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Patellofemoral Disorder: more detail

Disorders of the Patellofemoral Joint: Principles and Practice by John P Fulkerson, 2004-03-01

Patellofemoral Disorders: Diagnosis and Treatment

Clinical Orthopaedics and Related Research139 Pediatric Motorskeletal Conditions.140Diagnostic Methods and New Procedures.142Disorders of the Forefoot.144Patellofemoral Disorders. by MD, Editor in Chief Marshall R. Urist, 1979

Patellofemoral Disorders (Clinical Orthopaedics & Related Research, Vol 144)

PATELLOFEMORAL DISORDERS by R. BIEDERT, 2004

Patellofemoral Disorders - Diagnosis and Treatment by R. BIEDERT, 2004

Patellofemoral pain hits female athletes hard.(Musculoskeletal Disorders): An article from: Family Practice News by Melinda Tanzola, 2006-10-01

lists with details

Health Library - Patellar Tracking Disorder
Surgeries for patellar tracking disorder include Tibial tubercle osteotomy.Medial patellofemoral ligament (MPFL) repair for patellar dislocation.
http://health_info.nmh.org/Library/HealthGuide/IllnessConditions/topic.asp?hwid=
Health Library - Patellar Tracking Disorder
Saint Luke's Health System eLibrary. Patellar Tracking disorder. References.Citations. Goldberg B (1997). patellofemoral malalignment.
http://hvelink.saint-lukes.org/library/healthguide/IllnessConditions/topic.asp?h
Health Library
patellofemoral Pain SyndromePatellar Tracking disorder. Patient Safety-Work in Partnershipwith Your Doctor to Prevent Medical Errors. Patulous Eustachian Tube.
http://hvelink.saint-lukes.org/library/healthguide/IllnessConditions/_SearchResu
1Up Health > Health Links Directory > Conditions And Diseases: Musculoskeletal D
Includes diagrams and Xray images. patellofemoral Syndrome Informationabout this disorder, written by a patient. What is Chondromalacia?
http://www.1uphealth.com/links/musculoskeletal-disorders-chondromalacia.html
The Steadman-Hawkins Clinic
Home. patellofemoral pain syndrome (PFPS) is a common knee disorder, which oftenaffects the senior athlete and those involved in running and jumping sports.
http://www.steadman-hawkins.com/pate/overview.asp

Extractions: Patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affects the senior athlete and those involved in running and jumping sports. Overuse, a change in activity, and an altered metabolic status are frequently responsible for the development of PFPS. Structural alignment and muscular weakness or imbalance may cause the patella (kneecap) to track improperly on the femur (thigh bone) during movement, leading to pain around the kneecap. Different disorders that cause pain around the kneecap include: infrapatellar tendonitis (jumper's knee), which affects the tendon just below the kneecap chondromalacia patella, which involves damage to the cartilage surface of the patella quadriceps tendonitis, which affects the tendon attachment above the patella plica syndrome
The Knee
What is the prognosis of the patellofemoral syndrome? The disorder lasts monthsor years but in the vast majority of cases, symptoms gradually ameliorate.
http://www.echo.uqam.ca/mednet/anglais/hermes_a/knee/part_5.html

Extractions: Part 1 Part 2 Part 3 Part 4 Part 5 Part 6 MedNet Home page Hermes Knee What synonyms do you know for the patellofemoral syndrome? Anterior knee pain syndrome Over utilization syndrome There are probably lots of other synonyms, but these two tell us that the etiology and pathophysiology of the patellofemoral syndrome is poorly understood (thus the descriptive names such as patellofemoral syndrome and anterior knee pain syndrome) and that symptoms are brought on by activity (overutilization syndrome). What misnomer is often used as a synonym for the patellofemoral syndrome? Chondromalacia patellae. Chondromalacia patellae is a specific pathological entity in which there is softening or fibrillation of the patellar cartilage. While some patients with the patellofemoral syndrome may have chondromalacia patellae, most do not. Further, many people with chondromalacia patellae have no symptoms. What are the symptoms of the patellofemoral syndrome?
Patellafemoral Pain Syndrome: An Associated Disorder Or...
Patellafemoral Pain Syndrome An Associated disorder or Medical Problem presentationof anterior knee pain could be diagnosed with patellofemoral pain syndrome
http://www.chiroweb.com/archives/18/14/12.html

