Knee Pain, Knee Injuries And Iliotibial Band Syndrome The diagram to the right shows the anterior (front) view of the right There are two main causes of knee pain associated with iliotibial band syndrome. http://www.strengthcats.com/SHBknee-pain.htm
Extractions: of Knee Injuries and Iliotibial Band Syndrome! Knee pain and knee injuries, as a result of Iliotibial Band Syndrome, can be an extremely painful and frustrating injury that puts a big strain on both the knee and hip joints. Knee injuries are very common among runners and cyclists. However, they doesn't usually occur in an instant, like a hamstring strain or groin pull, but commonly starts off as a twinge or niggle, and progress quickly to a debilitating sports injury that can sideline the best of us for weeks. For those who aren't familiar with Iliotibial Band Syndrome, let's start by having a look at the muscle responsible for the problem. The iliotibial band is actually a thick tendon-like portion of another muscle called the tensor fasciae latae. This band passes down the outside of the thigh and inserts just below the knee. The diagram to the right shows the anterior (front) view of the right thigh muscles. If you look towards the top left of the diagram, you'll see the tensor fasciae latae muscle. Follow the tendon of this muscle down and you'll see that it runs all the way to the knee. This thick band of tendon is the iliotibial band. Or iliotibial tract, as it is labelled in the diagram.
Extractions: (advertisement) Synonyms, Key Words, and Related Terms: anterior knee pain, chondromalacia patella, patellalgia, patellar compression syndrome, patellofemoral dysfunction, patellofemoral pain syndrome, peripatellar knee pain, retropatellar knee pain, global or generalized knee pain, joint line pain, posterior knee pain Background: Patellofemoral joint complaints are one of the most common musculoskeletal complaints in all age groups. Complaints vary from anterior knee pain to peripatellar knee pain to retropatellar knee pain. Nonspecific complaints may include global or generalized knee pain, joint line pain, or posterior knee pain. Often, there is a paucity of objective findings despite subjective complaints. The problem may vary from one of short duration to one of a recurrent or chronic nature. The etiology of patellofemoral joint syndrome is multifactorial. Treatment often is conservative in nature. Because of the variable nature of the complaints and often lack of objective identifiable pathologic cause of patellofemoral joint complaints, it can be difficult to evaluate, diagnose, and treat this condition, which may cause great frustration for the physician and patient alike. Frequency:
Patellofemoral Pain Syndrome Patellofemoral pain syndrome. Patellofemoral pain is a common ailment affecting one in four of characterized by a diffuse ache in the area of the anterior knee. http://www.bfe.org/protocol/pro01eng.htm
Extractions: Maureen A. Leeson, B.App.Sc.(Phty) Introduction Patellofemoral pain is a common ailment affecting one in four of the general population(6). It is caused by a variety of factors including abnormal lower limb mechanics, Vastus Medialis Obliquus (VMO) insufficiency, tight lateral structures and tight anterior and posterior muscles. The condition often develops gradually and is characterized by a diffuse ache in the area of the anterior knee. Pain is a significant factor since it will inhibit muscular activity and alter lower limb function. Anterior knee pain is often diagnosed as chondromalacia patella(2). This diagnosis is only correct when a softened and fissured patellar under-surface is seen during diagnostic imaging or surgery(2). Often, no cartilaginous pathological findings are present in patients who otherwise complain of severe knee pain and functional disability, especially during prolonged sitting, stair climbing or sporting activities. The VMO muscle is the dynamic medial stabilizer of the patella. Therefore it is important to understand the anatomy and function of the VMO when treating patients with patellofemoral dysfunction. The fibers of the VMO insert into the patella at an angle of 50-55 degrees from the vertical axis(10)(see figure 1). The VMO is active throughout the full range of extension of the knee and is the only dynamic medial stabilizer of the patella(4). Insufficiency of the VMO will contribute to lateral tracking of the patella(3). Training the VMO is important to prevent lateral tracking of the patella and eliminate patellofemoral dysfunction.
