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         Anterior Knee Pain Syndrome:     more detail
  1. The Inter-Rater Reliability and Diagnostic Accuracy of Patellar Mobility Tests in Patients with Anterior Knee Pain (The Physician and Sportsmedicine) by Brett A. Sweitzer, Chad Cook, et all 2010-10-24

61. BJSM -- Sign In Page
Patellofemoral pain syndrome (PFPS), also called anterior knee pain (AKP), anterior knee pain symptom or syndrome? Curr Womens Health Rep 2003;381–6.
http://bjsm.bmjjournals.com/cgi/content/full/39/3/162

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Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome
Br J Sports Med.
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62. Diffusely Increased Bone Scintigraphic Uptake In Patellofemoral Pain Syndrome --
Abbreviations AKP, anterior knee pain; BMD, bone mineral density; MTSS, medial tibial stress syndrome; PFPS, patellofemoral pain syndrome
http://bjsm.bmjjournals.com/cgi/content/abstract/39/3/162

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ORIGINAL ARTICLE
Diffusely increased bone scintigraphic uptake in patellofemoral pain syndrome
S Odenbring and T Lundeberg Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
Department of Rehabilitation Medicine, Karolinska Hospital, Stockholm, Sweden Correspondence to:
Karolinska Institutet, Department of Physiology and Pharmacology, Eldarevagen 5, Kristianstad 29144, Sweden; Objectives: Painful disorders of the patellofemoral joint are one of the most frequent complaints in orthopaedic and sports medicine. The aims of this study were to determine whether bone

63. Clinical Trials Detail Page
Title, Do Patients With Patellofemoral pain syndrome/knee pain Exhibit with longterm knee pain (Patellofemoral pain syndrome/anterior knee pain)
http://www.healthsystem.virginia.edu/internet/clinical_trials/detail.cfm?trial_i

64. Ellsworth AFB 28th Medical Group
anterior knee pain (or AKP) is a very common problem – and not just among people who are These include patellofemoral syndrome , chondromalacia ,
http://www.ellsworth.af.mil/28bw/medical_group/mdg/MDOS/PT/Knee.htm

65. Abstract Publication PL-RR-153-SA - PT 2005 June 08, 2005 June 11, 2005
THE INFLUENCE OF anterior knee pain AND LATERAL TIGHTNESS ON knee FUNCTION IN Iliotibial band syndrome is the most common cause of lateral knee pain.
http://www.ptjournal.org/abstracts/pt2005/abstractsPt.cfm?pubNo=PL-RR-153-SA

66. Knee And Thigh Problems
Patellofemoral pain syndrome. Physical therapy management. Diagnosis and management of anterior knee pain. Rheumatology approach.
http://www.epodiatry.com/resource/knee.htm

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Articles and resources:
Examination of the Knee . Pictures and video of knee exam. Knee joint examination . Orthopaedic assessment of the knee. Knee . Examinaion and conditions of the knee. Patellofemoral pain syndrome . Full text article on treatment. Patellofemoral pain syndrome . Outline. Patellofemoral pain syndrome . Physical therapy management. Diagnosis and management of anterior knee pain . Rheumatology approach. Orthotic devices for treating patellofemoral pain . Cochrane review. Effectiveness of Biomechanical Foot Orthoses as treatment for Patellofemoral Pain Syndrome . Full text article. Physical Therapy for Patellofemoral Pain . Abstract. Patellofemoral instability . Examination and treatment of knee instability. Electromyographic biofeedback for patellofemoral pain . Full text article. Management of patellofemoral pain . Online article on McConnell approach to knee pain. Anterior knee pain . Differential diagnosis. Iliotibial band friction syndrome . Article from eMedicine. Iliotibial band friction syndrome . Diagnosis and exercises. Iliotibial band syndrome . Running website. Iliotibial band syndrome . Website. Quick Solutions for Iliotibial Band Syndrome . Article from sports medicine journal. Diagnosing Iliotibial Band Friction Syndrome in Runners . Log in needed. Guide to Rehabilitation for Iliotibial Band Syndrome . Physical therapy. ITB stretching . Pictures. Acute knee effusions . Approach tp knee pain diagnosis.

