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15 Cards in this Set
- Front
- Back
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What is the etiology of Patellofemoral Pain Syndrome?
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Lower extremity malalignment and biomechnical factors: Q angle, pronation/supination of foot. Muscular imbalance: Weak VMO, tight ITB. Neural mechanisms. Trauma.
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What are the symptoms of Patellofemoral Pain Syndrome?
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Diffuse pain/ache in anterior knee. Pain is activity induced: stairs, squatting, sitting (theater sign). Running aggravates pain. Giving way. Insidious onset.
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What are the signs/objective findings of Patellofemoral Pain Syndrome?
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Palpation to rule out other structures. Decreased flexibility of quads, hamstrings, gastroc-soleus. Quad weakness or atrophy. Lower extremity alignment abnormalities. Decreased patellar mobility.
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What is the treatment for Patellofemoral Pain Syndrome?
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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.
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What is the etiology for Patellar Tendinopathy?
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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)
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What are the symptoms of Patellar Tendinopathy?
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History of progressive pain at infrapatellar tendon. Active in sports that involve jumping and running. Aggravated by jumping and running. Pain resolves with rest.
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What are the signs/objective findings for Patellar Tendinopathy?
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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.
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What is the treatment for Patellar Tendinopathy?
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Decrease activities that increase pain. Ice, NSAIDS, though may not be inflamed. Stretch tight structures. Eccentric vs. Concentric strength training. Counterforce strapping.
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What is the etiology of Plica syndrome?
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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.
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What are the symptoms of Plica Syndrome?
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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.
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What are the signs/objective findings for Plica Syndrome?
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Tenderness just medial to the patella. With knee flexed, plica may be palpable. Possible local swelling.
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What is the treatment for Plica Syndrome?
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Decrease activities that increase pain. Ice, NSAIDS. Stretch tight structures. Possible surgery for removal of the plica.
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What is the etiology of Iliotibial Band Friction Syndrome?
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More frequent in thin individuals. Varus knee alignment. Training errors. Running on same side of cambered road. Trauma.
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What are the symptoms of Iliotibial Band Friction Syndrome?
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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.
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What are the signs/objective findings for Iliotibial Band Friction Syndrome?
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Tender just proximal to lateral joint line. Avoids flexion during gait. Sweeling (+/-). Noble compression test usually (+). Ober's test (+/-).
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