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         Patellofemoral Disorder:     more detail
  1. Disorders of the Patellofemoral Joint by John P. Fulkerson, 2004-03-04
  2. Patellofemoral Disorders: Diagnosis and Treatment
  3. Disorders of the Patello-Femoral Joint by R. Paul Ficat, David S Hungerford, 1977
  4. Clinical Orthopaedics and Related Research 139 Pediatric Motorskeletal Conditions. 140 Diagnostic Methods and New Procedures. 142 Disorders of the Forefoot. 144 Patellofemoral Disorders. by MD, Editor in Chief Marshall R. Urist, 1979-01-01
  5. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH NUMBER 144 OCTOBER 1979 PATELLOFEMORAL DISORDERS by J.B. Lipppincott, 1979-01-01
  6. Disorders of the Patellofemoral Joint - 4th edition by DavidD, 2004
  7. Patellofemoral Disorders (Clinical Orthopaedics & Related Research, Vol 144)
  8. PATELLOFEMORAL DISORDERS by R. BIEDERT, 2004
  9. Patellofemoral Disorders - Diagnosis and Treatment by R. BIEDERT, 2004
  10. Patellofemoral pain hits female athletes hard.(Musculoskeletal Disorders): An article from: Family Practice News by Melinda Tanzola, 2006-10-01

21. Wuup.de - /Health/Conditions_and_Diseases
Knee Supports and Braces Knee braces designed to stabilize the patellafor chondromalacia and patellofemoral disorders. » Patellofemoral
http://wuup.de/index.php/Health/Conditions_and_Diseases/Musculoskeletal_Disorder

22. Chondromalacia
patellofemoral disorders. Previews by Thumbshots Patellofemoral Syndrome Information about this disorder, written by a patient.
http://www.oobdoo.com/directory/Health/ConditionsandDiseases/MusculoskeletalDiso
World Wide Search Engine
and Portal to the Best Sites on the Internet
Over 15million sites and over 550,000 categories
Top Health Conditions and Diseases Musculoskeletal Disorders : Chondromalacia (7)
    What is Chondromalacia? - Article on the causes and treatment of the knee disorder chondromalacia patellae. Chondromalacia Patellae - Orthoseek article, with recommended exercises and information on prevention, treatment and the development of the disorder. HealtHub - A brief definition of chondromalacia, followed by links to overviews, full text articles, diagnosis and treatment. The Patella and Chondromalacia - Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and X-ray images. Knee Supports and Braces - Knee braces designed to stabilize the patella for chondromalacia and patellofemoral disorders. Patellofemoral Syndrome - Information about this disorder, written by a patient. Chondromalacia Patella - Darla sports a Grade 4 osteochondral lesion on her patella and suffers from CP. Visit this site for some decent, practical CP information.

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23. Chondromalacia : Meddie Health Search
(Rating 0.00 Votes 0) Rate It. Knee Supports and Braces Knee braces designedto stabilize the patella for chondromalacia and patellofemoral disorders.
http://www.meddie.com/Conditions_and_Diseases/Musculoskeletal_Disorders/Chondrom
Search Meddie: the entire directory only this category More search options Home Conditions and Diseases Musculoskeletal Disorders : Chondromalacia ITEMS: LINKS:
  • Chondromalacia Patella
    Darla sports a Grade 4 osteochondral lesion on her patella and suffers from CP. Visit this site for some decent, practical CP info.
    (Rating: 0.00 Votes: 0) Rate It
  • Chondromalacia Patellae
    Orthoseek article, with recommended exercises and information on prevention, treatment and the development of the disorder.
    (Rating: 0.00 Votes: 0) Rate It
  • Knee Supports and Braces
    Knee braces designed to stabilize the patella for chondromalacia and patellofemoral disorders.
    (Rating: 0.00 Votes: 0) Rate It
  • Patellofemoral Syndrome
    Information about Patellofemoral Syndrome, written by a patient.
    (Rating: 0.00 Votes: 0) Rate It
  • The Patella and Chondromalacia
    Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and X-ray images.
    (Rating: 0.00 Votes: 0) Rate It
  • What is Chondromalacia? Article on the causes and treatment of the knee disorder chondromalacia patellae. (Rating: 0.00 Votes: 0)

