Anterior knee pain: Remember to look up and be aware of structural anomalies

http://www.healio.com/orthopedics/blogs/patellofemoral-update/anterior-knee-pain-remember-to-look-up-and-be-aware-of-structural-anomalies

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• Patellofemoral Update focuses on the causes, prevention and treatment of patellofemoral disorders. The blog is sponsored by The Patellofemoral Foundation whose mission is to improve the care of individuals with anterior knee pain through targeted education and research. The Patellofemoral Foundation offers additional online education resources on its website.

Thursday, May 8, 2014

Anterior knee pain: Remember to look up and be aware of structural anomalies

Patellofemoral Update

Unfortunately, when an orthopedic surgeon sees a patient with anterior knee pain in the office, he or she normally only focuses on the knee. If we do this we are making a big mistake.

We must remember to “look up” and evaluate the pelvis and proximal femur as well as psychological factors that modulate the pain to fully understand what is happening and to be able to solve this challenging problem. Moreover, we must be aware of structural anomalies (i.e., chondropathy and patellofemoral (PF) malalignment – patellar tilt and lateral patellar subluxation) given the correlation between structural anomalies and anterior knee pain is low.