Knee Pain Occurrence And Prevention - Part 2: Chronic Knee Pain may encounter a condition known as illiotibial band syndrome (ITBS as chondromalacia, patellofemoral pain is described as chronic, diffuse anterior knee pain. http://www.bodyresults.com/E2KneePain2.asp
Extractions: By Anne C. Terry, RN, MSN, ARNP This is the second in a three-part series on knees. Knee injuries can happen to any active outdoor enthusiasts, particularly those who participate in high force activities such as skiing, snowboarding and jumping sports, climbing, and sports involving lateral or sprinting movements such as soccer, rugby, football, basketball and lacrosse. In December, Annie Terry, RN, MSN, ARNP discussed acute (sudden onset) knee pain including ligament strains, meniscal tears and patellar dislocations (see Part 1 www.bodyresults.com/E2KneePain1.asp ). This month she takes a closer look at chronic knee pain associated with overuse. February we will feature a series of sport-specific free weights leg exercises and stretches that will help you recover from and prevent future recurrence of knee pain. Patients (particularly runners) that experience chronic pain on the outside of the knee may encounter a condition known as illiotibial band syndrome (ITBS). In this condition, patients feel a burning and/or aching pain over the exterior surface of the knee. This pain often radiates up towards the outside of the thigh. Management is conservative, involving rest, stretching, and as needed, use of NSAIDs for pain. Additional treatment strategies include replacing worn shoes, using orthotics, and avoiding exercise on uneven terrain. (3,4)
Extractions: The following paper aims at outlining the most common causes of anterior knee pain of which are commonly grouped into the category of Patellofemoral Pain Syndrome. Due to the enormity of the topic at hand acute injury related to trauma will be omitted. The purpose of the literature review is to briefly outline current concepts in the understanding of conditions, and the discussion will highlight details with respect to differential diagnosis. It is assumed that the reader has previous knowledge of knee biomechanics, as these will be briefly intimated in the formulation of etiological factors. A major limitation of this paper is the lack of inclusion of treatment strategy, largely due to the brevity of the paper in relation to size of the topic. Back to index.
Extractions: Disease Injury Nutrition Poison ... Prevention Anterior knee pain Alternative names: Knee pain - runner's condition; Patellofemoral stress syndrome Definition: Knee pain caused by misalignment of the patello-femoral joint (where the kneecap articulates with the end of the thigh bone). Considerations: Orthopedists commonly see people with anterior knee pain, or pain in the front of the knee.This condition is common in young women, especially active women. Physical examination of the knee may show valgus alignment of the knees (knock-kneed).The inside of the patella (knee cap) may be tender and the patella may be able to be moved sideways away from the midline more than 50% of the width of the patella (an abnormal finding). Tests that may be performed include: Causes: Anterior knee pain is most commonly seen in people with valgus knees (knock-knees) and in those with weak muscles around the patella.These conditions often occur together and result in an abnormal tracking between the patella and the end of the femur, which can be painful.
Extractions: The majority of knee injuries in adults are of a ligamentous nature. In children, however, a bloody effusion after injury frequently indicates bony injury. Determination of Radiographs . Only 5% to10% of persons with knee trauma have a fracture. Guidelines have been established to hep determine who should have a radiograph. Use clinical judgment, however. Ottawa Knee Rules . 97% sensitive and 27% specific for fracture. X-ray those who Are age 55 or older Have tenderness at head of fibula Have isolated tenderness of patella Have inability to flex knee to 90 degrees Have inability to walk four weight-bearing steps in the ED Pittsburgh Decision Rules . 99% sensitive and 60% specific for fracture Blunt trauma or fall as mechanism of injury plus either of the following Inability to walk four weight bearing steps in the ER Ligamentous Injuries Collateral ligament injury Typically caused by direct trauma to the contralateral side of the knee, or excessive indirect force to the knee in a varus or valgus manner.
