A 24-Year-Old Female with Anterior Knee Pain, Normal Looking Cartilage, and Mild Malalignment

Abstract Anterior knee pain is one of the main symptoms in osteoarthritis, resulting from the rich sensory innervation of its capsule. Pain control can be difficult to achieve, with non-responders to conservative and medical therapy often requiring a total knee replacement. Radiofrequency ablation (RFA) is a novel technique that could be beneficial in managing anterior knee pain by targeting the genicular nerves around the knee; however, its routine use is not included in current guidelines. A literature search identified fifty-two results, which underwent screening using a study protocol and the final literature sources, of varying levels of evidence, underwent critical appraisal and analysis. The primary outcome included the significant improvement of pain scores from baseline, against their respective control treatments. The ten studies included in the final analysis consisted of seven comparative studies and three non-comparative studies. Literature showed significant improvement in their mean pain scores, all meeting the primary outcome measure. Most studies also showed significant improvement from the control treatments used. Current literature shows evidence that genicular nerve RFA is an effective and safe treatment modality in the management of anterior knee pain secondary to osteoarthritis. However, the literature available is limited and further comparative studies are required.

Download Full-text

HP0018 The development of an integrated care pathway for the management of anterior knee pain in cornwall

10.1136/annrheumdis-2001.1293 ◽

2001 ◽

Author(s):

PJ Pender

Keyword(s):

Integrated Care ◽

Knee Pain ◽

Anterior Knee Pain ◽

Care Pathway ◽

Integrated Care Pathway ◽

Anterior Knee

Download Full-text

Anterior Knee Pain After Anterior Cruciate Ligament Reconstruction

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967120961082 ◽

2020 ◽

Vol 8 (10) ◽

pp. 232596712096108

Author(s):

Fabiano da Silva Marques ◽

Pedro Henrique Borges Barbosa ◽

Pedro Rodrigues Alves ◽

Sandro Zelada ◽

Rodrigo Pereira da Silva Nunes ◽

...

Keyword(s):

Patellar Tendon ◽

Knee Pain ◽

Anterior Knee Pain ◽

Ligament Reconstruction ◽

Cruciate Ligament ◽

Hamstring Tendon ◽

Tendon Graft ◽

Extension Deficit ◽

Anterior Cruciate ◽

Anterior Knee

Background: Anterior knee pain is a frequent condition after anterior cruciate ligament reconstruction (ACLR), but its origin remains uncertain. Studies have suggested that donor site morbidity in autologous bone–patellar tendon–bone reconstructions may contribute to patellofemoral pain, but this does not explain why hamstring tendon reconstructions may also present with anterior pain. Purpose: To evaluate the prevalence of anterior knee pain after ACLR and its predisposing factors. Study Design: Case-control study; Level of evidence, 3. Methods: We evaluated the records of all patients who underwent ACLR between 2000 and 2016 at a private facility. The prevalence of anterior knee pain after surgery was assessed, and possible risk factors (graft type, patient sex, surgical technique, range of motion) were evaluated. Results: The records of 438 patients (mean age, 30 years) who underwent ACLR were analyzed. Anterior knee pain was found in 6.2% of the patients. We found an increased prevalence of anterior knee pain with patellar tendon graft, with an odds ratio of 3.4 ( P = .011). Patients who experienced extension deficit in the postoperative period had an odds ratio of 5.3 of having anterior pain ( P < .001). Anterior knee pain was not correlated with patient sex or surgical technique. Conclusion: The chance of having anterior knee pain after ACLR was higher when patellar tendon autograft was used compared with hamstring tendon graft, as well as in patients who experienced extension deficit in the postoperative period.

Download Full-text