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Patellofemoral Pain Syndrome.

David Y Gaitonde1, Alex Ericksen1, Rachel C Robbins1

  • 1Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA, USA.

American Family Physician
|January 12, 2019
PubMed
Summary
This summary is machine-generated.

Patellofemoral pain syndrome (PFPS) causes anterior knee pain, worsening with weight-bearing and prolonged sitting. Treatment focuses on rest, NSAIDs, and physical therapy for muscle strengthening.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Patellofemoral pain syndrome (PFPS) is a prevalent cause of anterior knee pain in adolescents and adults under 60.
  • The condition affects 3-6% of the US population, characterized by pain during knee flexion under load.
  • Symptoms are exacerbated by prolonged sitting and descending stairs, with squatting often eliciting the most pain.

Purpose of the Study:

  • To summarize the clinical presentation, diagnosis, and management of patellofemoral pain syndrome.
  • To highlight key diagnostic findings and differentiate PFPS from other knee pathologies.
  • To outline current evidence-based treatment strategies for PFPS.

Main Methods:

  • Review of clinical presentation and physical examination findings.
  • Discussion of diagnostic imaging utility and limitations.
  • Summary of conservative and surgical treatment options.

Main Results:

  • PFPS is diagnosed based on characteristic anterior knee pain aggravated by specific activities.
  • Physical examination, including gait and posture assessment, aids in identifying contributing factors.
  • Plain radiographs are typically not required for diagnosis but can rule out other conditions.

Conclusions:

  • Conservative management, including rest, NSAIDs, and targeted physical therapy, is the primary treatment for PFPS.
  • Strengthening of hip flexor, trunk, and knee muscles is crucial for rehabilitation.
  • Surgery is reserved as a last resort for refractory cases.