1. Orthoseek | Orthopedic Topics | Chondromalacia Patellae Recommended exercises and information on prevention, treatment and the development of the disorder. http://www.orthoseek.com/articles/chondromp.html

Chondromalacia Patellae What is Chondromalacia patellae? Chondromalacia literally means "softening of the cartilage", and Patellae means "the knee-cap". So Chondromalacia patellae means "softening of the articular cartilage of the knee-cap." The articular cartilage is the cartilage lining under the knee-cap that articulates with the knee joint. Under normal circumstances, it is smooth and shiny, so that it glides smoothly along the articular groove of the femur as the knee bends. When it "softens", it may break down, causing irregularities along the undersurface of the patella. What causes Chondromalacia patellae? Chondromalacia patellae occurs in two distinct age-groups: It can happen in the older age-group (in the 40’s and beyond) when the articular cartilage breaks down as part of the wear-and-tear process that occurs with the rest of the body. The patella cartilage is one of the earliest places where cartilage breakdown occurs, and is slowly progressive, leading to degenerative arthritis (osteoarthritis) in the knee joint. It can occur frequently in teenagers (especially girls) when the articular cartilage "softens" in response to excessive and uneven pressure on the cartilage, due to structural changes in the legs with rapid growth, and muscle imbalance around the knee. During periods of rapid growth, especially in girls, any knee valgus (knock-knees) is accentuated, thereby increasing the

2. PATELLA (CHONDROMALACIA) Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and Xray images. http://www.arthroscopy.com/sp05032.htm

PATELLA (CHONDROMALACIA) The patello-femoral joint refers to a specific part of the knee joint. Medically, the kneecap is known as the patella and the thigh bone is called the femur. The knee joint is composed of three bones - the femur (or thigh bone), the tibia (or shin bone), and the patella (or kneecap). The parts of the knee joint are subdivided into the tibio-femoral joint which refers to the joint space between the tibia and the femur; and the patello-femoral joint which is the joint space between the patella and the femur. Both of these joints (patello-femoral and tibio-femoral) form the knee joint. The patella is connected to the quadriceps tendon at the top of the patella. The quadriceps tendon attaches to the quadriceps muscle which attaches to the pelvis. The patellar tendon goes from the bottom of the patella to the front of the tibia known as the tibial tubercle. When the quadriceps muscle contracts (shortens), it pulls the patella which in turns pulls on the tibial tubercle, which causes the knee to straighten (go into extension). As the knee moves, the patella glides across the front of the knee joint in a shallow groove on the front of the femur which is known as the trochlear groove of the femur. (Click HERE for a computer animation of basic knee motion (mpg file) courtesy of Rob Kroeger There are several basic types of abnormalities that may occur with the patella: it may dislocate (slip out of place), sublux (partially slip out of place), fracture, develop degenerative arthritis, or develop a tracking problem. A tracking problem refers to the fact that the patella stays in place in front of the knee, but it no longer remains centered in the front part of the femur known as the trochlear groove.

3. Chondromalacia chondromalacia refers to softening of the articular cartilage of the kneecap. Instead of gliding smoothly across the lower end of the thigh bone, the http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

4. PATELLA (CHONDROMALACIA) Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and Xray images. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

5. KNEE SURGERY INFORMATION: ACL, MENISCAL TEAR, MENISCAL REPAIR, CHONDROMALACIA, A PATELLA (chondromalacia) OSGOODSCHLATTER DISEASE (KNEE PAIN) ADOLEXCENT ANTERIOR KNEE PAIN KNEECAP (PREPATELLAR) BURSITIS UNSTABLE KNEECAP http://www.arthroscopy.com/sp05000.htm