24. Postgraduate Medicine: Identifying Structural Hip And Knee Problems
present. patellofemoral disorders are most common in young women whohave loose ligaments, valgus knees, and femoral anteversion. Peak
http://www.postgradmed.com/issues/1999/12_99/skinner.htm
Identifying structural hip and knee problems
Patient age, history, and limited examination may be all that's needed
Harry B. Skinner, MD, PhD; Joseph E. Scherger, MD, MPH VOL 106 / NO 7 / DECEMBER 1999 / POSTGRADUATE MEDICINE CME learning objectives
  • To learn to sort structural hip and knee disorders by patient age
  • To review information to seek on history taking that will help identify specific hip and knee disorder
  • To examine treatment options for structural hip and knee disorders
This is the second of three articles on musculoskeletal problems Preview : There are abundant diagnostic possibilities when a patient presents with pain or dysfunction of the hip or knee. To help readers learn to recognize the various disorders, the authors briefly describe and illustrate those that are seen most often in a primary care office. The age of the patient is an important clue to diagnosis, and the authors discuss the disorders chronologicallythat is, with increasing age of the patient. They also summarize the latest treatments for each.
Skinner HB, Scherger JE. Identifying structural hip and knee problems: patient age, history, and limited examination may be all that's needed. Postgrad Med 1999;106(7):51-68

25. PillSupplier.com - Conditions And Diseases/Musculoskeletal Disorders/Chondromala
and patellofemoral disorders. Patellofemoral Syndrome rate it reviewit Information about this disorder, written by a patient.
http://www.pillsupplier.com/dir/1120/
Category: Chondromalacia
HOME ABOUT US ORDER STATUS BMI CALCULATOR ... CONTACT US Prescription Drugs Diet Pills Adipex Bontril Didrex ... Login Conditions and Diseases/Musculoskeletal Disorders/Chondromalacia
Links:

26. About Seniors Bookshop, Books For All!
patellofemoral disorders. By R. Biedert, John Wiley and Sons Ltd Publisher JohnWiley and Sons Ltd ISBN 0470850116 Format Hardback In Store Price $343.95
http://aboutseniors.seekbooks.com.au/PopCat.asp?storeurl=aboutseniors&PageNo=154

27. The Physician And Sportsmedicine: Managing Overuse Injuries: A Systematic Approa
studies (5,6) of running injuries have demonstrated that the majority of presentingproblems are related to overuse, with patellofemoral disorders being the
http://www.physsportsmed.com/issues/1997/05may/oconnor.htm
Managing Overuse Injuries: A Systematic Approach
MAJ Francis G. O'Connor, MD; LTC Thomas M. Howard, MD; Catherine M. Fieseler, MD; Robert P. Nirschl, MD, MS
THE PHYSICIAN AND SPORTSMEDICINE - VOL 25 - NO. 5 - MAY 97 In Brief: Cumulative, repetitive microtrauma can cause tissue damage that leads to overuse injuries, which constitute a large share of sports-related disorders. The authors explain their five-step approach to treating overuse injuries: establishing a pathoanatomic diagnosis, controlling inflammation, promoting healing, increasing fitness, and controlling tissue abuse. The case of a 28-year-old male runner with heel pain demonstrates their management of overuse injuries. D espite the benefits of exercise, many Americans are inactive or exercise at levels too low to derive cardiovascular benefit. The recent surgeon general's report on physical activity and health (1) and the National Institute of Health's Consensus Conference on Exercise and Cardiovascular Health (2) both encourage physicians to prescribe exercise for patients. All too often, however, individuals begin exercising enthusiastically, only to suffer from overuse injuries that force them to stop and seek medical attention. Physicians who understand the causes of overuse injuries and apply a sound strategy for diagnosis, management, and rehabilitation can effectively help such patients. Understanding "prehabilitation" is also important for physicians who want to prevent overuse injuries that might otherwise sabotage their patients' exercise programs.

28. Physical Exam Of The Knee
Gradual menisceal tear, collateral ligament injury, patellofemoral disorder. Painwith sitting (theater sign) patellofemoral disorder.
http://clinical.uthscsa.edu/handouts/ortho/knee_exam.htm
Physical Exam of the Knee
Mary OKeefe, MD - General Internal Medicine (Updated 8-00)
Contents:
History
Sudden, can’t carry on activities: ACL tear, patellar dislocation, large menisceal tears.
Gradual:  menisceal tear, collateral ligament injury, patellofemoral disorder.
Forced hyperextension: ACL tear.
Forced hyperflexion, blunt trauma to anterior knee: PCL tear.
Stress in on lateral aspect of knee:  MCL tear.
Stress out on medial aspect of knee:  LCL tear.
Twisting:  ACL, MCL, LCL, menisci, dislocate/sublux patella.
Pain with sitting (theater sign):   patellofemoral disorder.
Pain with twisting: ACL, menisci.
Locking, buckling: loose bodies, menisceal injuries and others.  Refer to ortho.
Swelling within hours of injury:   hemarthrosis and others.  Refer to ortho.
Observe:
Palpate:
Gait Prepatellar bursa (anterior patella) Valgus – knock-kneed Pesanserine bursa (antero-medial, inferior to joint line) Varus – bow-legged Infrapatellar tendon Muscle mass Joint line (tenderness consistant with menisceal injury) Erythema Patella Effusion Tibial tubercle (osgood-schlatter) Fibula (fracture) Ballottment Fluid milking
Range of Motion:
Normals:  Flexion 135 degrees. Extension degrees.

