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         Patellofemoral Disorder:     more detail
  1. Disorders of the Patellofemoral Joint by John P. Fulkerson, 2004-03-04
  2. Patellofemoral Disorders: Diagnosis and Treatment
  3. Disorders of the Patello-Femoral Joint by R. Paul Ficat, David S Hungerford, 1977
  4. Clinical Orthopaedics and Related Research 139 Pediatric Motorskeletal Conditions. 140 Diagnostic Methods and New Procedures. 142 Disorders of the Forefoot. 144 Patellofemoral Disorders. by MD, Editor in Chief Marshall R. Urist, 1979-01-01
  5. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH NUMBER 144 OCTOBER 1979 PATELLOFEMORAL DISORDERS by J.B. Lipppincott, 1979-01-01
  6. Disorders of the Patellofemoral Joint - 4th edition by DavidD, 2004
  7. Patellofemoral Disorders (Clinical Orthopaedics & Related Research, Vol 144)
  8. PATELLOFEMORAL DISORDERS by R. BIEDERT, 2004
  9. Patellofemoral Disorders - Diagnosis and Treatment by R. BIEDERT, 2004
  10. Patellofemoral pain hits female athletes hard.(Musculoskeletal Disorders): An article from: Family Practice News by Melinda Tanzola, 2006-10-01

81. PATELLOFEMORAL SYNDROME OR CHONDROMALACIA
patellofemoral syndrome causes pain in the knee. major dental work, if takingblood thinners anticoagulants or have a known bleeding disorder).
http://www.metrohealth.org/HI/indexes/BONE3446.htm
PATELLOFEMORAL SYNDROME OR CHONDROMALACIA Patellofemoral syndrome causes pain in the knee. It is a common problem of young adults, especially female adolescents. It is sometimes called chondromalacia. The long bone of the thigh is called the femur. The femur has a groove in which the kneecap (the patella bone) moves. The kneecap has to be able to move freely up and down when we bend or straighten our knee. If there has been an injury or overuse of the knee, the structures that allow it to move freely can wear down. Over time, the undersurface of the kneecap becomes worn out and inflamed. SIGNS AND SYMPTOMS THAT SHOULD BE EVALUATED BY A HEALTHCARE PROVIDER INCLUDE: * knee pain that gets worse when kneeling or walking up and down stairs and * knees ache if sitting in one position too long, like at a movie, or on a plane. The best TREATMENT is to rest the knee. A brace or tape may be needed to allow the knee to rest. Special exercises may also be taught to strengthen the knee and correct abnormal movement. OTHER HOMECARE MEASURES THAT CAN HELP ARE TO: * avoid activities that require deep knee bends * wear shoes that support the arch * strengthen the upper leg muscles (hamstrings and quadriceps) that support the knee * use ice to help with pain and swelling and * take anti-inflammatory medication like aspirin or ibuprofen MEDICATION CAUTIONS: Do NOT give aspirin (acetylsalicylic acid) or aspirin-containing products to anyone age 18 years or younger because of the risk of a serious illness called Reye’s syndrome.

82. Research_patellofemoral
patellofemoral pain is a common and painful knee disorder. Despite its prevalence,we still know little of the aetiology of patellofemoral pain.
http://starlab.stanford.edu/research_patella.html
mechanisms of patellofemoral pain Researchers Thor Besier Scott Delp Garry Gold Patellofemoral pain is a common and painful knee disorder. Despite its' prevalence, we still know little of the aetiology of patellofemoral pain. This project is aimed at understanding the mechanism of pain, testing a hypothesis that pain is related to increased stress in cartilage and subchondral bone. We have developed a finite element modeling framework to estimate cartilage stress in-vivo. Using subject-specific models of the patellofemoral joint, we are testing the hypothesis that people with patellofemoral pain have increased cartilage stress compared to pain free controls.