KNEE SURGERY INFORMATION GENERAL KNEE INFORMATION KNEE ARTHROSCOPY THE KNEE KNEE LIGAMENT INJURIES ACL INJURIES ARTHROSCOPIC ACL RECONSTRUCTION STEP BY STEP ACL RECONSTRUCTION LIFE AFTER SURGERY: SUGGESTIONS FROM PATIENTS ACL PATIENTS WITH WEB SITES ... ACL RECONSTRUCTION MENISCUS (CARTILAGE) TORN CARTILAGE (MENISCUS) MENISCAL REPAIR MENISCAL TEAR ANTERIOR KNEE PAIN PATELLA (CHONDROMALACIA) OSGOOD-SCHLATTER DISEASE (KNEE PAIN) ADOLEXCENT ANTERIOR KNEE PAIN KNEECAP (PREPATELLAR) BURSITIS ... UNSTABLE KNEECAP MISCELLANEOUS KNEE PROBLEMS PATELLAR TENDON RUPTURE TIBIAL TUBERCLE FRACTURE QUADRICEPS TENDON RUPTURE OSTEONECROSIS OF THE KNEE ... NEW TECHNIQUES TO RESTORE ARTICULAR CARTILAGE GLUCOSAMINE VISCOSUPPLEMENTATION TREATMENT FOR ARTHRITIS GLUCOSAMINE AND CHONDROITIN SULFATE GLUCOSAMINE AND CHONDROITIN SULFATE CLINICAL TRIALS TOTAL KNEE REPLACEMENT TOTAL KNEE REPLACEMENT OSTEOTOMY AND UNICOMPARTMENTAL KNEE ARTHROPLASTY ROTATING PLATFORM/MOBILE-BEARING KNEES KNEE IMPLANTS ... APPOINTMENT FORM

6. Ackland Sports Medicine Interactive website with informational articles including ACL, knee, cartilage transplants, chondromalacia, arthroscopy, shoulder, rotator cuff, and meniscus. http://www.sportismedicine.com/

Home Who We Are Where We Are What We Do ... Home Help Basket Checkout Track Site Menu Home Who We Are Where We Are What We Do ... Events This Web Site Helping to Support Young Athletes: The Ackland Sports Medicine Foundation Click Here Welcome to Ackland Sports Medicine's interactive website, where you can find up-to-date information concerning common as well as rare medical problems. At least 2 new articles are added weekly! You can also learn about our practice and the Ackland Sports Medicine team. Be sure to check out our events page. For your convenience, we've added a navigation menu located on the left side of your screen as well as a navigation menu located at the top of the screen, allowing you to browse through our different topics. Please enjoy your stay at the only website where Sport is Medicine Website Features Download our new Patient Information Form ... to expedite your visit with us. This form is used for our new EMR (electronic medical records) if you have been seen in our office with a visit from mid October of 2002 until now you do not have to fill this form out again, however if you are a new patient or have not been seen in our office since mid October then it is recommended that you print out this form and fill it out prior to your visit. This will help in expediting your visit with us Medical Information The biggest portion of our website, Medical Information, is updated with at least 2 new articles each week and contains in-depth information concerning common as well as rare medical problems and disorders. You can also find articles to help you prevent injury such as Care Guidelines for the Elderly and How to Fit Football Equipment. Articles are grouped into easy-to-find categories all at your fingertips.

7. Orthoseek Orthopedic Topics Chondromalacia Patellae chondromalacia Patellae What is chondromalacia patellae? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Chondromalacia Patella Darla sports a Grade 4 osteochondral lesion on her patella and suffers from CP. Visit this site for some practical information. http://www.lanchester.net/chondro/index.html

Thursday, September 08, 2005 Made with Macintosh Don't be left behind. CHONDROMALACIA Darla's Chondromalacia Report Darla's Medical Info ... The Brucester (an inside joke) (Note: If you email me, be warned. I get a lot of email as a result of this website, and many of the emails are looking for medical advice. I've put all I know about chondromalacia on this website, so I really have no other advice to offer. Sorry! In addition, I get so many emails that it's not feasible to answer them all. I DO try to read them all, 'though.) Hello! I've suffered from Chondromalacia Patella for several years. I went through a lot of frustrating treatment before I decided to do a little reading on the subject. These pages, especially my Chondromalacia Report are a compilation of what I've learned through reading, cruising the Web, and harassing my doctors. Read my medical info to see if your knee problem is the same as mine. Thanks to all who have sent me encouraging notes and suggestions! They mean a lot! I've created a Yahoo Community for chondromalacia . There is a forum to exchange ideas and encouragement, and there's even a chat room.