29. The Medword List - Medical Transcription Directory - The Medword List - Conditio
Knee Supports and Braces Knee braces designed to stabilize the patellafor chondromalacia and patellofemoral disorders. http//www
http://www.medwordlist.com/Conditions_and_Diseases/Musculoskeletal_Disorders/Cho
Top Level Conditions and Diseases Musculoskeletal Disorders : Chondromalacia Links:
  • Chondromalacia Patella
    Darla sports a Grade 4 osteochondral lesion on her patella and suffers from CP. Visit this site for some decent, practical CP information.
    http://www.lanchester.net/chondro/index.html
    (Added: Mon Jan 01 2001 Hits: 21 Rating: 0.00 Votes: ) Rate It
  • Chondromalacia Patellae
    Orthoseek article, with recommended exercises and information on prevention, treatment and the development of the disorder.
    http://www.orthoseek.com/articles/chondromp.html
    (Added: Mon Jan 01 2001 Hits: 24 Rating: 0.00 Votes: ) Rate It
  • Knee Supports and Braces
    Knee braces designed to stabilize the patella for chondromalacia and patellofemoral disorders.
    http://www.kneesupport.com/chondromalacia/
    (Added: Mon Jan 01 2001 Hits: 11 Rating: 0.00 Votes: ) Rate It
  • Patellofemoral Syndrome
    Information about Patellofemoral Syndrome, written by a patient. http://home.earthlink.net/~melicat95/gotknee.htm (Added: Mon Jan 01 2001 Hits: 10 Rating: 0.00 Votes: ) Rate It
  • The Patella and Chondromalacia Discussion of the anatomical abnormalities associated with chondromalacia. Includes diagrams and X-ray images.

30. SearchBug Directory: Health: Conditions_and_Diseases: P
327) Paresthesia (2) Parkinson s Disease (86) ParryRombergs Syndrome (4) Passive-AggressivePersonality Disorder (5) patellofemoral disorder (7) Pathologic
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31. Anterior Thigh/knee Pain Case Query
My feeling is that this patient may have a low grade inflammation of the left kneejoint as a result of a patellofemoral disorder, with subsequent swelling.
http://www.noigroup.com/noiboard/messages/93.html
anterior thigh/knee pain case query
Follow Ups Post Followup NOI Discussion Board Posted by Nicholas Lucas on March 03, 2000 at 10:41:13: 28 year old female patient, 20 wks pregnant, presents with:
buring/numbness in an area including the lateral aspect of the left knee and inferolateral thigh, and superior to the patella. From an extended position, the area extends 10cm superiorly from the patella and spreads superolaterally. The 'pain' is rated as 8/10. The pain feels like it is in the skin - "like a rash or cut". The patient also has objective knee swelling, especially obvious above the knee, with a positive patella tap sign and has a history of lateral dislocation at age 13. The current episode came on 4 months ago for no apparent reason. x-rays and ultrasound were NAD. The pain now comes on at rest, and prevents the patient from walking to the shop. Every now and then the patient also feeling a stabbing, shooting pain in the same distribution as described above. On examination, all orthopaedic tests of the knee were negative, however the patient was quite apprehensive when moving the patella and said 'it feels like it is going to pop out!' The patella is highly mobile and sits quite high on the femur. Specific tests of patella movement were equivocal, due partly to the discomfort they caused the patient. There is no doubt though that there is something going on locally, in the knee joint. However, the burning/numb feeling does not sound typical, and lightly squeezing the skin above the knee and on the lateral/inferior aspect of the thigh reproduces the patients burning pain. Sensory testing reveals a loss of light touch discrimination in the pain distribution. Also, the ability to discriminate between sharp and dull is lost in the same area. The right knee is normal, with no alteration in sensory function.