67. NASMI-ACE -
Patellofemoral pain syndrome etiology (anterior knee pain); Patellofemoral pain syndrome diagnosis; Patellofemoral pain syndrome management
http://www.rehabeducation.com/primalknee.html
Sports Injuries of the Knee
In addition to a general anatomy review of the structures about the knee the following material will also be covered.
  • General principles of treatment
      Immediate treatment of soft tissue injury (PRICE) Physiotherapy electrical modalities (electrotherapeutic modalities)
        Ultrasound therapy Transcutaneous electrical nerve stimulation (TENS) Interferential stimulation Neuromuscular electrical stimulators (NMES) Laser therapy Magnetic field therapy Biofeedback
      Manual therapy
        Manual therapy Manual therapy:  Joint mobilization Manual therapy:  muscles, tendons, ligaments, and fascia Manual therapy:  neuromeningeal structures General principles of rehabilitation
          General principles of rehabilitation Muscle conditioning
            Muscle conditioning Muscle conditioning:  Muscle strength training Muscle conditioning:  Muscle power training Muscle conditioning:  Muscle endurance training Muscle conditioning:  Re-education of muscle imbalance
          Flexibility
            Flexibility Flexibility:  Static stretching Flexibility:  Dynamic/Ballistic stretching Flexibility:  Proprioceptive neuromuscular facilitation
          Functional exercise Proprioception SAQ (speed-agility-quickness) program Sports specific training Clinical Testing
            Biomechanics of clinical testing

68. Leg Pain
Patellofemoral pain syndrome (PPS) can affect an athlete of any age. Tight hamstrings can be a root cause of anterior knee pain by placing greater
http://www.healthcaresouth.com/pages/legpain.htm
Leg Pain Runners with leg pain often suffer from one of three entities: anterior knee pain, shin pain, or Achilles tendon and heel pain. These can be the cumulative result of increases in midseason training that overtax young athletes. In general, the intensity, duration, and frequency of training should not be increased by more than 10% in a given week. So, a runner who runs 20 miles a week should run no more than 22 miles the next week at the same pace without adding hills or sprint work. Table 1 lists specific age-based recommendations for maximum running distances. TABLE 1
Recommended maximum running distances per day Age (yr) Distance (km)
21.1 (half-marathon) 42.2 (marathon) Multiple minor injuries or repeated injuries to the same area are signs of inadequate rest and rehabilitation. The highest risk factor for subsequent injury is incomplete rehabilitation of a primary injury. Athletes with first-time injuries should therefore diligently rehabilitate before returning to play. Special attention must be paid to a history of stress fractures anywhere in the body. In a female athlete, such a history may be the only obvious sign of the female athlete triad of osteoporosis, menstrual irregularities, and an eating disorder. Although no athlete is immune from the consequences of inadequate nutrition, a young woman who participates in an endurance activity or "appearance" sport such as figure skating and gymnastics is at particular risk.

69. Knee Injuries | Knee Injury
anterior knee pain patellar tendinitis diagnosis treatment knee pain causes knee injuries Iliotibial band syndrome ITBS knee injuries
http://www.sportsinjurybulletin.com/archive/knee.php
@import "/style/print.css"; close this X Injury Free in 2005 Amazing Sports Injury Prevention Secrets Get the FREE bulletin from the experts - Enter email address: We will never give or sell your details to a 3rd party
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knee injuries
Knee injuries
You are on the knee injuries page of the Sports Injury Bulletin Archive of the world's leading sports injury advice.
Sports injuries science development - Anterior cruciate ligament knee injuries
Cartilage injuries of the knee - causes, diagnosis and treatment review
Soccer Injury causes - which footballers get hurt most often, and what they can do to prevent it?
Tennis injury prevention and sprinting injury prevention exercises
Anterior cruciate ligament injuries: Complete tears of the anterior cruciate ligament (ACL) - the key ligament which bonds together the upper and lower parts of the leg at the knee - account for more than two-thirds of all knee injuries in skiers and are fairly common in other sports as well.
ACL knee injury - Complete tears of the anterior cruciate ligament (ACL) - the key ligament which bonds together the upper and lower parts of the leg at the knee - account for more than two-thirds of all knee injuries in skiers and are fairly common in other sports as well.
Squat exercise - should you prescribe the squat as a rehabilitation exercise? Here's a review of the evidence

