21. Evaluation Of Patients Presenting With Knee Pain: Part II. Differential Diagnosi anterior knee pain. Patients with patellofemoral pain syndrome (chondromalacia patellae) anterior knee pain the challenge of patellofemoral syndrome. http://www.aafp.org/afp/20030901/917.html

Advanced Search AAFP Home Page Journals Vol. 68/No. 5 (September 1, 2003) Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis WALTER L. CALMBACH, M.D., University of Texas Health Science Center at San Antonio, San Antonio, Texas MARK HUTCHENS, M.D., University of Texas at Austin, Austin, Texas A PDF version of this document is available. Download PDF now (6 pages /96 KB). More information on using PDF files. D etermining the underlying cause of knee pain can be difficult, in part because of the extensive differential diagnosis. As discussed in part I of this two-part article, the family physician should be familiar with knee anatomy and common mechanisms of injury, and a detailed history and focused physical examination can narrow possible causes. The patient's age and the anatomic site of the pain are two factors that can be important in achieving an accurate diagnosis (Tables 1 and 2) TABLE 1 Common Causes of Knee Pain by Age Group Children and adolescents Patellar subluxation Tibial apophysitis (Osgood-Schlatter lesion) Jumper's knee (patellar tendonitis) Referred pain: slipped capital femoral epiphysis, others

22. Anterior Knee Pain/Injury | Book Chapter Excerpt From Clinical Sports Medicine This chapter on anterior knee pain touches on the clinical approach to common causes Thomee R, Augustsson J, Karlsson J. Patellofemoral pain syndrome. http://www.clinicalsportsmedicine.com/chapters/24f.htm

Chapter 24 Anterior Knee Pain with Jenny McConnell and Jill Cook *This Chapter is online in its entirety. Click on the links below to browse through the whole chapter.* Clinical approach Patellofemoral syndrome I Patellofemoral syndrome II Patellofemoral instability ... Patellar tendinopathy Partial tears: Acute versus chronic Less Common Causes Recommended Readig References Partial tears: Acute versus chronic The term 'partial tear' is used to refer to either of two clinical entities. One use refers to the sudden significantly painful episode, associated with disability, and this corresponds to a substantial tear in collagen of the patellar tendon. This 'acute' partial tear is not dissimilar to a complete 'rupture' of the tendon (Fig 24.18a), except that some tendon remains intact. This is discussed in Chapter 23. If the partial tear is very large, causes major disability, and there is no improvement in 2-3 weeks, early surgery may be justified to promote anatomical realignment of the tendon. A small partial tear of the patellar tendon (Figure 24.18) may also occur and this is often first diagnosed at ultrasonography. This may be associated with an acute onset of mild to moderate pain over the patellar tendon but it may present as patellar tendinopathy (see above). Alternatively, it may be an incidental finding on ultrasound examination. This type of partial tear represents a degenerative process (tendinosis) and as the histopathology is identical to that of overuse patellar tendinopathy it can be managed as such [35]. The only indication for surgery is failed conservative management.

23. Anterior Knee Pain/Injury | Book Chapter Excerpt From Clinical Sports Medicine This chapter on anterior knee pain touches on the clinical approach to common of anterior knee pain in sportspeople are the patellofemoral syndrome and http://www.clinicalsportsmedicine.com/chapters/24a.htm

Chapter 24 Anterior Knee Pain with Jenny McConnell and Jill Cook *This Chapter is online in its entirety. Click on the links below to browse through the whole chapter.* Clinical approach Patellofemoral syndrome I Patellofemoral syndrome II Patellofemoral instability Fat pad irritation/impingement ... References Anterior knee pain is possibly the most common presenting symptom in clinical sports medicine practice. Two common causes of anterior knee pain in sportspeople are the patellofemoral syndrome and patellar tendinopathy. Patellar tendinopathy was formerly known as patellar tendinitis but this misnomer is progressively falling out of favor (see page XX in chapter 2) [1]. Fat pad impingement is an underdiagnosed cause of anterior knee pain that may mimic features of both patellofemoral syndrome and patellar tendinopathy. Anterior knee anatomy is depicted in Figure 24.1 In this chapter, we first outline a practical approach to assessing the patient with anterior knee pain, particularly with a view to distinguishing the conditions, and we then detail their management. The chapter concludes with an outline of other causes of anterior knee pain. 24.1 Anterior aspect of the knee