83. Ortho Hyperguide. Login Page
patellofemoral Articulation Disorders. Stephen D. Heinrich, MS, MD The nonoperative management of patellofemoral articulation disorders is
http://www.ortho.hyperguides.com/Tutorials/pediatric_ort/patfem/tutorial.asp
Welcome to the ORTHOPEDICS Hyperguide TM The ORTHOPEDICS Hyperguide TM is a state-of-the-art online educational program, designed for health care professionals worldwide. It features tutorials online lectures , and test questions in the following areas: Adult Orthopedics, Basic Science, Foot and Ankle, Hand, Orthobiologics and Pharmacologics, Pediatric Orthopedics, Spine, Sports Medicine, Trauma, and Tumor.
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Tutorials provide you with an overview of important topics and focus on areas such as clinical and radiographic features, diagnosis, risk factors, evaluation, treatment options, and patient outcomes. Throughout each tutorial, you will be able to access images, including clinical photographs, radiographs, and magnetic resonance images. If you would like additional information on a specific topic, bibliographies are included at the conclusion of each tutorial. Online lectures simulate the lecture experience. Experts in the orthopedic community provide lectures in their respective specialty areas. The slides automatically advance along with the audio, and a transcript of the lecture is shown below the slides. Printable transcripts of the lectures are also available.

84. Identification Of Individuals With Patellofemoral Pain Whose Symptoms Improved A
Disorders of patellofemoral alignment. J Bone Joint Surg Am. 1990;7214241429 . Rehabilitation of patellofemoral joint disorders a critical review.
http://www.ptjournal.org/PTJournal/Jan2004/v84n1p49.cfm

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Identification of Individuals With Patellofemoral Pain Whose Symptoms Improved After a Combined Program of Foot Orthosis Use and Modified Activity: A Preliminary Investigation
Thomas G Sutlive, Scott D Mitchell, Stephanie N Maxfield, Cynthia L McLean, Jon C Neumann, Christine R Swiecki, Robert C Hall, Anthony C Bare, and Timothy W Flynn Click here for the PDF version of this article.
Download free Adobe Acrobat Reader software Background and Purpose . In patients with patellofemoral pain syndrome (PFPS), the authors determined which aspects of the examination could be used to identify those patients most likely to respond to off-the-shelf foot orthoses and instruction in activity modification. Participants and Methods . Fifty participants were enrolled in the study, and data for 5 individuals were excluded from analysis. Thirty-four men and 11 women completed the study. Participants were given foot orthoses and instructed in activity modification for 3 weeks. A 50% reduction in pain was considered a success. Likelihood ratios (LRs) were computed to determine which examination findings were most predictive of success. Results . The best predictors of improvement were forefoot valgus alignment of 2 degrees (+LR=4.0, 95% confidence interval [CI]=0.7-21.9), great toe extension of

85. Patellofemoral Pain Syndrome Pathology - Massage Magazine
Tracking disorders occur at the patellofemoral joint, so our discussion ofbiomechanics will focus on this area. The primary function of the patella is to
http://www.massagemag.com/2004/issue112/assess112.2.htm
Patellofemoral Pain Syndrome
by Whitney Lowe Pathology Treatment Massage Techniques Pathology
An understanding of PFPS and its therapy starts with basic biomechanical concepts related to the knee joint. The knee is composed of two joints: the articulation between the tibia and femur (tibiofemoral joint) and that between the patella and the femur (patellofemoral joint). Tracking disorders occur at the patellofemoral joint, so our discussion of biomechanics will focus on this area. The primary function of the patella is to improve the angle of pull of the quadriceps muscles. Without the patella, the quadriceps group is in a poor position to generate the strong contraction forces that are necessary for knee extension against resistance that is encountered every day in common activities, such as climbing stairs or getting up from a squatting position. The patella is embedded within the tendon that attaches the quadriceps to the tibia. Since it is embedded in the tendon, the patella moves superiorly along the line of pull created by the quadriceps. The quadriceps group does not pull in a straight superior direction, but in a slight diagonal. This is because the quadriceps (with the exception of the rectus femoris) originate on the femur. The femur has a natural varus (turned inward) angulation, so the quadriceps pull along this diagonal line. The degree to which this pull deviates from a straight vertical line is called the Q (quadriceps) angle. The Q angle is determined by the intersection of two lines. The first line connects the tibial tuberosity with the midpoint of the patella. The second line connects the anterior superior iliac spine (ASIS) with the midpoint of the patella. Most individuals have some degree of femoral varus angulation, so it is normal for the quadriceps to pull the patella laterally to some degree. Sources disagree on the how much of a Q angle is too much, but the majority indicate a Q angle greater than 15 degrees for females and greater than 10 degrees for males is excessive.