70. Virtual Hospital: University Of Iowa Family Practice Handbook, Fourth Edition: O
Patellofemoral pain syndrome. Clinical features. Most common anterior knee problem seen The problem presents as anterior knee pain, which is worse after
http://www.vh.org/adult/provider/familymedicine/FPHandbook/Chapter16/06-16.html
University of Iowa Family Practice Handbook, Fourth Edition, Chapter 16
Orthopedics: Knee Pain
David C. Krupp, MD and Mark A. Graber, MD
Departments of Family Medicine and Emergency Medicine
University of Iowa Hospitals and Clinics and College of Medicine

Peer Review Status: Externally Peer Reviewed by Mosby
The majority of knee injuries in adults are of a ligamentous nature. In children, however, a bloody effusion after injury frequently indicates bony injury.
  • Determination of Radiographs . Only 5% to10% of persons with knee trauma have a fracture. Guidelines have been established to hep determine who should have a radiograph. Use clinical judgment, however.
  • Ottawa Knee Rules . 97% sensitive and 27% specific for fracture. X-ray those who
  • Are age 55 or older Have tenderness at head of fibula Have isolated tenderness of patella Have inability to flex knee to 90 degrees Have inability to walk four weight-bearing steps in the ED Pittsburgh Decision Rules . 99% sensitive and 60% specific for fracture
  • Blunt trauma or fall as mechanism of injury plus either of the following Inability to walk four weight bearing steps in the ER Ligamentous Injuries
  • Collateral ligament injury
  • Typically caused by direct trauma to the contralateral side of the knee, or excessive indirect force to the knee in a varus or valgus manner.
  • 71. Common Adolescent Problems: Knee Pain - Keep Kids Healthy
    Parapatellar knee pain syndrome or chondromalacia patellae children with this common The most common injury is to the anterior cruciate ligament (ACL),
    http://www.keepkidshealthy.com/adolescent/adolescentproblems/kneepain.html

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    Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend Main Adolescent Adolescent Problems Knee Pain The knee is made up of bones, cartilage (or menisci) that lie between the knee and the bones of the lower leg, ligaments that run along the inside and outside part of the knee (medial and lateral collateral ligaments ), and ligaments that cross the inside of the knee (anterior (ACL) and posterior (PCL) cruciate ligaments ). Injury to any of these structures can cause knee pain. It is very common for children to complain of knee pain, especially adolescents that are active in sports. If your child has knee pain that is restricting his activities, if he is unable to bear weight on the leg, or if his knee is red or swollen, then you should see your doctor for an evaluation. Some common causes of knee pain in children include:
    • Parapatellar knee pain syndrome or chondromalacia patellae: children with this common condition usually have vague pain in both knees around the knee cap or patella. It is not known what causes the pain and x-rays and other testing will be normal. The pain is made worse by certain activities, such as running, jumping, doing knee bends, sitting for a long time, or climbing stairs and improves after a period of rest. Treatment consists of rest from any activity that regularly makes the pain worse, avoiding knee bend exercises (especially weight machines), and using an anti-inflammatory medicine such as ibuprofen. You can also do strengthening exercises, such as isometric quadriceps exercises (see below) and/or flexibility exercises.

    72. Patellofemoral Pain Syndrome Assessment And Evaluation - Massage Magazine
    Assess Address Patellofemoral pain syndrome by Whitney Lowe The client will report anterior knee pain that is associated with activities emphasizing
    http://www.massagemag.com/2004/issue112/assess112.3.htm
    Patellofemoral Pain Syndrome
    by Whitney Lowe Pathology Treatment Massage Techniques Assessment and evaluation
    PFPS develops most commonly as an overuse problem. The client will report anterior knee pain that is associated with activities emphasizing flexion and extension of the knee. Especially common are problems occurring with running, jumping, climbing or descending stairs, as well as squatting. The pain is described as a non-specific aching in the anterior knee region that often improves with rest and gets aggravated during activity. Sensations of grinding may also be reported when the knee is moved through flexion and extension. Pain is usually worse when flexion and extension movements are done against resistance or in a weight-bearing position. For example, squatting would be more painful than sitting on the edge of the treatment table and extending the knee. Both motions move the knee through flexion and extension, but in the first case there is resistance to the extensor mechanism that would aggravate the PFPS pain. Unless the condition is in a very advanced stage, pain is not common with any passive movements because there is not enough stress on the involved tissues. There are no outwardly visible signs of PFPS, though certain biomechanical or postural distortions can play a major role in this condition. Observing their presence is a helpful indicator. Especially important is the presence of genu valgum ("knock knees") or a large Q angle. These postural distortions will increase the tendency for lateral tracking of the patella because the angle of pull of the quadriceps muscle group is altered.