Extractions: MassageToday.com by Joseph Kurnik,DC There is no clear consensus in the literature concerning the terminology, aetiology and treatment for pain in the anterior part of the knee. The term 'anterior knee pain' is suggested to encompass all pain-related problems. By excluding anterior knee pain due to intra-articular pathology, peripatellar tendinitis or bursitis, plica syndromes, Sinding Larsen's disease, Osgood Schlatter's disease, neuromas and other rarely occurring pathologies, it is suggested that remaining patients with a clinical presentation of anterior knee pain could be diagnosed with patellofemoral pain syndrome (PFPS). Three major contributing factors of PFPS are discussed: (1) malalignment of the lower extremity and/or the patella: (2) muscular imbalance of the lower extremity: and (3) overactivity. The above excerpt was the opening statement of a review article in Sports Medicine
Overview
patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affectsthe senior athlete and those involved in running and jumping sports.
http://www.leadingmd.com/patientEd/pate/overview.asp

Extractions: Patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affects the senior athlete and those involved in running and jumping sports. Overuse, a change in activity, and an altered metabolic status are frequently responsible for the development of PFPS. Structural alignment and muscular weakness or imbalance may cause the patella (kneecap) to track improperly on the femur (thigh bone) during movement, leading to pain around the kneecap.
The Spine & Joint Center
patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affectsthe senior athlete and those involved in running and jumping sports.
http://www.ortho.net/pate/overview.asp

Extractions: -SELECT ONE- JOINT REPLACEMENT Hip Replacement Knee Replacement Total Shoulder KNEE ACL Injuries Meniscal Injuries Chondral Defects Microfracture Technique Patellofemoral Pain Syndrome Ankle Sprains Bunions Morton's Neuroma HAND Carpal Tunnel SHOULDER Frozen Shoulder Rotator Cuff/Impingement Instability - Traumatic AC Seperation Multidirectional Instability/ Atraumatic Laberal Tears Glenohumeral (Shoulder) Arthritis SPINE Lumbar Disc Herniation Patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affects the senior athlete and those involved in running and jumping sports. Overuse, a change in activity, and an altered metabolic status are frequently responsible for the development of PFPS. Structural alignment and muscular weakness or imbalance may cause the patella (kneecap) to track improperly on the femur (thigh bone) during movement, leading to pain around the kneecap.
Muller: Patellofemoral Syndrome
patellofemoral arthralgia, lateral patellar compression syndrome, patellagia, patellofemoraldysfunction and extensor mechanism disorder (2). This condition
http://www.uoregon.edu/~iishp/Muller.html

Extractions: By Catherine Muller Since everyone, from your doctor to your conscience, is telling you to exercise, it is no wonder that many people are experiencing overuse injuries. In the past, overuse injuries were the prerogative of athletes, but not any more. Nowadays, with many people concerned about being in shape, cardiovascular equipment is popular and aerobic classes in fitness centers all over the United States are well attended. Along with the use of the StairMaster type cardiovascular machines and aerobic step classes a higher incidence of certain overuse injuries has been observed. Because these types of exercises involve repetitive movements using a higher degree of knee angle than most other exercises, overuse injuries occur frequently at the knee. One common injury is known as the patellofemoral syndrome. The pain associated with this condition is probably due to the strain placed on the retinaculum, the structure that holds the patella, often times to the lateral side of the knee, causing inflammation. Inflammation of the soft tissues surrounding the area, along with the irritated, yet highly enervated patella, causes pain. The patellofemoral syndrome is recognized by a dull, aching pain behind or above the knee. Inflicted exercisers often have pain while sitting for any length of time with a flexed knee position. Sharp pain may be observed upon activities that require squatting and climbing or descending stairs. Another common symptom is cracking noises that come from the knee during bending and stretching, called crepitus (4). Often these symptoms do not appear at one instance but develop gradually, which is characteristic of an overuse injury.
Health Library - Patellar Tracking Disorder
kind of pain, called anterior knee pain or patellofemoral pain syndrome, is sometimescaused by a common kneecap problem known as patellar tracking disorder.
http://bhagh.nhshealth.org/Library/HealthGuide/IllnessConditions/topic.asp?hwid=
California Education Connection: Patellofemoral Pain: Evaluation & Treatment Tec
patellofemoral pain remains one of the most common conditions isto critically assess current approaches to the management of this disorder.Course
http://www.californiaeducationconnection.com/courses/patellofemoral.html