24. The Physician And Sportsmedicine: Knee Pain And Bicycling In Brief anterior knee pain and patellofemoral pain syndrome are among the most common leg overuse injuries in cyclists. Bicycle fit, recent change in http://www.physsportsmed.com/issues/2004/0404/asplund.htm

Knee Pain and Bicycling Fitting Concepts for Clinicians CPT Chad Asplund, MD; COL Patrick St Pierre, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 32 - NO. 4 - APRIL 2004 In Brief: Anterior knee pain and patellofemoral pain syndrome are among the most common leg overuse injuries in cyclists. Bicycle fit, recent change in equipment, training distance and intensity, and individual anatomic factors are important evaluation considerations. Clinicians need a basic understanding of bicycle fitting and how anatomic factors and training errors contribute to repetitive stress injuries. After problems are addressed, a gradual return to activity is recommended to avoid further injury and improve performance. W ith Lance Armstrong's successes in the Tour de France and the increasing popularity of mountain biking, participation in bicycling has steadily increased over the past 10 years. Cycling is an excellent alternative for runners and other athletes seeking low-impact exercise. The Bureau of Transportation Statistics at the US Department of Transportation estimates that more than 49 million Americans ride bicycles at least monthly, with over 5 million people riding at least 20 days per month. The number of cycling-related injuries has also risen, with the majority caused by overuse. Injuries may also be related to improper bicycle fit or equipment, poor technique, or inappropriate training patterns. Cycling is very repetitive; during 1 hour of cycling, a rider may average up to 5,000 pedal revolutions. The smallest amount of malalignment, whether anatomic or equipment related, can lead to dysfunction, impaired performance, and pain.

25. The Physician And Sportsmedicine: Using Patellofemoral Braces for anterior knee pain knee symptoms (1). Diagnosing and treating patellofemoral pain syndrome is challenging but important, 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.

26. Knee Pain And Injuries anterior knee pain (patella femoral syndrome) is very common in athletes. This article, from Yale explains the cause and treatment. knee Exercises http://sportsmedicine.about.com/od/kneepainandinjuries/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a72' About Sports Medicine Sports Injury / Pain Injuries by Body Part Knee Sports Medicine Essentials Great Ab Exercises 6 Injury Warning Signs ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Sports Medicine newsletter! See Online Courses Search Sports Medicine Knee Pain and Injuries Information about knee pain and injuries, including cause, diagnosis, treatment and prevention tips. Alphabetical Recent Up a category Why Women are More Prone to ACL Injuries Women suffer ACL injuries at a significantly higher rate than men. New studies uncover key causes of ACL injuries in women and precautions women can take to avoid them. PEP Program Phase One: Warm-up The PEP (Prevent injury, Enhance Performance) Program is a highly specific 15-minute training session that replaces the traditional warm-up and decrease the number of ACL injuries incurred by female soccer players. Anterior Cruciate Ligament (ACL) injury - Deataied Information Knee Injury Index List A comprehensive listing of knee injuries including ACL, Meniscus, Tendons, IT Band, and more

27. Knee Pain And Injuries anterior knee pain anterior knee pain Patella Femoral syndrome anterior knee pain (patella femoral syndrome) is very common in athletes. http://sportsmedicine.about.com/od/kneepainandinjuries/index_a.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a72' About Sports Medicine Sports Injury / Pain Injuries by Body Part Knee Sports Medicine Essentials Great Ab Exercises 6 Injury Warning Signs ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Sports Medicine newsletter! See Online Courses Search Sports Medicine Knee Pain and Injuries Information about knee pain and injuries, including cause, diagnosis, treatment and prevention tips. Sort By: Guide Picks Recent Up a category ACL Injuries Treatment and Rehabilitation From the Encyclopedia of Sports Medicine and Science , a thorough discussion of ACL injuries. ACL Injury Email Course ACL Injury Prevention Project (PEP) This program was developed by The Santa Monica Injury Prevention Project in order to decrease the number of ACL injuries incurred by female soccer players. Anterior and Posterior Cruciate Ligament Injury Anterior Cruciate Ligament (ACL) injury - Deataied Information more from your guide A detailed discussion from the Stone Clinic.