    73. Anterior Thigh Pain - OmniMedicalSearch.com - Anterior Thigh Pain
    pain syndrome, PatelloFemoral Stress syndrome, anterior knee pain, CMP Any increased swelling and pain, knee dislocation, and other symptoms should
    http://www.omnimedicalsearch.com/sr_anterior_thigh_pain.html

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    WebMD Healthopedia.com - Chondromalacia Patellae (Patello-Femoral Pain
    ... Patello-Femoral Pain Syndrome, Patello-Femoral Stress Syndrome, Anterior Knee Pain , CMP ... outward rotation of the lower leg in relation to the thigh ... http://www.healthopedia.com/chondromalacia-patellae/
    Healthopedia Psychology of Pain Arthritis Pain
    HealthFinder.gov Chronic Dissection of the Anterior Tibial Artery: Leading to Acute Aneurysmal Dilatation.

    74. Health Information
    Runner s knee, also called patellofemoral pain syndrome or anterior knee pain, is the most common cause of knee pain and the most common overuse injury in
    http://www.childrens.com/patients_families/healthinfo/index.cfm?ID=1584&parent=1

    75. GoTriCities Wellness > Articles
    Runners may also suffer from anterior knee pain (patellofemoral pain syndrome). The pain associated with anterior knee pain is dull and aching with an
    http://www.gotricities.com/wellness/article.dna?idNumber=050627154135

    76. Collateral Ligament Tear Of Knee
    Patellofemoral pain syndrome. Runner s knee anterior knee pain; Gradually progressive general aching or grating pain; Provocative factors
    http://www.fpnotebook.com/ORT242.htm
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  • Mechanism Medial Collateral Ligament Rupture (common) Pure valgus load without rotation Force against lateral knee (in slight flexion)
  • 77. By The Numbers: Patellofemoral Pain
    F. Effects of taping on pain and function in patellofemoral pain syndrome a 67 Percent of 36 patients who experienced chronic anterior knee pain an
    http://www.biomech.com/printable/index.jhtml?articleID=165700383

    78. Knee Pain Occurrence And Prevention - Part 2: Chronic Knee Pain
    Chronic knee pain. Illiotibial Band syndrome (ITBS); Osteoarthritis patellofemoral pain is described as chronic, diffuse anterior knee pain.
    http://www.bodyresults.com/E2KneePain2.asp
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    Articles > Knee Pain Occurrence and Prevention
    Knee Pain Occurrence and Prevention
    Part 2: Chronic Knee Pain
    By Anne C. Terry, RN, MSN, ARNP
    This is the second in a three-part series on knees. Knee injuries can happen to any active outdoor enthusiasts, particularly those who participate in high force activities such as skiing, snowboarding and jumping sports, climbing, and sports involving lateral or sprinting movements such as soccer, rugby, football, basketball and lacrosse. In December, Annie Terry, RN, MSN, ARNP discussed acute (sudden onset) knee pain including ligament strains, meniscal tears and patellar dislocations (see Part 1 www.bodyresults.com/E2KneePain1.asp

    79. Clinical Journal Of Sport Medicine - UserLogin
    Risk Factors for Patellofemoral pain syndrome in Athletic Young Adults Intrinsic risk factors for the development of anterior knee pain in an athletic
    http://www.cjsportmed.com/pt/re/cjsm/fulltext.00042752-200104000-00015.htm
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    80. Log In Problems
    by anterior knee pain, was named intraosseous engorgementpain syndrome. Similar to avascular necrosis of the femoral head, where a pain-related,
    http://www.medscape.com/viewarticle/408493
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