Chondromalacia Patella

Question 1

What is chondromalacia patella

Answer 1

Anterior knee pain due to physical and bio mechanical changes, this being the articular cartilage of the posterior surface of the patella; softening, swelling, fraying, erosion.

Question 2

Epidemiology and risk factors of chondromalacia patella

Answer 2

Patellafemoral contact
Trauma to the chondrites of the articular cartilage
Instability of patella
Young athletic
Overuse
Too much stress on knee
Affects women more than men
Muscles tightness in the quads and hammies.
Runners knee
Fracture or discloatuon

Question 3

Systemic effects of chondromalacia patella

Answer 3

Disability affecting the short term participation of daily physical activities
Muscle weakness
Altered gait
Physiological affects
Joint degeneration

Question 4

Pathology of chondromalacia patella

Answer 4

Cartilage softening on the underside of the kneecap. Starts in the middle, medial patellae facet
Can be reversible but could progress to advanced patella femoral arthritis due to fragmentation

Question 5

Differential diagnosis of chondromalacia patella

Answer 5

Patella femoral syndrome
Patella tendinipathy
Patella femoral pain
Patella subluxation
Oa
Ra anterior knee pain

Question 6

Treatment of chondromalacia patella

Answer 6

Isometric experience to strength quads
Stretches for hamstring
NSAIDs
Corticosteroids
Lifestyle modifications
Physical therapy to loosen
Patella taping

Question 7

Clinical presentation of chondromalacia patella

Answer 7

Affects one side of the joint
Anterior knee pain
Worse with daily activities that load the joint
Tenderness palpating the miedal or lateral border
Crepitus, felt in motion in both flexion and extension minor swelling
Weak vast sums medial is and longus, high Q angle
Quadriceps strength deficit