Patellofemoral Pain Syndrome GOLD

Question 1

What causes Patellofemoral Pain Syndrome (PFPS)

Answer 1

Due to abnormal tracking between the patella and femoral condyles.

Question 2

What direction is the Patella most inappropriately tracked in?

Answer 2

Patella pulled too far laterally during knee extension.

Question 3

Are female or males more affected?

Answer 3

Females

Question 4

Most common patient history provided for PFPS

Answer 4

Patients reports gradual onset of anterior knee pain following an increase in physical activity.

Question 5

Where is pain typically felt?

Answer 5

Pain felt behind the knee (retropatellar pain)

Question 6

What positions or activities increase PFPS?

Answer 6

Stair climbing. squating, jumping

Prolonged static positions (sitting with knee flexed to 90 degrees; sitting in car, plane theatre)

Question 7

What other condition may this be interrelated with?

Answer 7

Chondromalacia

Question 8

What special tests can be used to confirm diagnosis?

Answer 8

Clarke’s Sign

Question 9

What is normal Q angle for males and females?

Answer 9

Males = 13 degrees
Females = 18 degrees

Question 10

How is Q angle associated with the prevalence of PFPS?

Answer 10

Patients with PFPS tend to have a larger Q angle. Cough Cough Females .

Question 11

What patellar glide direction is most beneficial?

Answer 11

Medial glides, to increase the flexibility of the lateral fascia

Question 12

What activity should be avoided when exercising with this patient?

Answer 12

Deep squats as this can aggravate patients condition