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Approach for anterior knee pain focusing on multifactorial etiologies
Arthrosc Orthop Sports Med 2022;9:1-5
Published online May 1, 2022;  https://doi.org/10.14517/aosm21011
© 2022 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Ju-Ho Song1, Young Mo Kim2, Yong Bum Joo2, Cheol Won Lee2

1Department of Orthopedic Surgery, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, 2Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
Correspondence to: Young Mo Kim, https://orcid.org/0000-0003-3033-4477
Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, 282 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-280-8083, Fax: +82-42-252-7098, E-mail: osdr69@gmail.com
Received October 9, 2021; Revised January 17, 2022; Accepted February 5, 2022.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Anterior knee pain (AKP) is a difficult clinical problem owing to its diverse etiologies, including patellofemoral pain syndrome, chondromalacia patella, medial plica syndrome, Hoffa’s fat pad syndrome, patellar/quadriceps tendinopathy, lateral patellar compression syndrome, and iliotibial band syndrome. Conservative therapies can resolve AKP; however, surgery may be required in some refractory cases when structural abnormalities are observed. Because AKP has a high degree of chronicity, orthopedic surgeons should adhere to standard treatment protocols, including exercise therapy.
Keywords : Anterior knee pain syndrome; Patellofemoral pain syndrome; Synovial plica syndrome
References
  1. Powers CM, Bolgla LA, Callaghan MJ, Collins N, Sheehan FT. Patellofemoral pain: proximal, distal, and local factors, 2nd International Research Retreat. J Orthop Sports Phys Ther 2012;42:A1-54.
    Pubmed CrossRef
  2. Fairbank JC, Pynsent PB, van Poortvliet JA, Phillips H. Mechanical factors in the incidence of knee pain in adolescents and young adults. J Bone Joint Surg Br 1984;66:685-93.
    Pubmed CrossRef
  3. Sanchis-Alfonso V. Holistic approach to understanding anterior knee pain. Clinical implications. Knee Surg Sports Traumatol Arthrosc 2014;22:2275-85.
    Pubmed CrossRef
  4. Pihlajamäki HK, Kuikka PI, Leppänen VV, Kiuru MJ, Mattila VM. Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae. J Bone Joint Surg Am 2010;92:927-34.
    Pubmed CrossRef
  5. Werner S. Anterior knee pain: an update of physical therapy. Knee Surg Sports Traumatol Arthrosc 2014;22:2286-94.
    Pubmed CrossRef
  6. Rathleff MS, Rathleff CR, Olesen JL, Rasmussen S, Roos EM. Is knee pain during adolescence a self-limiting condition? Prognosis of patellofemoral pain and other types of knee pain. Am J Sports Med 2016;44:1165-71.
    Pubmed CrossRef
  7. Hott A, Brox JI, Pripp AH, Juel NG, Liavaag S. Predictors of pain, function, and change in patellofemoral pain. Am J Sports Med 2020;48:351-8.
    Pubmed CrossRef
  8. Matthews M, Rathleff MS, Claus A, et al. Can we predict the outcome for people with patellofemoral pain? A systematic review on prognostic factors and treatment effect modifiers. Br J Sports Med 2017;51:1650-60.
    Pubmed CrossRef
  9. Lankhorst NE, van Middelkoop M, Crossley KM, et al. Factors that predict a poor outcome 5-8 years after the diagnosis of patellofemoral pain: a multicentre observational analysis. Br J Sports Med 2016;50:881-6.
    Pubmed CrossRef
  10. Fick CN, Grant C, Sheehan FT. Patellofemoral pain in adolescents: understanding patellofemoral morphology and its relationship to maltracking. Am J Sports Med 2020;48:341-50.
    Pubmed KoreaMed CrossRef
  11. Kasitinon D, Li WX, Wang EXS, Fredericson M. Physical examination and patellofemoral pain syndrome: an updated review. Curr Rev Musculoskelet Med 2021;14:406-12.
    Pubmed KoreaMed CrossRef
  12. Gulati A, McElrath C, Wadhwa V, Shah JP, Chhabra A. Current clinical, radiological and treatment perspectives of patellofemoral pain syndrome. Br J Radiol 2018;91:20170456.
    Pubmed KoreaMed CrossRef
  13. Smith TO, Hunt NJ, Donell ST. The reliability and validity of the Q-angle: a systematic review. Knee Surg Sports Traumatol Arthrosc 2008;16:1068-79.
    Pubmed CrossRef
  14. Nunes GS, Stapait EL, Kirsten MH, de Noronha M, Santos GM. Clinical test for diagnosis of patellofemoral pain syndrome: systematic review with meta-analysis. Phys Ther Sport 2013;14:54-9.
    Pubmed CrossRef
  15. de Oliveira Silva D, Barton C, Crossley K, et al. Implications of knee crepitus to the overall clinical presentation of women with and without patellofemoral pain. Phys Ther Sport 2018;33:89-95.
    Pubmed CrossRef
  16. Petersen W, Ellermann A, Gösele-Koppenburg A, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 2014;22:2264-74.
    Pubmed KoreaMed CrossRef
  17. Nunes GS, Barton CJ, Serrão FV. Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology. J Sci Med Sport 2018;21:123-8.
    Pubmed CrossRef
  18. Crossley KM, Stefanik JJ, Selfe J, et al. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med 2016;50:839-43.
    Pubmed KoreaMed CrossRef
  19. Jellad A, Kalai A, Guedria M, et al. Combined hip abductor and external rotator strengthening and hip internal rotator stretching improves pain and function in patients with patellofemoral pain syndrome: a randomized controlled trial with crossover design. Orthop J Sports Med 2021;9:2325967121989729.
    Pubmed KoreaMed CrossRef
  20. Ho KY, Chen YJ, Farrokhi S, et al. Selective atrophy of the vastus medialis: does it exist in women with nontraumatic patellofemoral pain? Am J Sports Med 2021;49:700-5.
    Pubmed CrossRef
  21. Collins NJ, Barton CJ, van Middelkoop M, et al. 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017. Br J Sports Med 2018;52:1170-8.
    Pubmed CrossRef
  22. Kettunen JA, Harilainen A, Sandelin J, et al. Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: 5-year follow-up. Br J Sports Med 2012;46:243-6.
    Pubmed CrossRef
  23. Nakayama A, Sugita T, Aizawa T, Takahashi A, Honma T. Incidence of medial plica in 3,889 knee joints in the Japanese population. Arthroscopy 2011;27:1523-7.
    Pubmed CrossRef
  24. Sakakibara J. Arthroscopic study on Iino’s band (plica synovialis mediopatellaris). J Jpn Orthop Assoc 1976;50:513-22.
  25. Dye SF, Vaupel GL, Dye CC. Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia. Am J Sports Med 1998;26:773-7.
    Pubmed CrossRef
  26. Strauss EJ, Kim S, Calcei JG, Park D. Iliotibial band syndrome: evaluation and management. J Am Acad Orthop Surg 2011;19:728-36.
    Pubmed CrossRef

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