KNEE PAIN IN ATHLETES 3 Lateral pain syndrome. anterior knee pain. Many people, of all ages and sporting activity, have pain generally located to the front (anterior) of the knee. http://www.kneeclinic.com.au/papers/ArthProcedures.htm
Extractions: Orthopaedic Knee Surgeon There are many knee operations that can be performed using an arthroscope. Most operations can be done as a day-case procedure although many patients require a period of muscle strengthening afterwards to obtain the best outcome. Below is an outline of the commonest "knee syndromes" and the arthroscopic procedures used to treat them. 1: Locked Knee A torn meniscus can displace into the knee joint causing a mechanical block to extension and resulting in pain and muscle spasm. The classic type of meniscal tear producing a locked knee is the "Bucket Handle" tear. The torn meniscus remains attached front and back allowing the central torn portion to flip into the knee joint like the handle of a bucket. As the pain and spasm reduce the displaced meniscus can drop back allowing the knee to move freely again. This mechanical "locking" of the knee can be an intermittent feature with symptomless periods of in-between episodes. The gradual onset of pain aggravated by twisting, squatting and catching your toe; as well as pain at night when you sleep on the side with legs together. This is typical of a cleavage tear of the medial (inner) meniscus which can intermittently be "pinched" by the knee joint as it flexes or twists suddenly. In-between episodes the torn portion of meniscus can fold away under the untorn meniscus and the knee become pain free.
Extractions: Index Keywords Pages Australian Knee Clinic ... Smarts using IP created by The Australian Knee Clinic web site is about the following topics of interest: knee pain, patella tendonitis, knee meniscii, bone, sydney knee clinic, knee replacement, knee pain, osteotomies, knee articular cartilage, orthopaedic surgery, prepatella bursae, nsw knee clinic, sports doctor, australia, arthritis, knee patella problems, subperiostal haematoma, australian knee doctor, chondromalacia patella, australian sports medicine, assessment of knee problem, assessment, patient, meniscus, treatment, knee injury management, epiphyseal injuries, australian knee treatment, new south wales, knee injury in sports, knee doctor, australian knee expert, knee problem assessment, articular, replacement, sports medicine, acute tissue injury, meniscal lesions, information, dislocated knee. Visit Examination of the Knee: Australian Knee Clinic provides informations for treatment, reconstruction and rehab programs of knee injuries, sport injuries, harmstring injuries and other related knee problem.
Knee Pain (Anterior) Referral Guideline knee pain localized to the anterior portion of the knee, either retropatellar education (refer patient to PT for Retropatellar pain syndrome (RPPS) Class). http://www.mamc.amedd.army.mil/referral/guidelines/pt_kneeant.htm
Extractions: Acute Low Back Pain Ankle Sprain Cervical Pain/Stiffness Knee Pain (Anterior) Knee Pain (Traumatic) Plantar Fasciitis Shoulder Bursitis/Tendonitis/ Impingement Syndrome Shoulder Dislocation ... MAMC Intranet or MAMC Internet Referral Guidelines Guideline Updated: November 2002 Specialty: Orthopedics , Physical Therapy Please also see the Knee Clinical Standard History and physical examination. Plain films not required. NSAIDs. Avoidance of aggravating activities; profile for active duty soldiers. Strengthening exercises for quadriceps, stretching exercises for quads, hamstrings, and calf muscle.
Extractions: Phase I Clinical Goals: Testing: Exercises: A.Control of pain and inflammation Application of ice bags or ice cups three to four times per day for ten to twenty minutes. Modalities such as high volt electrical stimulation and ultrasound/ice massage contrast may be of benefit in this phase of rehabilitation on a limited basis For patients with patellar tendonitis : deep transverse friction massage should be performed over the tender aspect of the patellar tendon for ten minutes one time per day. The patient should glide the patella distally toward the foot. The massage should be directed perpendicular to the patellar tendon using the thumb. The massage will serve to reduce the unorganized alignment of collagen fibers and break up scar tissue during the healing process. This will allow equal stress across the patellar tendon during muscle contraction and will help achieve normal length and strength of the patellar tendon. Non-steroidal anti-inflammatory medications as prescribed by their physician.