9. Chondromalacia Patella chondromalacia Patella (also called osteoarthritis in those older than 30 years) is a common diagnosis. Visit this site for good, practical http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. Chondromalacia Do your knees sound bad? Do they crunch? You may have chondromalacia. http://bicycling.about.com/od/injuries/a/chondromalacia.htm

var zLb=4; var zIoa1 = new Array('Suggested Reading','Injuries','http://bicycling.about.com/od/injuries/'); zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Sports Bicycling Safety ... Injuries Chondromalacia Sports Bicycling Essentials Tour de France ... 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 Bicycling newsletter! See Online Courses Search Bicycling Stay up to date! Compare Prices Email to a friend ... Print this page Suggested Reading Injuries Most Popular Child Bicycle Seats What kind of bike? Bike Trailers Advice for Beginners ... Pedals What's Hot How to Avoid Bonking Saddle Comfort FAQ "Nutrition For Endurance" Cold Weather Clothing, part II ... Gifts for Cyclists Chondromalacia From Kevin Weiss Your Guide to Bicycling FREE Newsletter. Sign Up Now! Chondromalacia is the degeneration of the cartilage in your knees. Generally it is described as a pain beneath or on the sides of your knee caps. There can also be swelling, in severe cases you can hear the bones grinding. This can be caused by a muscle imbalance (Weak quadriceps and strong hamstrings, etc.) Excessive pronation (arch collapsing too much, causing the knee cap to twist side ways) can also be a source of chondromalacia.

11. Healthubs.com A brief definition of chondromalacia, followed by links to overviews, full text articles, diagnosis and treatment. http://www.healthubs.com/chondromalacia

Click here to go to healthubs.com Click here to go to healthubs.com

12. Relation Between Isokinetic Muscle Strength And Functional Relation between isokinetic muscle strength and functional capacity in recreational athletes with chondromalacia patellae Y Yildiz1 http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. MedlinePlus Medical Encyclopedia: Chondromalacia Patellae chondromalacia patellae is the softening and degeneration of the cartilage chondromalacia patella that occurs in adolescents and young adults is thought http://www.nlm.nih.gov/medlineplus/ency/article/000452.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Chondromalacia patellae Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Chondromalacia of the patella Runners knee Alternative names Return to top Patellofemoral syndrome; Anterior knee pain Definition Return to top Chondromalacia patellae is the softening and degeneration of the cartilage underneath the kneecap (patella). Causes, incidence, and risk factors Return to top 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. People who have previously had a dislocation , a fracture , or other trauma to the kneecap may be more likely to get chondromalacia. Symptoms Return to top Knee tenderness Knee pain in the front of the knee that worsens after sitting for prolonged time Knee pain that worsens with using stairs or getting out of a chair A grating or grinding sensation when the knee is extended Signs and tests Return to top The doctor will perform a physical examination. The knee may be tender and mildly swollen, and the kneecap may not be perfectly lined up with the femur (thigh bone) underneath.

14. Relation Between Isokinetic Muscle Strength And Functional Your browser does not support frames. Click here to view the unframed reprint. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. Chondromalacia Patella chondromalacia Patella (also called osteoarthritis in those older than 30 years) is a common diagnosis. Visit this site for good, practical chondromalacia http://www.lanchester.net/chondro/

Thursday, September 08, 2005 Made with Macintosh Don't be left behind. CHONDROMALACIA Darla's Chondromalacia Report Darla's Medical Info ... The Brucester (an inside joke) (Note: If you email me, be warned. I get a lot of email as a result of this website, and many of the emails are looking for medical advice. I've put all I know about chondromalacia on this website, so I really have no other advice to offer. Sorry! In addition, I get so many emails that it's not feasible to answer them all. I DO try to read them all, 'though.) Hello! I've suffered from Chondromalacia Patella for several years. I went through a lot of frustrating treatment before I decided to do a little reading on the subject. These pages, especially my Chondromalacia Report are a compilation of what I've learned through reading, cruising the Web, and harassing my doctors. Read my medical info to see if your knee problem is the same as mine. Thanks to all who have sent me encouraging notes and suggestions! They mean a lot! I've created a Yahoo Community for chondromalacia . There is a forum to exchange ideas and encouragement, and there's even a chat room.

