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15 Cards in this Set

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  • Back
What is the etiology of Patellofemoral Pain Syndrome?
Lower extremity malalignment and biomechnical factors: Q angle, pronation/supination of foot. Muscular imbalance: Weak VMO, tight ITB. Neural mechanisms. Trauma.
What are the symptoms of Patellofemoral Pain Syndrome?
Diffuse pain/ache in anterior knee. Pain is activity induced: stairs, squatting, sitting (theater sign). Running aggravates pain. Giving way. Insidious onset.
What are the signs/objective findings of Patellofemoral Pain Syndrome?
Palpation to rule out other structures. Decreased flexibility of quads, hamstrings, gastroc-soleus. Quad weakness or atrophy. Lower extremity alignment abnormalities. Decreased patellar mobility.
What is the treatment for Patellofemoral Pain Syndrome?
Decrease activities that increase pain. Ice, NSAIDS. Stretch tight structures. Strengthen weak structures: Focus should be on quads. Patellar taping (temporary coreection for tracking problems). Education: Running shoes, training modifications. Orthotics.
What is the etiology for Patellar Tendinopathy?
Prevalent in "jumping" athletes. Squatting pattern of volleyball players may predispose them to injury. Playing surfaces (higher incidence of injury on concrete surfaces vs. wooden floors)
What are the symptoms of Patellar Tendinopathy?
History of progressive pain at infrapatellar tendon. Active in sports that involve jumping and running. Aggravated by jumping and running. Pain resolves with rest.
What are the signs/objective findings for Patellar Tendinopathy?
Point tenderness along patellar tendon. Possible pain on resisted knee extension. Possible radiographic evidence of changes at proximal and distal attachments of the infrapatellar tendon.
What is the treatment for Patellar Tendinopathy?
Decrease activities that increase pain. Ice, NSAIDS, though may not be inflamed. Stretch tight structures. Eccentric vs. Concentric strength training. Counterforce strapping.
What is the etiology of Plica syndrome?
Inflamation due to either repetitive stresses or trauma. Chronic inflammation can lead to proliferation and contracture. Can susequently interfere with patellar tracking ("bowstring phenomenon") and lead to degenerative changes.
What are the symptoms of Plica Syndrome?
Pain in the medial peripatellar area. Aggravated with running, jumping, forceful quad contractions. Theater sign may be present. May complain of sounds such as clicking.
What are the signs/objective findings for Plica Syndrome?
Tenderness just medial to the patella. With knee flexed, plica may be palpable. Possible local swelling.
What is the treatment for Plica Syndrome?
Decrease activities that increase pain. Ice, NSAIDS. Stretch tight structures. Possible surgery for removal of the plica.
What is the etiology of Iliotibial Band Friction Syndrome?
More frequent in thin individuals. Varus knee alignment. Training errors. Running on same side of cambered road. Trauma.
What are the symptoms of Iliotibial Band Friction Syndrome?
Pain at lateral knee, may radiate to lateral thigh or calf. Ache. "Snapping". Symptoms increase with mileage. Patients may c/o pain with stairs and when rising from seated position.
What are the signs/objective findings for Iliotibial Band Friction Syndrome?
Tender just proximal to lateral joint line. Avoids flexion during gait. Sweeling (+/-). Noble compression test usually (+). Ober's test (+/-).