28. The Steadman-Hawkins Clinic Patellofemoral pain syndrome (PFPS) is a common knee disorder, which often affects the senior peripatellar pain, anterior knee pain, and runner s knee. http://www.steadman-hawkins.com/pate/overview.asp

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. Other terms for patellofemoral pain are: retropatellar pain, peripatellar pain, anterior knee pain, and runner's knee. 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

29. Anterior Knee Pain anterior knee pain (patella femoral syndrome) is very common in athletes. Typically, pain is increased during activities involving stair climbing, http://info.med.yale.edu/ortho/ysmc/injuries/knee.htm

Anterior Knee Pain-Patella Femoral Syndrome Anterior knee pain (patella femoral syndrome) is very common in athletes. Typically, pain is increased during activities involving stair climbing, squatting or kneeling. Patella femoral syndrome is caused by an irritation on the undersurface of the patella or knee cap, which can lead to softening and eventual loss of the cartilage lining the bone of the joint. There are many causes for patella femoral syndrome including malalignment of the lower extremity expressed as flat feet, knock knees, or internally rotated hips. The patella glides up and down in a shallow groove at the front of the femur or thigh bone. Patella femoral syndrome is generally caused by an imbalance of the muscle forces around the knee cap causing it to pull laterally and produce abnormal stresses on the undersurface of the knee cap. This is similar to having the front tire of your car slightly out of alignment leading to abnormal wear on the tire. Other causes for patella femoral syndrome include weak quadriceps muscles, injury to the knee, obesity and overuse. Initial treatment involves reducing inflammation and re-establishing the proper alignment between the knee cap and its groove. Rest is used for the painful swollen knee until symptoms improve. Stair climbing and squatting are avoided. Ice and anti-inflammatory medications are also used to decrease inflammation. Treatment is directed at strengthening the thigh muscles of the inside of the knee and stretching of the tight muscles and connective tissues of the outside of the knee. Malalignments of the flat feet are corrected with shoes with good medial arch support or through the use of orthotics. Hip rotation is improved through stretching exercises.

30. EMedicine - Patellofemoral Joint Syndromes Article By Jane T Complaints vary from anterior knee pain to peripatellar knee pain to retropatellar Complex regional pain syndrome type I (reflex sympathetic dystrophy) http://www.emedicine.com/sports/topic96.htm

31. EMedicine - Patellofemoral Syndrome Article By Patrick J Potter, MD Synonyms and related keywords anterior knee pain, patellofemoral pain syndrome, Patellar tendonitis Plica syndromes of the anterior knee Radicular pain http://www.emedicine.com/pmr/topic101.htm

32. BioMed Central | Abstract | Anterior Knee Pain: Symptom or Syndrome? Report anterior knee pain Symptom or syndrome? Derek K Lichota MD Division of Orthopedic Surgery, 2401 South 31st Street, Scott and White Memorial Hospital http://www.biomedcentral.com/1534-5874/3/81/abstract

home journals A-Z subject areas advanced search ... Issue 1 Viewing options Abstract Full text PDF Related literature: Other articles by authors Lichota DK Tools: E-mail to a friend Download references Report Derek K Lichota MD Division of Orthopedic Surgery, 2401 South 31st Street, Scott and White Memorial Hospital and Clinic, Temple, TX, 76508, USA Current Women's Health Reports Published Abstract A chief complaint for many patients is anterior knee pain. This is more common in females; the incidence is two to three times than that in males. The challenge for the physician is to determine the etiology, the diagnosis, and the best treatment. The goal of this article is to provide key elements of the history, physical examination, and treatment options to help assist in the management of patients with anterior knee pain or patellofemoral pain syndrome. Terms and Conditions Privacy statement Information for advertisers Contact us

33. Chondromalacia Patellae (Patello-Femoral Pain Syndrome, Patello-Femoral Stress S Chondromalacia Patellae (PatelloFemoral pain syndrome, Patello-Femoral Stress syndrome, anterior knee pain, CMP) http://www.3-rx.com/chondromalacia-patellae/default.php

