worsen over a year or so and is most severe after you run hills. Swelling is also present. In severe cases, you can feeland eventually heargrinding as the rough cartilage rubs against cartilage when the knee is flexed What Are the Causes? Excessive pronation (when the arch collapses too much and the foot rotates too far inward) can cause the kneecap to twist sideways. Fatigued or weak quadriceps muscles, which aid in proper tracking of the kneecap, can prevent the kneecap from tracking smoothly. A muscle imbalance between weak quads and tighter hamstrings can also pull the kneecap out of its groove. Hill running (especially downhills) can aggravate the condition, as can running on the same side of a cambered road, or, in general, overtraining. What Should You Do?

88. InteliHealth: Find out about weight management issues, drug interactions and more. chondromalacia. Reviewedby the Faculty of Harvard Medical School chondromalacia http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/31202.html

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89. CHONDROMALACIA-ELBOW JulyAugust, 1999 KNEE PAIN IT MAY BE chondromalacia!! chondromalaciais a common knee problem, affecting the underside of the knee cap. http://www.hands-on-pt.com/news/CHONDROMALACIA-ELBOW/chondromalacia-elbow.html

Hands-On Facilities: Astoria 32-70, 31 Street, Astoria, NY 11106, Tel: (718) 626-2699 Manhattan East 78 39 East 78 Street, 4th Floor, New York, NY 10021, Tel: (212) 439-9303 Manhattan East 93 134 East 93 Street, 2nd Floor, New York, NY 10128, Tel: (212) 289-3536 Manhattan West 57 221 West 57 Street, 12th Floor, New York, NY 10019, Tel: (212) 399-3800 Brooklyn 86 Str. 537 86 Street, Bayridge, Brooklyn, NY 11209, Tel: (718) 439-3501 Brooklyn 3rd Ave 8014 Third Ave, Brooklyn , NY 11209, Tel: (718) 491-5454 Bayside 44-01 Frances Lewis Blvd., Bayside, NY 11361, Tel: (718) 224-2867 Bronx 3555 Bainbridge Avenue, Bronx, NY 10467, Tel: (718) 652-3535 E-mail Us Affiliate Sites in Greece Germany England PHYSIOTHERAPY ... Search Past Issues by Date or by Subject July-August, 1999 KNEE PAIN IT MAY BE CHONDROMALACIA!! Chondromalacia is a common knee problem, affecting the underside of the knee cap. Normally the surface under the patella is lined with a tough, smooth tissue known as hyaline cartilage. The groove at the distal end of the femur is also lined with hyaline cartilage providing a smooth surface for the patella to track in during flexing and extending of the knee. However patellas affected with chondromalacia, have varying degrees of softening, pitting and increased wear of the cartilage. These irregularities create increased friction, which lead to pain and continued degeneration. For the patient suffering from chondromalacia, activities such as squating, kneeling descending and ascending stairs can often become too painfull to manage. However, in many cases, sufferers do not experience any symptoms.

90. ThirdAge - Adam - Chondromalacia Of The Patella back. chondromalacia of the patella is the grating or grindingsensation during extension of the knee. The cause is thought to http://www.thirdage.com/health/adam/imagepages/8892.htm

document.write(''); document.write(''); document.write('<'); document.write('/SCRIPT>'); document.write(''); document.write(''); document.write('<'); document.write('/A>'); document.write('<'); document.write('/NOSCRIPT>'); document.write('<'); document.write('/IFRAME>'); Activities Computers Family Tree Health ... Travel Chondromalacia of the patella is the grating or grinding sensation during extension of the knee. The cause is thought to be related to overuse, trauma and/or abnormal forces on the knee, such as a mildly abnormal alignment of the patella (knee cap) and femur. Symptoms include knee tenderness, pain in the knee after sitting for a prolonged period of time, knee pain that is worse with stairs or getting out of a chair, and a grating sensation in the knee. Review Date: 12/5/2001 Reviewed By: A.D.A.M. Medical Illustration Team TOP CLICKS Memory Loss Smallpox Flu Shot Anthrax ... Depression document.write(''); document.write(''); document.write('<'); document.write('/SCRIPT>'); document.write(''); document.write(''); document.write('<'); document.write('/A>'); document.write('<'); document.write('/NOSCRIPT>'); document.write('<'); document.write('/IFRAME>'); THIS WEEK'S FEATURES Make every day like a spa visit Get your over-eating in control with this weight loss menu 5 smart bone-builders that can combat osteoporosis FREE NEWSLETTER Health See latest More Newsletters 2 Years FREE! That's DOUBLE Our Best Offer Ever!