32. Re: Anterior Thigh/knee Pain Case Query
My feeling is that this patient may have a low grade inflammation of the left kneejoint as a result of a patellofemoral disorder, with subsequent swelling.
http://www.noigroup.com/noiboard/messages/102.html
Re: anterior thigh/knee pain case query
Follow Ups Post Followup NOI Discussion Board Posted by Megan Dalton Noi Group on March 21, 2000 at 10:19:39: In Reply to: anterior thigh/knee pain case query posted by Nicholas Lucas on March 03, 2000 at 10:41:13: : 28 year old female patient, 20 wks pregnant, presents with:
: buring/numbness in an area including the lateral aspect of the left knee and inferolateral thigh, and superior to the patella. From an extended position, the area extends 10cm superiorly from the patella and spreads superolaterally. The 'pain' is rated as 8/10. The pain feels like it is in the skin - "like a rash or cut". The patient also has objective knee swelling, especially obvious above the knee, with a positive patella tap sign and has a history of lateral dislocation at age 13. The current episode came on 4 months ago for no apparent reason. : x-rays and ultrasound were NAD. : The pain now comes on at rest, and prevents the patient from walking to the shop. Every now and then the patient also feeling a stabbing, shooting pain in the same distribution as described above. : On examination, all orthopaedic tests of the knee were negative, however the patient was quite apprehensive when moving the patella and said 'it feels like it is going to pop out!' The patella is highly mobile and sits quite high on the femur. Specific tests of patella movement were equivocal, due partly to the discomfort they caused the patient. There is no doubt though that there is something going on locally, in the knee joint.

33. Dr. Ed's Sports Medicine Center : Knee Injuries
Anatomy and function; Mechanism of injury; History; Diagnosis; Treatment options;Surgical considerations; Gender differences. 7. patellofemoral disorders.
http://www.sportsmed.info/sportsmed/knee.html
Topics 1. Perspective on knee injuries 2. Anatomy 3. Evaluation of injury 4. Knee ligament injury
  • Stabilizing structures
    Mechanism of injury
    Classification of knee sprain Treatment
    Symptoms of chronic knee disability
    Role of knee braces
5. Meniscus Disorders
  • Anatomy and function Meniscus tears
    • mechanism of injury diagnosis
      treatment
      arthroscopy
    6. Anterior Cruciate Ligament
    • Anatomy and function Mechanism of injury History Diagnosis Treatment options Surgical considerations Gender differences
    7. Patellofemoral disorders
    • Anatomy Biomechanical factors Clinical problems:
      • patellofemoral syndrome tendinitis patellar subluxation/dislocation treatment
      8. Bursitis

34. Dr Abdulhalim Badr
The Role of the Tibial Tubercle in patellofemoral disorders F. AlanBarber, MD, FACS Medscape report on ISAKOS Conference 1999 (knee);
http://groups.msn.com/DrAbdulhalimBadr/orthopaedictopics.msnw
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  • Orthopaedic Surgery Topics
    Topics are grouped, on these pages, under the following subheadings These topics are often the product of a seminar or local teaching event, often prepared by a resident, or a research report. We have also added abstracts from scientific meetings such as the AAOS.
    The exception is Dr Wheeless' hypertext , a major attempt to cover all orthopaedic topics in one site with internal links and references. It is probably the place you should go first. The Main Menu will give you entry to this outstanding site.
    NEW ADDITIONS (ALSO PLACED ON INDIVIDUAL TOPICS PAGES)
  • 35. SLCentral Directory - Health - Conditions And Diseases - P
    Aggressive Personality Disorder@ (5); patellofemoral disorder@ (7); PathologicNystagmus@ (6); Pathological Gambling@ (74); PCC Deficiency@ (4
    http://www.slcentral.com/directory/index.php/Health/Conditions_and_Diseases/P/
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  • 36. Yes Medical Information On Ailments, Personal And Family Health Matters - Yes Me
    Disorder (5); patellofemoral disorder (7); Pathologic Nystagmus (6);Pathological Gambling (74); PCC Deficiency (4); Pectus Excavatum
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  • 37. Tech-Wise Publications Aug 99- Childhood Patella Malalignment/Instability
    patellofemoral disorders are one of the most common knee pathology encounteredin orthopedic and sports medicine. Recurrent dislocation
    http://www.ahfmr.ab.ca/hta/hta-publications/techwise/aug99/8.shtml
    Tech-Wise Publications Aug 99- Childhood patella malalignment/Instability
    ISSUE NO.13 August 1999
    Childhood patella malalignment/Instability
    The procedure in question involves an arthroscopic lateral release and partial quadriceps tendon release in addition to thermal shrinkage on the medial side of the patella using a heated probe. Patellofemoral disorders are one of the most common knee pathology encountered in orthopedic and sports medicine. Recurrent dislocation of the patella is a disorder with a complex etiology since the forces acting on the patella are intricate. It is mainly a disorder of adolescence and rarely occurs in children younger than 12 years old. Approximately 30% of the patients have a family history of a patellofemoral joint problem. Studies of this condition in children are rare and there are few clinical and radiological guidelines for the selection of a particular procedure. No clinical studies were found comparing arthroscopic to surgical procedures for the treatment of patellar instability in children. There is no operative treatment that is universally applicable to cases of dislocation or subluxation. No studies were located that presented findings on the use of heat probes or lasers to shrink patella ligaments.
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    38. Chondromalacia - General Health Information
    for chondromalacia. Knee braces designed to stabilize the patella forchondromalacia and patellofemoral disorders. http//www.kneesupport
    http://www.allhealthlinks.com/dir/831/1/11.php
    Chondromalacia - General Health Information
    Chondromalacia - General Health Information
    Chondromalacia
    Chondromalacia General Health Information Chondromalacia
    Home Conditions and Diseases Musculoskeletal Disorders > Chondromalacia Allhealthlinks Directory is a human edited directory, which only includes quality sites that we have approved, in the interest of creating a comprehensive directory of quality health resources.
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    39. Arthritis Research Campaign | The Assessment & Management Of Knee Problems
    For instance ‘my knee gives way, and it locks’ more often reflectsa patellofemoral disorder than a cruciate or meniscal problem.
    http://www.arc.org.uk/about_arth/med_reports/series3/pp/6340/6340.htm