86. Knee Pain - Patient UK
abstract; Powers CM; Rehabilitation of patellofemoral joint disorders a criticalreview.;J Orthop Sports Phys Ther 1998 Nov;28(5)34554.
http://www.patient.co.uk/showdoc/40001099/
PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people.
Knee pain
Introduction The knee is a vulnerable and potentially unstable joint. The femur is placed on the tibia with 2 "shock absorbers" of cartilage, 4 ligaments and the surrounding muscles to hold them together. The ligaments are the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and lateral collateral ligament (LCL). In addition the patella slides over the anterior surface in a sesamoid joint. The joint takes the full weight of the body and is very susceptible to problems. Background Problems with knees are common and there are many causes.
For a description of history, examination and investigations see knee assessment . Eliciting and interpreting some of the signs can be difficult and practice is needed. Neuropathic joints show considerable destruction but are painless.

87. Iliotibial Band Syndrome-Patellofemoral Pain-Runner's Knee, Running- Goode Wraps
Often with patellofemoral pain, when the leg is almost fully extended, even medium term clinical resolution of clearly diagnosed tendon disorders.
http://www.200.com/kneemeta.htm
Do You Have Runner's Knee ( Runners ) Goode Wraps Relieve Pain, Swelling and Stiffness from Iliotibial Band Syndrome ( runners knee ) by Relaxing Muscles and Tendons ILIOTIBIAL BAND SYNDROME - IT - PATELLOFEMORAL PAIN - RUNNER'S KNEE RUNNERS , RUNNING Patellqfemoral Pain Syndrome Cycling Iliotibial Band Soccer Runner's Knee Basketball Patellafemoral Baseball Runners Knee Volleyball Softball Football Gymnastics Golf Swimming Jogging Bowling Cycling Running The most common cause of knee (and hip pain) in cyclists is iliotibial band (IT band) syndrome. The IT band is a thick fibrous band of tissue, which runs on the outside of the leg from the hip to the knee. Pain is caused when the band becomes tight and rubs over the bony prominences of the hip (greater trochanter) and/or the knee (lateral epicondyle). Tight inflexible lower extremity muscles may worsen the condition. syndrome0,band,runner's knee, Basketball, volleyball, running - all of these activities involve repetitive running and/or jumping and could cause a very painful knee condition called patellar tendinitis, Iliotibial Band Syndrome or Patellofemorial known as "runner's knee". The act of jumping, especially, puts a great deal of stress on the patellar tendon, which attaches to the bottom of your kneecap. The force of hitting the ground repeatedly could cause the tendon to become inflamed and even begin to tear.
Iliotibial band syndrome (runner's knee) is usually felt in the front of the knee just below the kneecap and may be felt during or after vigorous running or jumping. You may also experience discomfort when you sit down and extend your leg straight out.

88. Journal Of Bone And Joint Surgery: Fracture Of The Proximal Tibia Six Months Aft
Disorders of patellofemoral alignment. J Bone Joint Surg Am 1990;72A 1424-9.10. Pidoriano AJ, Weinstein RN, Buuck DA, Fulkerson JP.
http://www.findarticles.com/p/articles/mi_qa3767/is_200108/ai_n8986468
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ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Fracture of the proximal tibia six months after Fulkerson osteotomy: A report of two cases Journal of Bone and Joint Surgery Aug 2001 by Godde, S Rupp, S Dienst, M Seil, R ... Kohn, D
Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. A REPORT OF TWO CASES The Fulkerson osteotomy has proved to be a reliable treatment for subluxation of the patella due to malalignment. Aggressive rehabilitation in the early postoperative period is unwise since the proximal tibia is weakened by the oblique osteotomy. Early weight-bearing and unrestricted activity have caused fractures in a few patients. Even late in the postoperative period the osteotomy may adversely influence the biomechanical properties of the proximal tibia. We describe two athletes who sustained a fracture of the proximal tibia, during recreational activities, six months after a Fulkerson osteotomy. Both had been bearing full weight for about ten weeks without complaint. Bony healing of the osteotomy had been demonstrated on plain radiographs at ten and at 12 weeks. After a Fulkerson osteotomy, jogging and activities which impose considerable impact force should be discouraged for at least nine to 12 months.

