PFPS

Question 1

Ticket muscle

Answer 1

Quads and GMe

Question 2

Risk factors

Answer 2

1. Young
2. Active
3. Weak quads
4. Weak hip abductors

Question 3

Pathogenesis

Answer 3

overuse, combo of weak muscles (quads, hip abductors, hamis) and a relative spike in PFJ. This creases excessive PFJ loading, tissue breakdown & synovitis creating an inflammatory reaction within PFJ.

Question 4

Presentation of PFPS

Answer 4

• Anterior knee pain worsened by loading
• patella pain
• pain in popliteal region
• aggravated by prolonged PFJ & vigorous PFJ loading
• spike in workload

Question 5

Physical features

Answer 5

• palp quads, ITB, patella (lateral facet)
• patella taping test
• McConnells test
• PFJ passive mvts

Question 6

Red flags

Answer 6

1. Perthes
2. SUFE
3. Hip OA

Question 7

Initial management

Answer 7

• optimise load
• manual therapy: quads massage (VL), PF mobilisations, gluteal massage (abductors), lumbar spine massage, hip adductor massage, hip IR MWM
• taping
• orthopaedics

Question 8

Rehab

Answer 8

1. restore quads strength
2. restore hip abduction strength
3. restore HS strength
4. restore functional strength
5. restore spring function
6. load management - 4/10