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Patellofemoral

Patellofemoral Syndrome Chondromalacia Patella

QuestionAnswer
patella femoral syndrome aka chondromalacia patella patellar tracking dysfunction, softening of the articular cartillage, patella is pulled too far laterally w/ each knee extension under load
causes of patellofemoral syndrome increased Q-angle due to distortion in femoral head, malposition of hip,tibia,patella, or leg deformity
cause of pfs chondropat synd patella alta>high riding patella outside the groove for more of the ROM of the knee
causes of patellofemoral syndrome tibia vara, genu recurvatum
causes of patellofemoral syndrome soft tissue restrictions> lateral reticulum tightness,tightness of ITB, tight hamis,quads,gastroc,popliteus
causes of patellofemoral syndrome reduced lateral patellar stabilization due to insufficiency of vastus medialis
signs and symptoms of patellofemoral syndrome gradual onset of pain, pain is felt in generalized area over the medial aspect of the patella
signs and symptoms of patellofemoral syndrome pain increases w/ patellofemoral compression, ex.descending stairs
signs and symptoms of patellofemoral syndrome patellar malalignment,grating sounds,swelling,tenderness to deep palpation of back of medial side of patella
signs and symptoms of patellofemoral syndrome patellar discomfort during provacative tests, maintaing inferior glide of patella during quad contraction w/ knee held @ 30 degrees of flexion
treatment of chondromalacia patella deep tissue massage to quads,hamis,TFL,ITB, medial and lateral patellar retinacula,gastrocs
treatment of chondromalacia patella myofascial work to muscles radiating from the hip region and to foot and leg fascia
treatment of chondromalacia patella strengthen the vastus medialis, straight leg raising(w/ & w/out femur externally rotated, hip adduction exercises, short arc quad exercises, weight-bearing training
treatment of chondromalacia patella stretchimng all musculature using tense and relax
treatment of chondromalacia patella avoid activities that produce high/prolonged patellofemoral compressive loads
treatment of chondromalacia patella wearing knee braces or taping
treatment of chondromalacia patella surgery in cases that don't respond to conservative treatment, loosening a tight latereral retinaculum, reducing Q angle by moving the attachment of the patellar tendon medially, tightening the medial structures of the extensor mechanism
Created by: sarahnyc79
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