91. CHIROWEB | DC Archives - (Chondromalacia Patellae And Orthotic Support) chondromalacia Patellae and Orthotic Support. chondromalacia patellae is acondition that responds favorably to a well devised exercise regime. http://www.chiroweb.com/archives/19/25/02.html

Search ChiroWeb! Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Chondromalacia Patellae and Orthotic Support by Kim Christensen,DC,DACRB,CCSP Chondromalacia patellae is defined as the pathologic softening of the patellar cartilage, and is associated with patellar tracking disorders. With excessive or abnormal biomechanical forces, the hyaline cartilage behind the kneecap undergoes gradual deterioration and fibrillation. The clinical presentation is of "patellofemoral arthralgia," with anterior knee pain made worse after going up and down steps and after sitting for long periods. Crepitus and pain during squatting will quickly demonstrate the poor tracking of the patella and the irritated cartilage. Patellar Tracking As the knee flexes and extends during gait, the patella glides up and down in the groove between the medial and lateral femoral condyles. The underside of the patella fits into this groove, and the cartilage behind the kneecap reduces friction substantially. Because the knee is a hinge (ginglymus) joint, it moves primarily in one plane. This limits the torsional and lateral deviation forces. Normal interactions between the patellar tendon and the quadriceps muscles keep the patella aligned and moving smoothly with each step. Heavier loads and deeper knee flexion draw the patella closer to the surface of the femur, and can increase friction substantially. A patellar subluxation, or disturbance of its normal juxtaposition to surrounding structures, will cause the patella to rub and grind with each sliding movement. Patellofemoral pain syndrome starts when abnormal tracking is ongoing, and muscle imbalance develops.

92. Chondromalacia Patella chondromalacia Patella. Definition chondromalacia patella, Softeningand degenerative changes in the posterior surface of the patella. http://www.xray2000.f9.co.uk/radpath/c/chondromalaciap.htm

Chondromalacia Patella Definition Chondromalacia patella, Softening and degenerative changes in the posterior surface of the patella Radiographic Appearance Plain radiography of the knee is of limited use, on a skyline axial projection the small fissures may be visible and in the final grade 4 stages osteoarthritic-sclerotic changes take place and osteophytes are visible MR is able to provide sagittal and axial reconstructions to aid early diagnosis. Pathology First used by Aleman in 1917, chondromalacia patella was the name given to a degeneration of the patellar articular cartilage (Kipnis and Scuderi, 1995). True chondromalacia patella involves the degeneration of the articular facets of the patella, with resulting ragged fronded edges, (Welsh and Hutton, 1990), and is a very common injury amongst both men and women of our sporting population (Williams, 1990). Along with osteoarthritis, chondromalacia patella is a type of cartilage damage resulting in anterior knee pain. It is also named as a cause of the symptoms of patellofemoral pain syndrome (Reid, 1992). When compared to the number of patients who are seen with patellofemoral pain, and those with actual changes to the articular cartilage of the patella, chondromalacia patella is a rare condition though (Nofthall, 1990).

93. Health/Conditions_and_Diseases/Musculoskeletal_Disorders/Chondromalacia chondromalacia (otherwise known as chondromalacia patellae,anterior knee pain syndrome, patellofemoral disorder or runner's knee ) is......Category http://www.health-information-resource.com/Health/Conditions_and_Diseases/Muscul

Search: Category Description: Chondromalacia (otherwise known as chondromalacia patellae, anterior knee pain syndrome, patellofemoral disorder or "runner's knee") is caused by improper tracking of the kneecap over the femur. As a result, the cartilage under the kneecap becomes roughened and pain results when the knee is bent or straightened while bearing weight. Health Chondromalacia What is Chondromalacia? Article on the causes and treatment of the knee disorder chondromalacia patellae. URL: http://healthlink.mcw.edu/article/926052680.html Runner's World: Chondromalacia Article on management of chondromalacia injuries. URL: http://www.runnersworld.com/injuries/chondrom.html Chondromalacia: Anterior Knee Pain Syndrome One of the most common causes of knee pain is chondromalacia or patellofemoral syndrome caused by an irritation of the undersurface of the kneecap. Article includes information on symptoms treatment and recommendations for exercise. URL: http://www.bayviewortho.com/patients/education/Knee/chondrom.htm Chondromalacia Patellae Orthoseek article with recommended exercises and information on prevention treatment and the development of the disorder.

