Pathogenesis of Anterior Knee Pain in the Active Young: Is There a Relation Between the Presence of Patellofemoral Malalignment and Pain?

Sanchis-Alfonso, Vicente; Ordoño, Fermín; Subías-López, Alfredo; Monserrat, Carmen

doi:10.1007/978-0-85729-507-1_4

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…lateral patellar subluxation and/or patellar tilt) or with severe patellar chondropathies do not have any anterior knee pain (Fig. 1), and no long‐term correlation between a clinical result (satisfactory vs. non‐satisfactory) and patellofemoral malalignment has been found [55]. This means that patellofemoral malalignment after a realignment surgery is not always associated with pain.…”

Section: Structural Anomalies Cannot Fully Account For Pain and Disab...mentioning

confidence: 99%

Holistic approach to understanding anterior knee pain. Clinical implications

Sanchis-Alfonso

2014

Knee Surg Sports Traumatol Arthrosc

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Anterior knee pain is one of the most frequent reasons for consultation within knee conditions. The aetiology is not well known, which explains the sometimes unpredictable results of its treatment. Normally, when we see a patient in the office with anterior knee pain, we only study and focus on the knee. If we do this, we are making a big mistake. We must not forget to evaluate the pelvis and proximal femur, as well as the psychological factors that modulate the course of the illness. Both the pelvifemoral dysfunction as well as the psychological factors (anxiety, depression, catastrophization and kinesiophobia) must be included in our therapeutic targets of the multidisciplinary treatment of anterior knee pain. We must not only focus on the knee, we must remember to "look up" to fully understand what is happening and be able to solve this difficult problem. The aetiology of anterior knee pain is multifactorial. Therefore, diagnosis and treatment of patellofemoral disorders must be individualized. Our findings stress the importance of tailoring physiotherapy, surgery and psycho-educational interventions to each patient.

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Section: Structural Anomalies Cannot Fully Account For Pain and Disab...mentioning

confidence: 99%

Holistic approach to understanding anterior knee pain. Clinical implications

Sanchis-Alfonso

2014

Knee Surg Sports Traumatol Arthrosc

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Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

et al. 2020

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Background Anterior knee pain (AKP) is a problematic complaint, considered to be the most frequent cause of orthopedic consultancy for knee problems. This study aimed to highlight diagnostic accuracy of ultrasonography as a fast imaging technique in assessment of patients with AKP. Methods and results A prospective study was conducted on 143 patients with clinically confirmed AKP. All patients underwent ultrasonography and MRI examinations of the knee. The diagnostic accuracy of ultrasonography compared to MRI for evaluating different findings of possible causes of AKP were analyzed using receiver operating characteristic (ROC) curve and judged by area under curve (AUC). A total of 155 knees were included in the study; 26 knees showed no abnormalities, 19 knees showed positive MRI only, and 110 knees showed positive ultrasonography and MRI. Ultrasonography and MRI reported 11 different findings of possible causes of AKP or related to it. Joint effusion was the most common finding (38%) followed by trochlear cartilage defect (20.6%) and superficial infrapatellar subcutaneous edema (20%). The overall accuracy of ultrasonography was 85.3% sensitivity and 100% specificity. The ultrasonography provided the highest sensitivity (100%) in detecting bipartite patella, followed by 91.5% for joint effusion, and 87.5% for quadriceps tendinopathy. The ROC curve analysis of overall accuracy of ultrasonography showed an AUC of 0.93. The overall Kappa agreement between ultrasonography and MRI was good (k = 0.66). Conclusion Ultrasonography can be used to make a swift screening and assessment of painful anterior knee and as an alternative to MRI when it is unavailable or contraindicated.

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Pathogenesis of Anterior Knee Pain in the Active Young: Is There a Relation Between the Presence of Patellofemoral Malalignment and Pain?

Cited by 2 publications

References 29 publications

Holistic approach to understanding anterior knee pain. Clinical implications

Holistic approach to understanding anterior knee pain. Clinical implications

Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

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