Patellofemoral Dysfunction

Question 1

What is patellofemoral dysfunction?

Answer 1

Disorders of the patellofemoral articulation resulting in anterior knee pain

Question 2

What is patellofemoral dysfunction encompassing and synonymous with

Answer 2

-Chondromalacia patellae-Adolescent anterior knee pain -Lateral patellar compression syndrome

Question 3

Pathogenesis of patellofemoral dysfunction?

Answer 3

-Quadriceps muscle tends to pull the patella in slight lateral direction -Excessive lateral force produces anterior knee pain

Question 4

Which gender is more likely to get patellofemoral dysfunction?

Answer 4

Females-Wider hip, resulting in more lateral pull of quadriceps

Question 5

Predisposing factors?

Answer 5

-Adolescence -Female -Joint hypermobility -Genu valgum -Femoral neck anteversion

Question 6

Signs/symptoms of patellofemoral dysfunction?

Answer 6

-Anterior knee pain -Worse going down hill -Grinding or clicking sensation at front of knee -Stiffness after prolonged sitting: pseudolocking

Question 7

Treatment of patellofemoral dysfunction?

Answer 7

-90% improve with physiotherapy -Taping may alleviate -Surgery is last resort

Question 8

What does physiotherapy for patellofemoral dysfunction strengthen?

Answer 8

-Rebalancing quadriceps muscle -Strengthening mvastus medialis obliquus (VMO)