Extractions: Patellofemoral pain remains one of the most common conditions seen by physical therapists, yet evaluation and treatment programs remain highly variable and are often without scientific backing. The purpose of this course is to critically assess current approaches to the management of this disorder. Course participants will receive a thorough review of the clinical biomechanics of the patellofemoral joint, as well as an overview of the entire lower kinetic chain as it relates to patellofemoral pain and dysfunction. Emphasis will be placed on current research findings in the areas of gait analysis, Kinematic MRI, EMG, and patellofemoral joint mechanics. Critical review of long held, but poorly researched, areas of evaluation and treatment will be addressed. Participants will be challenged to critically review their beliefs regarding their etiology, assessment, and treatment approaches, but will also be provided with practical information to "take back" to the clinic for immediate use through hands-on lab experience.
Baker's Cyst
York. I was diagnosed with severe bilateral patellofemoral pain disorder.I underwent a surgical scope for my Left knee on Oct.
http://askwaltstollmd.com/archives/bakers/118373.html

Extractions: Re: Bakers Cyst/Patellofemoral Pain (Archive in knee.) Walt Stoll Posted by Walt Stoll on August 16, 2002 at 08:36:13: In Reply to: Bakers Cyst/Patellofemoral Pain posted by Mindi Dovberg on August 15, 2002 at 00:52:36: Hi, Mindi. Sounds like you need to see a sports medicine specialist in consultation. He may need to work in conjunction with a Chiropractordepending on what is going on. Be sure to take ALL of your medical records to her when you go. These surely are Baker's but I would be amazed if any licensed physician would miss that. Although the trauma likely burst your synovial sacs through a terrible, and sudden increase in intraarticular pressure, after this much time the rips are not likely to heal themselves. They are going to have to be found and sutured. Persistant Baker's cysts nearly always have other things going on inside the joint that are associated with the process that may have caused the rent. However, with your history it all may just be related to the accident without any associated conditions.
PATELLOFEMORAL SYNDROME OR CHONDROMALACIA
disorder). All knee pain should be evaluated by a healthcare professional. Usually,rest and a treatment program will stop the progression of patellofemoral
http://www.utmbhealthcare.org/hil/BONE3446.asp?header=
Differential Diagnosis Of Conditions Causing Patellofemoral Pain Syndrome .
The main differential features are that osteoarthritis of the patellofemoral jointis As a whole, the disorder results in the formation of loose bodies (Shenck
http://www.curtin.edu.au/curtin/dept/physio/podiatry/encyclopedia/kneepain/

Extractions: The following paper aims at outlining the most common causes of anterior knee pain of which are commonly grouped into the category of Patellofemoral Pain Syndrome. Due to the enormity of the topic at hand acute injury related to trauma will be omitted. The purpose of the literature review is to briefly outline current concepts in the understanding of conditions, and the discussion will highlight details with respect to differential diagnosis. It is assumed that the reader has previous knowledge of knee biomechanics, as these will be briefly intimated in the formulation of etiological factors. A major limitation of this paper is the lack of inclusion of treatment strategy, largely due to the brevity of the paper in relation to size of the topic. Back to index.
Advanced Search
PATELLAFEMORAL patellofemoral pain syndrome a review and guidelines for treatment ofparasitosis (let), December, p. 2507 social anxiety disorder a common
http://www.aafp.org/afp/afpindex/vol60/p.html
The Physician And Sportsmedicine: Osteochondritis Dissecans
and additional factors that might predispose patients to the disorder (14,6 thisfinding is nonspecific and often seen in patients with patellofemoral disease.
http://www.physsportsmed.com/issues/1996/06_96/ralston.htm

