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Anterior knee pain: a review
J W Cutbill1, K O Ladly, R C Bray
1Sport Medline Centre, University of Calgary, Alberta, Canada.
Summary
Limited consensus exists on anterior knee pain definition and classification. Developing consensus guidelines for anterior knee pain management is crucial for standardized assessment and treatment.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation Science
Background:
- Anterior knee pain is a common condition with diverse etiologies.
- Current literature lacks a unified approach to its definition, classification, and management.
Purpose of the Study:
- To assess the level of consensus in the scientific literature regarding anterior knee pain.
- To identify areas needing standardized guidelines for definition, classification, assessment, diagnostic testing, and management.
Main Methods:
- A comprehensive literature search was conducted for articles on anterior knee pain from 1988-1995.
- Seventy-seven relevant references were reviewed for consensus on key clinical areas.
- Statements were extracted and grouped to identify areas of agreement and divergence.
Main Results:
- The literature on anterior knee pain is largely subjective with limited expert consensus.
- No universally accepted definition or classification for anterior knee pain exists.
- Partial agreement was found in assessment and diagnostic testing, but objective management criteria are lacking.
Conclusions:
- The scientific literature on anterior knee pain is sparse and lacks consensus.
- There is a clear need for developing consensus guidelines for anterior knee pain.
- Standardized guidelines could improve diagnostic efficiency, treatment protocols, patient satisfaction, and prevention strategies.