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Related Experiment Video

Updated: May 20, 2026

Clinical Effects of Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment
04:57

Clinical Effects of Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment

Published on: April 26, 2024

Management of a difficult knee problem.

Jenny McConnell1

  • 1McConnell and Clements Physiotherapy, 4 Bond Street, Mosmann, NSW 2088, Australia. jennymcconnell@bigpond.com

Manual Therapy
|July 4, 2012
PubMed
Summary

Physiotherapy effectively managed chronic disabling patellofemoral pain in a complex case. A patient with severe knee pain and patellar instability regained function and experienced symptom resolution after consistent treatment.

Related Concept Videos

Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Chronic disabling patellofemoral pain and instability significantly impact patient function and lifestyle.
  • Recalcitrant cases often present diagnostic and therapeutic challenges, with treatments sometimes exacerbating symptoms.
  • Understanding the underlying source of pain is crucial for effective management.

Observation:

  • A 40-year-old patient presented with bilateral patellofemoral symptoms, including severe right knee pain and left patellar subluxation, alongside left hip pain.
  • Initial magnetic resonance imaging (MRI) revealed marked patellar tendon redundancy, leading to patella baja (infera).
  • The patient experienced severe functional limitations, struggling even with basic ambulation.

Findings:

  • After two years and ten physiotherapy treatments, the patient demonstrated remarkable functional recovery, resuming tennis after 25 years.
  • Follow-up MRI confirmed complete resolution of patella baja (infera), suggesting improved quadriceps function.
  • Resolution of subchondral bone marrow edema at the lateral patellar facet was also observed, indicating reduced inflammation.

Implications:

  • This case highlights the significant effectiveness of persistent physiotherapy in managing complex, chronic patellofemoral pain and instability.
  • Clinicians should persevere with challenging musculoskeletal conditions, as substantial patient recovery is possible.
  • Successful management leads to profound improvements in patient quality of life and functional capacity.

Related Experiment Videos

Last Updated: May 20, 2026

Clinical Effects of Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment
04:57

Clinical Effects of Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment

Published on: April 26, 2024