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34. Patient Information/Knee/Anterior Knee Pain - Orthopedics, Orthopedic Surgery & Patient Information Pages about anterior knee pain. Patellofemoral pain syndrome Patellofemoral pain syndrome. Review It Rate It Bookmark It http://www.orthopaedicweblinks.com/Patient_Information/Knee/Anterior_Knee_Pain/

About OWL Most Popular What's New Forums ... Knee Anterior Knee Pain Anterior Knee Pain Subscribe Search the entire directory only this category Resources Patellar (Kneecap) Problems Location: http://www.orthogate.com/patient-guide/knee-problems/patient-guide-to-patellofemoral-problems.html The patella, or kneecap, can be the reason your knee hurts if it fails to function properly. There are several different problems that affect the patella - and the groove that it runs through as the knee is bent Review It Rate It Bookmark It Added: Fri Jan 11 2002 Adolescent Anterior Knee Pain Location: http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=252 AAOS Online Service Fact SheetAdolescent Anterior Knee Pain Highly Reputable Review It Rate It Bookmark It Added: Fri Jan 11 2002 Patellofemoral Pain Syndrome Location: http://www.familydoctor.org/handouts/479.html Patellofemoral Pain Syndrome Review It Rate It Bookmark It Added: Fri Jan 11 2002 Unstable Kneecap Location: http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=165 AAOS Online Service Fact SheetUnstable Kneecap Highly Reputable Review It Rate It Bookmark It Added: Fri Jan 11 2002 Editors jflahiff Members Area Home Add Resource Update Resource Bookmarks ... Login/Register Sponsored Listings In the News Latest Orthopod Orthopaedic Web Links Advertising Information Orthopedics Network Site Map ... Orthopaedic Images We subscribe to the HONcode principles.

35. Differential Diagnosis Of Conditions Causing Patellofemoral Pain Syndrome . been used interchangeably with patellofemoral syndrome and anterior knee pain, Diagnostic features include intermittent anterior knee pain, painful http://www.podiatry.curtin.edu.au/encyclopedia/kneepain/

Differential Diagnosis of Conditions Causing Patellofemoral Pain Syndrome AUTHOR: Anna Sokolowska This literature review was written as part of the undergraduate course at Curtin University of Western Australia. 1.0 Introduction. 2.0 Literature Review Presence of Cartilage Damage Variable Cartilage Damage ... 5.0 References 1.0 Introduction. 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.

36. McConnell Treatment For Anterior Knee Pain - Physio-net Patellofemoral pain, also referred to as anterior knee pain, Patellofemoral pain syndrome is characterised by anterior or peripatellar knee pain in the http://physio-net.com/reference/treatmenttechniques/mcconnell.htm

Home Reference Treatment Techniques McConnell Treatment for Anterior Knee Pain Patellofemoral pain, also referred to as anterior knee pain, is a common musculoskeletal condition in the general and sporting communities. It affects up to 25% of the population, 36% of adolescents and is more prevalent in females. Patellofemoral Pain Syndrome is characterised by anterior or peri-patellar knee pain in the absence of other knee pathology. This pain can be diffuse or sharp and is usually associated with at least two of the following activities: squatting ascending or descending stairs kneeling sitting for long periods walking/running It may be associated with crepitus on knee movements, occasional swelling particularly after exercise, and pseudo locking or giving way. Role of physiotherapy Physiotherapy is the mainstay of conservative treatment for this condition and the Australian physiotherapy profession has received international recognition for anterior knee pain management. The most effective treatment for patellofemoral pain is a McConnell program, designed and monitored by a physiotherapist according to the patient's individual needs. This recognised anterior knee pain management program was first introduced by Jenny McConnell, an Australian physiotherapist (McConnell, 1986). The approach uses a specialised, functional exercise program to improve the muscle control around the knee and taping to reposition the patella.

