- What is the Patellofemoral syndrome
- Also called patellofemoral tracking disorder
- Various degenerative changes to the articular cartilage on the underside of the patella
- Contrubuting factors
- Abnormal biomechanics
- foot pronation, internal tibial rotation, internal femoral rotation —>increased Q angle
- A small, high – riding patella(patella alta)
- Tight lateral structures
- Vastus lateralis, lateral retinaculum, IT band and tensor fascia latae
- These increase the lateral pull on the patella
- Tight posterior and anterior structures
- Hamstrings, gastrocnemius, rectus femoris
- IF rectus femoris (Vastus lateralis), IT band, TFL are tight → Patella move laterally
- IF hamstrings and gastrocnemius are tight → Patella move posteriorly
- Knee injury
- Repeasted knee stress and overuse
- Abnormal biomechanics
- Symptomes
- Clicking and clucking
- Mild swelling
- A feeling of instability(like your knee may give away)
- Pain when squatiing or coming downstairs, Pain on kneeling
- Discomfort or pain when sitting for long periods ( going to the cinema or taking long airplane jurney)
- Orthopedic test
- Waldron’s test
- Clake’s test
- Mc Conell test
- Treatment
- Depends on condition
- If there is muscle weakness : strengthening(strengthening quadriceps, adductors)
- If there is muscle tightness : friction, fascia, tp, swedish massage, stretching (ex, vastus lateralis, it band, hamstrings, gastrocnemius stretching)
[…] Patellofemoral syndrome […]