The Knee Foundation - Anterior Knee Pain Course Wilson s/Medial compartment test; plica syndrome; plica test; Movie goer s knee ; O Connor s sign. 12.30 12.45 pm, Surgery for anterior knee pain Options; is http://www.kneefoundation.com/html/courses/physios/akp.html
John Murtagh Patient Handout Series - Australian Doctor Air Travel Preventing DVT anterior knee pain Bacterial meningitis Palsy Bow Legs and Knock knees Black Tongue Irritable bowel syndrome Kidney stones Lipomas http://www.nevdgp.org.au/ginf2/murtagh/PatientHandout.htm
Intraosseous Hyperpressure Of The Patella As Cause Of Knee Pain This condition, mainly demonstrated by anterior knee pain, was named intraosseous engorgementpain syndrome. Similar to avascular necrosis of the femoral head http://www.medscape.com/viewarticle/408493
SCSM - Knee Injuries Patellofemoral pain syndrome is a clinical definition and not a per se correlate to the pain symptoms a consensus on treatment of anterior knee pain cannot be http://www.scsm.co.uk/clinical/clinical_gpknee.html
Extractions: ^ No menu? Please note that the material in these pages is presented as a general guide to sports injuries and should not be regarded as specific advice on any individual's injury, diagnosis or treatment. We welcome any general comments and suggestions about the content of these advice pages. Sudden pain and swelling after a sharp twisting movement should be suspected as an extensive injury with bleeding in the joint (haemarthrosis).
Knee Pain cf_0/g2603/0004/260300 anterior knee pain anterior knee painPatella Femoral syndrome anterior knee pain (patella femoral syndrome) is very common in athletes. http://www.muscleandjointpain.com/knee-pain.html
Australian Journal Of Physiotherapy South African Papers The treatment of patients with complex regional pain syndrome (CRPS) type 1 is University of South Australia) 2003 Prevalence of anterior knee pain among Young http://ptglobal.net/sajp/abst0301.html
Extractions: Volume 59, Number 1 Abstracts Berger P (Dipl Acup SA; Essence of Life Centre) 2003 Complex Regional Pain Syndromes (CRPS) Type 1: Validating Case Histories. South African Journal of Physiotherapy 59(1): 4 - 9 Key Words: Pain, Dysfunction, Electrical Stimulation, Acupuncture, Rehabilitation Wade BL (MSc (Psychology); University of South Africa), Shantall H M (D Litt et Phil; University of South Africa) 2003 The Meaning of Chronic Pain: A Phenomenological Analysis. South African Journal of Physiotherapy 59(1): 10 - 19 Chronic pain sufferers are frequently misunderstood and stigmatised. The aim of this investigation was to provide a description of the life-world of people with chronic low back pain, using the phenomenological method. Themes which emerged were that the persistent nature of chronic pain makes it particularly difficult to endure, arousing a profound fear of the future. Chronic pain causes a disruption in the relationship between the person and the body. The person is forced to function within the constraints of pain and to find ways of coping. Sufferers are unable to fulfil social roles as expected and are forced to revise their goals and activities to accommodate the pain. The distress of their experience is mediated by the ability to make sense of their condition, finding meaning in the pain itself. This study highlights the value of the phenomenological method in health psychology. Recommendations are made which may be of benefit to people with chronic pain and their families. The multidimensional nature of chronic pain is highlighted and implications for various professionals who work with chronic pain patients are discussed.
Extractions: Part II. Differential Diagnosis WALTER L. CALMBACH, M.D., University of Texas Health Science Center at San Antonio, San Antonio, Texas MARK HUTCHENS, M.D., University of Texas at Austin, Austin, Texas D etermining the underlying cause of knee pain can be difficult, in part because of the extensive differential diagnosis. As discussed in part I of this two-part article,1 the family physician should be familiar with knee anatomy and common mechanisms of injury, and a detailed history and focused physical examination can narrow possible causes. The patient's age and the anatomic site of the pain are two factors that can be important in achieving an accurate diagnosis (Tables 1 and 2) TABLE 1
Volume 23 (6) * June 2000 * Feature Article (abstract) Volume 23 (6) * June 2000 * Feature Article (abstract). A New Concept in the Treatment of anterior knee pain Patellar Hypertension syndrome. http://www.orthobluejournal.com/0600/6sch.asp