16. Arthritis Research Campaign Knee Pain In Young Adults A common cause of this pain is a complaint known as chondromalacia patellae. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Darla's Chondromalacia Report This is Darla s chondromalacia report, written entirely in Darlaspeak. The term osteoarthritis is typically used to describe chondromalacia patella in http://www.lanchester.net/chondro/knee.html

Thursday, September 08, 2005 Made with Macintosh Don't be left behind. CHONDROMALACIA Darla's Chondromalacia Report Darla's Medical Info ... The Brucester (an inside joke) This is Darla's Chondromalacia report, written entirely in Darla-speak. A printer-friendly version is available. I'm not a doctor. (I don't even play one on T.V.) I'm a 37-year-old woman suffering from chondromalacia patella, an obstinate desire to keep playing competitive volleyball, and possibly even a mid-life crisis. Consult your doctor or sports medicine specialist if you are suffering from knee pain. ( Update 18-Feb-2002: I find it terribly ironic that I've been sidelined from volleyball since late 1999 for torn wrist ligaments that could only be partially repaired by surgery. Creaking around on bad knees is one thing; doing without the use of one hand is another! Until technology gives me a fully-repaired wrist, I'll be watching my daughter, the Wild Child, a chip off the amazon block, slam volleyballs down short chicks' throats, instead of playing myself. She even stuffs those silly hitters who try to dink over herjust like Mama! :-D That's my baby! PS: I'm now almost 40! Egads!) II. Definitions

18. Chondromalacia Patella (knee Pain In Sports) Information chondromalacia Patella http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

19. Go Ask Alice!: What Is Chondromalacia? Dear Alice, My doctor says I have chrondomalatia. What is that? http://www.goaskalice.columbia.edu/1112.html

Mac users: please note that our site is optimized for the Safari browser Safety and injury prevention What is chondromalacia? Originally Published: February 28, 1997 Dear Alice, My doctor says I have chrondomalatia. What is that? Dear Alice, Under the knee cap and covering the ends of the femur (thigh bone) and tibia (shin bone) is a sort of natural shock absorber made of cartilage. This shock absorber does not come with a lifetime guarantee; wear and tear over the years can result in a loss of mass of the shock absorbing cartilage. Once some of this cartilage has degenerated, the knee obviously cannot absorb or handle shock from running, for example, as well as it could before. This condition is referred to as "chondromalacia patella." Technically, chondromalacia is an overuse injury that causes a dull, aching pain under and around the knee cap. Climbing stairs, walking up hills, and doing anything that involves a fair amount of running can all become painful activities for someone with chondromalacia patella. This knee condition is fairly common among runners — by some estimates, almost 30 percent of runners develop this condition. Skiers, cyclists, and soccer players also have a higher risk for chondromalacia patella. The tendency to develop chondromalacia patella also seems to run in families. Everyday that you get up is a day of stress as far as your knees are concerned. Walking around, climbing stairs, running, dancing, waiting in lines — all of these activities put some amount of stress on the knees. As far as joints go, the knee is the largest one in the body; it's also multi-talented, acting as a hinge, a lever, and/or shock absorber at any given time. For support, the knees rely almost entirely on soft tissue (ligaments, tendons, and muscles), which isn't always the most reliable. It's no wonder that knee pain and injury are so common!

20. Direct Electric Acupuncture For Patella Chondromalacia. A chondromalacia of the patella is common among athletes and people over 40. It is caused by direct trauma or chronic injury to the knee joint. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

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