89. Alibris: Medical Orthopedics
The classic text by the leading expert on patellofemoral joint disorders is nowin its thoroughly updated Fourth Edition, presenting comprehensive,
http://www.alibris.com/search/books/subject/Medical Orthopedics/page/2
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90. Umeå Universitetsbibliotek > Aktuellt > Litteratur I Medicinska Biblioteket
Fulkerson, John Pryor Disorders of the patellofemoral joint / John P. Fulkerson ;contributing authors David A. Buuck Philadelphia, Pa.
http://www.ub.umu.se/aktuellt/newbooks_mars_05/indexmed.htm
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Axengrip, Christina, 1969- :Fondkompendiet : fonder till behövande, sjuka, funktionshindrade, ålderstigna, skolor och förenin - Umeå : Axengrip, 2004 (Umeå : Nyheterna)
ISBN: 91-974340-6-X
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The MIT encyclopedia of communication disorders / edited by Raymond D. Kent - Cambridge, Mass. : MIT Press, cop. 2004 ISBN: 0-262-11278-7 (inb.) Placering: Ref E MIT Bolsoj russko-anglijskij medicinskij slovar : okolo 70 000 terminov = Comprehensive Russian-Engli - Moskva : Russo, 2001 ISBN: 5-88721-184-9 Placering: Ref V(x) Bol Lagua, Rosalinda T., 1937- :Nutrition and diet therapy reference dictionary / Rosalinda T. Lagua, Virginia S. Claudio. - Ames, Iowa : Blackwell Pub., cop. 2004. ISBN: 0-8138-1002-7 (alk. paper) Placering: Ref Vm Lag Lurija, Aleksandr Romanovic, 1902-1977