    scotland + n. ireland

    north
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    ...
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    Steve White DM FRCS
    Consultant Orthopaedic Surgeon
    Oswestry
    Shropshire SY10 7AG
    INTRODUCTION
    Advances in arthroscopy and knee replacement have led to high expectations and unprecedented demand. The knee is the most commonly injured joint and can often be treated conservatively, but many doctors, including consultants, frequently get the diagnosis wrong on first seeing a patient. Accurate identification of patients who need an orthopaedic opinion is needed. The aim of this report is to clarify history-taking and examination of the painful knee and to indicate appropriate management.
    THE HISTORY
    In acute knee injuries the history is all important. For example , is typical of rupture of the anterior cruciate ligament (ACL): examination in such instances is limited due to swelling and guarding. The average delay in diagnosis is over 18 months! In contrast, examination is more revealing in patients with chronic knee problems when the joint is nicely relaxed. Indeed, it is the history which may be misleading. For instance

    40. Knee Pain In A Young Football Player (a Case Study)
    Other possibilities include, discoid miniscus, patellofemoral disorder in a dislocation,medial patellar retinaculum symptoms, plica syndrome, and iliotibial
    http://whs.wsd.wednet.edu/Faculty/Blair/sportsmed/Gurnard
    Knee Pain in a Young Football Player (a case study)
    The Physician and Sports Medicine
    Volume 22, Number 2 (January 1994)
    Scott A. Magnes, MD and Andrew Feldman, MD
    Abstact
    A 13 year old boy who has sustained a left lateral knee contusion while playing football, followed 2 weeks later by a mild knee blow inflicted bu a school bully. X-rays revealed an osteogenic sarcoma. This case illustrated the importence of the affected extremity when the diagnosis in doubt.
    The possibilites in injury are, a lateral collateral ligament strain or tear, physeal plate fracture, or a possible ACL,PCL, or lateral maniscus tear. Other possibilities include, discoid miniscus, patellofemoral disorder in a dislocation, medial patellar retinaculum symptoms, plica syndrome, and iliotibial band friction syndrome.
    Test results, by X-ray, demonstrate a permative bone lesion on the lateral aspect of the distal femur and a Codman's triangle superiorly-a trianglular area where the posterium, elevated by the bone tumor, rejoins the cortex of a normal bone. A CT scan showed a permative lesion of the postrolateral aspect if the distal femur extending into the soft tissue and raising the cortex laterally. A bone scan was normal, with the eception of greatly increased uptaske at the distal femur.
    The differential diagnosis is a malignant tumor, or ostiogenic sarcoma. The reason for the differential diagnosis is the athletes sex and age. This usually occurs in males from the ages from 10-20. These tumors may be secondary to trama or exposure to radiation. This tumor occurs in the metaphyseal area of lomg bones- the sight of the patients problem. Upper femur and proximal tibia, and the hemerus. The patient will experiance pain, swelling, and weight loss. In this case there was none.

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