click below
click below
Normal Size Small Size show me how
Patellofemoral
Patellofemoral Syndrome Chondromalacia Patella
Question | Answer |
---|---|
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 |