37. Anterior Knee Pain anterior knee pain Differential Diagnosis and Treatment bullet, Distinguishing the features of patellofemoral pain syndrome, patella tendonosis, http://www.heseminars.com/anterior_knee_pain.htm

Anterior Knee Pain - Differential Diagnosis and Treatment Sept 10th/11th 2005 Northampton Nov 12th/13th 2005 Hyde Physiotherapy Clinic, Grt Manchester would you like to host this exciting NEW 2-day course in 2005/2006? call us today on Tutor: Lee Herrington Course Description The course is delivered through a series of lectures, practical demonstrations, and practical tutorials. A course handbook will be available to support all materials presented. Day 1 investigates the many and varied causes of anterior knee pain, looking at the features of each of these individual pathologies which allow for differential diagnosis of these conditions. The second part of the first day is dedicated to assessment of anterior knee pain, this section is very interactive with frequent opportunities to practice the assessment techniques demonstrated. Day 2 involves the presentation of treatment strategies for the treatment of the three commonest causes of anterior knee pain; patellofemoral pain, patella tendonosis and fat pad syndrome. Treatment techniques included are taping techniques, joint mobilisations and exercise rehabilitation procedures, this section is very interactive with frequent opportunities to practice. Background Anterior knee pain (AKP) is a common clinical entity in patients of all ages and activity levels. The category of conditions placed within the grouping AKP could be defined as involving pain, inflammation, muscle imbalance and/or instability of any component of the extensor mechanism of the knee. The breadth of conditions within this grouping is often one of the main reasons why treatment can prove unsuccessful. Once these conditions are present they frequently become a chronic problem forcing the patient to severely limit activities. For treatment of AKP to be successful appropriate specifically targeted rehabilitation programmes need to be established. These can only be developed if accurate diagnosis of the underlying cause of the AKP is recognised. It is the purpose of this course to describe the common clinical conditions which present with AKP, how to ascertain their differential diagnosis and their own particular management.

38. AllRefer Health - Chondromalacia Patellae Pictures & Images (Anterior Knee Pain, Chondromalacia Patellae (anterior knee pain, Patellofemoral syndrome) pictures Chrondromalacia causes knee tenderness, knee pain in front of the knee, http://health.allrefer.com/health/chondromalacia-patellae-pictures-images.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Chondromalacia Patellae Chondromalacia Patellae Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Anterior Knee Pain, Patellofemoral Syndrome Click on an image thumbnail to view full size Chondromalacia of the Patella 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. Runners Knee Chrondromalacia causes knee tenderness, knee pain in front of the knee, and a grating sensation in the knee. The knee pain is worst after sitting for a prolonged period of time or when getting out of a chair. The knee cartilage is affected probably from overuse, trauma and/or abnormal forces on the knee, such as a misaligned patella. Chondromalacia is treated with rest or immobilization and nonsteroidal anti-inflammatory drugs for pain. Physical therapy, especially quadriceps strengthening and hamstring stretching may also be helpful. Surgery is beneficial if there is a problem with the alignment of the patella that cannot be corrected with therapy.

39. AllRefer Health - Chondromalacia Patellae (Anterior Knee Pain, Patellofemoral Sy Alternate Names anterior knee pain, Patellofemoral syndrome knee pain. Review Date 1/15/2003 Reviewed By Andrew L. Chen, MD, MS, Department of http://health.allrefer.com/health/chondromalacia-patellae-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Chondromalacia Patellae Chondromalacia Patellae Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Anterior Knee Pain, Patellofemoral Syndrome Definition Chondromalacia patellae is the softening and degeneration of the cartilage beneath the kneecap (patella). Chondromalacia of the Patella Runners Knee Chondromalacia patella that occurs in adolescents and young adults is thought to be related to overuse, trauma, and/or abnormal forces on the knee. It is more common in females. Many affected adolescents have a mildly abnormal alignment of the kneecap. Chondromalacia patella may also reflect arthritis of the kneecap, which is usually seen in older individuals.

40. Patellafemoral Pain Syndrome: An Associated Disorder Or... The term anterior knee pain is suggested to encompass all painrelated anterior knee pain could be diagnosed with patellofemoral pain syndrome (PFPS). http://www.chiroweb.com/archives/18/14/12.html

Dynamic Chiropractic June 26, 2000, Volume 18, Issue 14 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Chiropractic ChiroExpo ChiroFind ChiroMall ChiropracticResearch ... Review Acupuncture AcupunctureToday Massage Therapy MassageToday SpaTherapy Nutrition NutritionalWellness Patellafemoral Pain Syndrome: An Associated Disorder or Medical Problem? 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

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