94. GELBANDinfo.COM - Chondromalacia Patella Syndrome (Runner's Knee Technical information, including symptoms, causes, and treatments for chondromalaciaPatella Syndrome, also known as Runner's Knee. Buy Online! http://www.gelbandinfo.com/chondromalacia.asp

95. BBC Health - Ask The Doctor: Chondromalacia Ask the Doctor. Q chondromalacia. I have been suffering with pain infront of my knee that my doctor has diagnosed as chondromalacia. http://www.bbc.co.uk/health/ask_doctor/chondromalacia.shtml

CATEGORIES TV RADIO COMMUNICATE ... INDEX SEARCH MONDAY 31st March 2003 Text only BBC Homepage Health Homepage Ask the Doctor ... Help Like this page? Send it to a friend! Ask the Doctor Q: Chondromalacia I have been suffering with pain in front of my knee that my doctor has diagnosed as chondromalacia. I'm in my early twenties and thought that only teenagers got this? Pete Dr Rob Hicks responds Teenagers more commonly develop this condition but young adults of your age can suffer with it too. Often doctors will call it by its other names of chondromalacia patella and patellofemoral pain syndrome In chondromalacia the cartilage that lines the back of the kneecap becomes damaged. For teenagers it's often the extra pressure the knees have to cope with during the growth spurt that sets the problem in motion. For adults and teenagers strenuous exercise can be the trigger for the damage to start, as can repeated injuries to the knee. Why the condition occurs at all though is not really understood. The knee , since it is usually only one knee that's affected, feels stiff after sitting down and it may click when it's moved. Any action where the knee is bent and straightened, running or going up and down stairs for example, will bring the pain on. Over time the condition tends to improve such that it doesn't cause any further problems. Physiotherapy helps to strengthen the supporting muscles and ligaments around the knee joint and prevent future recurrences. When the knee is uncomfortable the use of

96. Patella Tendonitis Or Chondromalacia? Patella Tendonitis or chondromalacia? Posted by Manual Reverie on July25, 1998 at 113436 Patella Tendonitis or chondromalacia? http://www.ontherun.com/clinic/messages/1105.htm

Patella Tendonitis or chondromalacia? Posted by Manual Reverie on July 25, 1998 at 11:34:36: Patella Tendonitis or chondromalacia? In the middle of March I sustained a injury to my right knee (the area right below the kneecap) after increasing my weekly and daily mileage. The pain became more pronounced after a long run with a friend It should also be mentioned that I am also a weightlifter and lifting weights i.e. squats do not cause any knee pain so I have continued to do this activity. From that time to the middle of June I have tried to self treat using RICE and very little running. In mid June I finally broke down to see a doctor after wrapping my knee around my body to check the stability he diagnosed chondromalacia(sp) and sent me to a physical therapist. I have seen the PT twice a week for the last three weeks. Today I have my last appointment and I will be sent back to the doctor. So far I have not seen much improvement. Also I have always had some sort of problem on the right side of my body be it ankle, hip or knee and I have very flat feet. Finally my question to you is where should I

97. Grading Of Chondromalacia Grading of chondromalacia. The ends of bones which form joints are coveredby a very smooth material called articular or chondral cartilage. http://www.wcb.ab.ca/providers/medref03.asp

@import url(/technicalstuff/stylesheets/import.css); Home Research Careers Links ... Medical Reference Sheets Grading of Chondromalacia The ends of bones which form joints are covered by a very smooth material called articular or chondral cartilage. After injury or with disease, the condition of this surface can change. This can progress over time from becoming a bit soft to being completely absent. The loss of articular or chondral cartilage of a joint for any reason, (injury, illness, or natural wear- and- tear with aging), is called chondromalacia. These changes compare to the difference seen between a brand-new Teflon-coated frying pan, one that has been slightly scratched by a steel scrubber, and one where the Teflon surface has flaked off completely. As with a frying pan's Teflon surface, the greater the destruction of the articular cartilage, the poorer the function of the joint. Important considerations when evaluating chondromalacic changes in a joint are the state of the articular surface, the extent of the cartilage involvement and the location of the lesion. These all impact the degree of symptoms.

98. The Arthroscopic Treatment Of Chondromalacia Patellae Authors OgilvieHarris DJ. Jackson RW. Title The arthroscopic treatment of chondromalaciapatellae. Source Journal of Bone Joint Surgery - British Volume. http://www.worldortho.com/database/abstracts/l_limb/oglivie.html

Authors Ogilvie-Harris DJ. Jackson RW. Title The arthroscopic treatment of chondromalacia patellae. Source Abstract Three hundred and nineteen patients who had chondromalacia patellae and persistent patellofemoral pain after six months of conservative management underwent arthroscopy and arthroscopic surgery. The results in four aetiological groups were reviewed at one year and five years after operation. Morbidity was minimal. Lavage produced early remission in all groups. Shaving offered a particular advantage in the post-traumatic group. Lateral release plus shaving and lavage was beneficial in the group with maltracking patellae and in half of the idiopathic group. In the group with unstable patellae, lateral release produced good results in only one in four patients. In conclusion, we consider that arthroscopic surgery has a useful role to play in the management of chondromalacia patellae. © 1997, WorldOrtho Inc.

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