ANTERIOR KNEE PAIN American Osteopathic （前膝盖疼痛美国骨科）.pdf

ANTERIOR KNEE PAIN Anne Rex-Torzok, D.O. Primary Care Sports Medicine Physician Cleveland Clinic Sports Health Anterior Knee Pain (AKP) Outline •  Terminology •  Anterior Knee Pain DDx •  Anatomy Review and Patellofemoral Biomechanics •  Clinical Assessment –  History and Physical Exam Findings •  Diagnostics •  Review of Common AKP Diagnoses –  Patellofemoral Instability: Patellar Dislocation, Subluxation –  Patellofemoral Pain Syndrome (PFPS) –  Patellar Tendinitis –  Osgood Schlatter, Sinding-Larsen-Johansson –  Synovial Impingement Syndromes –  Bursitis Anterior Knee Pain l 2 Terminology •  Anterior Knee Pain (AKP) –  Nonspecific term which encompasses many diagnoses. –  Pain can be generated from variety of anatomic structures. –  May include Patellofemoral Pain within differential. •  Chondromalacia Patella –  Found infrequently in the skeletally immature. –  It is a diagnosis of degenerative change, usually it is reserved as a surgical finding •  Patellofemoral Pain Syndrome (PFPS) –  Indicating pain from the patellofemoral articulation itself. –  Pain typically peripatellar, retropatellar in nature. –  Cause is not clearly understood and may have multiple origins. Anterior Knee Pain l 3 1 Anterior Knee Pain Differential Diagnosis •  More Common Causes •  Additional Causes… –  Patellofemoral Pain –  Tumor –  Patellar Tendonitis –  Trauma –  Osteochondroses (OSD,