Physical Therapy

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By Vicente Sanchis-Alfonso

Clinically orientated and richly illustrated, this booklet offers entire assistance at the surgical and non-surgical administration of the anterior knee discomfort syndrome and is aimed toward orthopedic surgeons, activities drugs practitioners, knee experts and actual therapists.

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Additional resources for Anterior knee pain and patellar instability

Sample text

62 MRI is not a panacea and, what’s more, it gives rise to false positives. Patients’ great faith in technology and their skepticism regarding their doctors and an increasingly dehumanized medical practice has resulted in the failure of partial arthroscopic meniscectomies owing to a bad indication, in frustrated patients, and in the squandering of resources. In 1940, Karlson46 wrote the following about chondromalacia patellae: “The diagnosis is difficult to make and the differential diagnosis of injury to the meniscus .

Subluxation of the patella. J Bone Joint Surg 1968; 50-A: 1003–1026. Hughston, JC, WM Walsh, and G Puddu. Patellar subluxation and dislocation. In Saunders Monographs in Clinical Orthopaedics, vol. 5. Philadelphia: WB Saunders, 1984. Huston, LJ, ML Greenfield, and EM Wojtys. Anterior cruciate ligament injuries in the female athlete: Potential risk factors. Clin Orthop 2000; 372: 50–63. Insall, J. “Chondromalacia Patellae”: Patellar malalignment syndrome. Orthop Clin North Am 1979; 10: 117–127. 39.

We have also seen patients treated for a meniscal injury who really had isolated symptomatic PFM. In this connection it is important to point out that McMurray’s test, traditionally associated with meniscal pathology, can lead to a medial-lateral displacement of the patella and also cause pain in patients with PFM. Finally, it is worrying to see how many patients are referred to outpatient orthopedic surgery practices in our hospitals with an MRI-based diagnosis of a tear in the posterior horn of the medial meniscus who during clinical examination present with anterior knee pain and no meniscal symptoms.

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