91. Health And Medical Information Produced By Doctors - MedicineNet.com
Peyronie s Disease (Penis Disorders) PFS (patellofemoral Syndrome) PhakicIntraocular Lenses Pharmacologic Stress Test For Heart Disease (Coronary
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92. AJSM -- Sign In Page
Pintore E, Maffulli N, et al Radiological measurements in patellofemoraldisorders. Fulkerson JP Disorders of the patellofemoral Joint.
http://journal.ajsm.org/cgi/content/full/30/3/396
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Evidence of Abnormal Anteroposterior Patellar Tilt in Patients with Patellar Tendinitis...
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93. ¿¬°ñ¿¬È­Áõ(chondromalacia) - ¹«¸­ºÎ»ó
Translate this page The summary for this Korean page contains characters that cannot be correctly displayed in this language/character set.
http://www.marathon.pe.kr/injury/chondromalacia.html
¿¬°ñ¿¬È­Áõ(chondromalacia) - ¹«¸­ºÎ»ó ½½°³°ñÀÇ ¾È(×ê)ÂÊÀ» ´©¸£¸é ÅëÁõÀÌ ÀÖ°í, ´ëÅð°ñ¿¡ ³»¸®´©¸£¸é ÅëÁõÀÌ ÀÖ°í ´Ü´ÜÇÑ °Í¿¡ ºñº­´ë¸ç ¿òÁ÷ÀÏ ¶§ ³ª´Â ¹ö°Æ¹ö°Æ ¼Ò¸®°¡ ³­´Ù. ½½°³°ñÀÇ ¹Ù±ùÂÊÀ» ´©¸£¸é ¾à°£ Çæ··ÇÑ ´À³¦ÀÌ µç´Ù. ÀϹÝÀûÀ¸·Î ³»¸®¸·À» °È°Å³ª °è´ÜÀ» ³»·Á¿À¸é ÅëÁõÀÌ ½ÉÇØÁö¸ç °¡²û ºÎ±âµµ ÀÖ´Ù. X·¹À̸¦ Ô¿µÇغ¸¸é ½½°³°ñÀÇ À§Ä¡, ÇüÅ°¡ ¾à°£ ³ª»Ú´Ù¸é ½½°³¿¬°ñ¿¬È­Áõ(chondromalacia)À¸·Î º¼ ¼ö ÀÖ´Ù. ¿ì¸®´Â ½½°³¿¬°ñ¿¬È­ÁõÀ̶ó ĪÇÏÁö¸¸ ¿µ¾îÇ¥ÇöÀ¸·Î´Â patellofemoral disorder, patellar malalignment, runner's knee, chondromalacia µîÀÇ ´Ù¾çÇÑ À̸§À» °¡Áö°í ÀÖ¾î ±× ¿øÀθ¸Å­À̳ª º¹ÀâÇÏ´Ù. ½½°³°ñ(patella)Àº ´ëÅð»çµÎ±ÙÀ̶ó ºÒ¸®´Â ³ÒÀû´Ù¸®ÀÇ Å« ±ÙÀ°±º¿¡ ºÙ¾î ÀÖÀ¸¸ç ÀÌ´Â ¶ÇÇÑ ½½°³Àδë(patellar tendon)¿¡ ÀÇÇØ °æ°ñ(Á¤°­ÀÌ»À)¿¡ ¿¬°áµÇ¾î ÀÖ´Ù. ÀÌ ½½°³°ñÀº ´ëÅð°ñ»ó°ú(femoral condyle µ¹±âºÎºÐ)¶ó ºÒ¸®´Â ´ëÅð°ñ ³¡ ºÎºÐÀÇ È¨¿¡ ¸Â¹°·Á °íÁ¤µÈ´Ù. ´Þ¸®±â µîÀ¸·Î ¹Ýº¹µÇ´Â ¹«¸­ÀÇ Æì°í ±ÁÈ÷´Â ÀÛ¿ëÀ¸·Î ½½°³°ñ ¾ÈÂʸéÀÌ ¸¶ÂûÀ» ÀÏÀ¸Å°¸é¼­ ºÎ»óÀ» Ê·¡ÇÏ´Â °ÍÀÌ´Ù. ÀϹÝÀûÀ¸·Î ´Þ¸®±â³ª °È±â, Á¡ÇÁ µîÀÌ µ¿¹ÝµÇ´Â ½ºÆ÷÷È°µ¿¿¡¼­ ¹«¸­ÀÇ °ú»ç¿ë(overuse)À¸·Î ÀÎÇØ ¹ß»ýµÈ´Ù. ±¸¼ÀûÀÎ ¿øÀÎÀ» »ìÆ캸¸é ¿¬°ñ¿¬È­ÁõÀº ½½°³°ñÀÇ ¾ÈÂÊÀÇ °üÀý¿¬°ñ¿¡ »ó³°¡ ³­ ºÎ»óÀ¸·Î ½½°³°ñÀÇ ÇüÅÂ, À§Ä¡ µî¿¡ ÀÌ»óÀÌ Àְųª ½½°³°ñ¿¡ ´ëÀÀÇÏ´Â ´ëÅð°ñÀÇ Çü¿¡ ÀÌ»óÀÌ ÀÖÀ» ¶§, °ñ¹ÝÀÇ ÆøÀÌ ³Ð°Å³ª, ¾È¯´Ù¸®À̰ųª, Çã¹÷Áö ¾ÕÂÊÀÇ ´ëÅð»çµÎ±ÙÀÌ ±»¾îÁ® ±Ù·ÂÀÌ ¾àÇØÁ³°Å³ª, Çã¹÷Áö ÈĸéÀÇ ÇܽºÆ®¸µ, Á¾¾Æ¸®ÀÇ ±ÙÀ°ÀÌ ±»¾îÁ³°Å³ª, µÚ²ÞÄ¡»À°¡ ¾ÈÂÊÀ¸·Î ±¸¸£±â½¬¿î ³»Á¯Çü ¹ßÀ» °¡Áø °æ¿ì, ´Þ¸®±â·Î ½½°³°ñ¿¡ ½ºÆ®·¹½º°¡ ÁÖ¾îÁ³À» ¶§ ¿¬°ñ¿¬È­ÁõÀÌ ¹ß»ýÇÒ ¼ö ÀÖ´Ù. ÅëÁõÀÌ ¾ø¾îÁú ¶§±îÁö ´Þ¸®±â¸¦ ½¬°í ÀÚÀü°Å³ª ¼ö¿µ µî ´ë¼ÈÆ·À» ½Ç½Çϰųª ¾Æ´Ï¸é ¿¬½À·®À» ÁÙÀÌ°í ³¹æ¿¡ µû¶ó À̺ÎÇÁ·ÎÆæ(ibuprofen)µîÀÇ ¼Ò¿°ÁøÅëÁ¦¸¦ º¹¿ëÇÑ´Ù. ÀÌ ¶§ ¿øÀÎÀ» ±Ô¸íÇÏ¿© ÀåµýÁö, ´ëÅð±¼±Ù, ´ëÅð»çµÎ±ÙÀÇ ½ºÆ®·¹Äª, ´ëÅð»çµÎ±ºÀÇ ±Ù·Â°­È­ÈÆ·À» ½Ç½ÇÑ´Ù.

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