Extractions: THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 6 - JUNE 96 In Brief: Osteochondritis dissecans is a disorder in which a fragment of cartilage and subchondral bone separates from an articular surface. The etiology is uncertain, although trauma and ischemia have been implicated. The knee is most commonly affected, but the elbow and ankle may also be involved. Patients typically present during their adolescent or early adult years with nonspecific knee pain and swelling that worsens with activity. The diagnosis is confirmed by radiographic findings. Management decisions are based on the patient's age and the stability, location, and size of the lesion. O steochondritis dissecans (OCD)a painful fragmentation of an articular surfacemost commonly affects the knee joint; other less common sites include the capitellum of the elbow and the talar dome of the ankle (1). Although lesions in the shoulder, hand, wrist, and hip joints have also been reported, such lesions are rare (1,2). Within the knee, OCD lesions occur at the medial femoral condyle (80% to 85% of cases), the lateral femoral condyle (10% to 15% of cases), and the patella (5% of cases)(figure 1) (1). Within the medial femoral condyle, the lesion is most commonly observed on the lateral, non-weight-bearing surface. The reported prevalence of OCD is 30 to 60 cases per 100,000 people (1). Patients usually present in their teenage years (those who have OCD of the patella usually present in their 20s and 30s), but the disorder may manifest later in life. It has been estimated that 4% of all cases of osteoarthritis of the knee diagnosed in men were the direct result of OCD (3). However, the lesion is not always symptomatic and is sometimes an incidental radiographic finding. Bilateral disease is present in 30% to 40% of patients (1,4,5,6). Males are affected three times more often than females (5,6).
Anterior Knee Pain
syndrome (which we use throughout this book), patellofemoral pain syndrome, patellofemoraljoint syndrome, anterior knee pain, extensor mechanism disorder.
http://www.clinicalsportsmedicine.com/chapters/24b.htm

Extractions: References Patellofemoral syndrome As this is the single most common condition seen by most sports medicine practitioners we devote substantial attention to it in this book. We discuss nomenclature, etiology of the pain, functional anatomy and predisposing factors, before outlining clinical assessment and treatment in detail. Nomenclature and origin of the pain Patellofemoral syndrome is the term used to describe pain in and around the patella. From the 1930s until the 1970s, the term 'chondromalacia patellae' was synonymous with patellofemoral pain, because softening was noted on the undersurface of the patella. This term is now out of vogue and has been replaced by nonspecific terms such as patellofemoral syndrome (which we use throughout this book), patellofemoral pain syndrome, patellofemoral joint syndrome, anterior knee pain, extensor mechanism disorder. There are two schools of thought as to the aetiology of patellofemoral pain. The longer standing theory invokes malalignment patellar malalignment relative to the femoral trochlea causes abnormalities within articular cartilage, which may or may not be visible to the naked eye. Correction of the malalignment should therefore decrease the patient's symptoms and even out loading of the articular cartilage. There is, however, poor correlation between articular cartilage lesions and pain, so patellar malalignment only explain a proportion of patellofemoral problems.
Plantar Fasciitis
Like a knee problem I have (patellofemoral syndrome), this disorder commonly affectsrunners, but also affects those of normal weight with flat feet and the
http://www.bugsbest.com/plantar.htm

Extractions: Environmentalism Reciprocal Links Plantar Fasciitis As a person with very flat feet, and being a person of size, I have had to deal with severe, though intermittent, plantar fasciitis for over 11 years. This condition causes severe pain in the arch area and the back of heel of the affected foot. This pain is much worse after being off of your feet, and is especially prominent on getting out of bed in the morning. Like a knee problem I have (patellofemoral syndrome), this disorder commonly affects runners, but also affects those of normal weight with flat feet and the overweight.
Postgraduate Medicine: Identifying Structural Hip And Knee Problems
A likely identification of a given structural disorder of the hip or knee can diseaseis usually found in children aged 3 to 8, patellofemoral disease during
http://www.postgradmed.com/issues/1999/12_99/skinner.htm

Extractions: Harry B. Skinner, MD, PhD; Joseph E. Scherger, MD, MPH VOL 106 / NO 7 / DECEMBER 1999 / POSTGRADUATE MEDICINE CME learning objectives This is the second of three articles on musculoskeletal problems Preview : There are abundant diagnostic possibilities when a patient presents with pain or dysfunction of the hip or knee. To help readers learn to recognize the various disorders, the authors briefly describe and illustrate those that are seen most often in a primary care office. The age of the patient is an important clue to diagnosis, and the authors discuss the disorders chronologicallythat is, with increasing age of the patient. They also summarize the latest treatments for each.

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