Ouch! Anterior Knee Pain Dr Jonathan Mulford Sydney Orthopaedic Specialists Prince of Wales Private.
-
Upload
estella-flowers -
Category
Documents
-
view
222 -
download
0
Transcript of Ouch! Anterior Knee Pain Dr Jonathan Mulford Sydney Orthopaedic Specialists Prince of Wales Private.
It is Common• 20-40% of all knee
problems.
• Commonly 2nd and 3rd decade.
• 30% 0f teenages.
• 40% men and 60% women.
CONFUSING TERMINOLOGY
Chondromalacia PatellaLateral patella overload Patellofemoral pain syndromePatellofemoral Arthralgia
Intra-articular Pathology/ Hoffa’s Fat Pad
• Plica Syndromes
• Hoffa’s Syndrome
• PVNS
• Meniscal Cyst/ Tear
Examination
• Generalised laxity• Lower Limb Alignment• Feature of the patella– Height ,– Size , –Mobility, – Tilt .
• Q angle• Tracking – J sign
XR
• AP – exclude osteochondral pathology
• Lateral – patella alta, trochlea dysplasia
• Skyline – numerous measurements
Isolated Patellofemoral OA• Often dysplastic with history instability
• Options include –Unloading procedures–Patellofemoral Arthroplasty