scholarly journals Bilateral Patella Cartilage Debridement and Exercise Rehabilitation for Chondromalacia and Plica Syndrome: A Case Report

2021 ◽  
Vol 11 (9) ◽  
pp. 4078
Author(s):  
Jihong Park ◽  
Jingoo Kim ◽  
Bongseong Ko
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Outcome Measures ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Water Immersion ◽  
Sensory Level ◽  
Plica Syndrome ◽  
Functional Outcome Measures ◽  
Anterior Knee

A 41-year-old active (exercising >600 min per week) male without a surgical history complained of nine years of intermittent bilateral anterior knee pain after physical activity. He was diagnosed with bilateral chondromalacia (grade IV chondrosis) with plica syndrome, for which he underwent bilateral patella cartilage debridement with medial plica excision (additional removal of lateral retinaculum in the right knee). The patient then performed 12 weeks of an aggressive postoperative rehabilitation program. Each rehabilitation session consisted of disinhibitory modalities (sensory level of transcutaneous electrical stimulation and cryotherapy: focal knee joint cooling and cold-water immersion) and voluntary exercises (aerobic, resistance, and flexibility). During rehabilitation, pain perception, knee joint skin temperature and circumference, and functional outcome measures (Kujala anterior knee pain scale, International Knee Documentation Committee Score, and lower-extremity functional scale) were also recorded. While the patient’s pathology and surgical intervention were not extreme, progressions in the rehabilitation components and functional outcome measures in this clinical case could be used as a future reference for postoperative interventions. Additionally, surgery-induced inflammation seemed to last for four weeks.

scholarly journals Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review

2020 ◽  
Author(s):  
Mandala S. Leliveld ◽  
Michael H. J. Verhofstad ◽  
Eduard Van Bodegraven ◽  
Jules Van Haaren ◽  
Esther M. M. Van Lieshout
Keyword(s):  
Systematic Review ◽  
Functional Outcome ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Surgical Techniques ◽  
Anterior Knee

Experimentally Induced Anterior Knee Pain Results In Altered Knee Joint Kinetics

2005 ◽  
Vol 37 (Supplement) ◽  
pp. S144
Author(s):  
Anthony G. Schache ◽  
Kay M. Crossley ◽  
Tim V. Wrigley
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Joint Kinetics ◽  
Anterior Knee ◽  
Experimentally Induced

Knee-Extension Exercise’s Lack of Immediate Effect on Maximal Voluntary Quadriceps Torque and Activation in Individuals With Anterior Knee Pain

2012 ◽  
Vol 21 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Jihong Park ◽  
Terry L. Grindstaff ◽  
Joe M. Hart ◽  
Jay N. Hertel ◽  
Christopher D. Ingersoll
Keyword(s):  
Outcome Measures ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Controlled Trial ◽  
Weight Bearing ◽  
Knee Extension ◽  
Maximal Voluntary Isometric Contraction ◽  
Acute Changes ◽  
Knee Extension Exercise ◽  
Anterior Knee

Context:Weight-bearing (WB) and non-weight-bearing (NWB) exercises are commonly used in rehabilitation programs for patients with anterior knee pain (AKP).Objective:To determine the immediate effects of isolated WB or NWB knee-extension exercises on quadriceps torque output and activation in individuals with AKP.Design:A single-blind randomized controlled trial.Setting:Laboratory.Participants:30 subjects with self-reported AKP.Interventions:Subjects performed a maximal voluntary isometric contraction (MVIC) of the quadriceps (knee at 90°). Maximal voluntary quadriceps activation was quantified using the central activation ratio (CAR): CAR = MVIC/(MVIC + superimposed burst torque). After baseline testing, subjects were randomized to 1 of 3 intervention groups: WB knee extension, NWB knee extension, or control. WB knee-extension exercise was performed as a sling-based exercise, and NWB knee-extension exercise was performed on the Biodex dynamometer. Exercises were performed in 3 sets of 5 repetitions at approximately 55% MVIC. Measurements were obtained at 4 times: baseline and immediately and 15 and 30 min postexercise.Main Outcome Measures:Quadriceps torque output (MVIC: N·m/Kg) and quadriceps activation (CAR).Results:No significant differences in the maximal voluntary quadriceps torque output (F2,27 = 0.592, P = .56) or activation (F2,27 = 0.069, P = .93) were observed among the 3 treatment groups.Conclusions:WB and NWB knee-extension exercises did not acutely change quadriceps torque output or activation. It may be necessary to perform exercises over a number of sessions and incorporate other disinhibitory interventions (eg, cryotherapy) to observe acute changes in quadriceps torque and activation.

Fat pad excision in total knee arthroplasty does not affect functional outcome or anterior knee pain at 1 year follow-up

2018 ◽  
Vol 5 (1) ◽  
pp. 29-32
Author(s):  
Sameer Rathore ◽  
Nithin Vadlamudi ◽  
Yellati Lvsnr ◽  
A.H. Ashwin Kumar ◽  
Indukuri Viswanatha Reddy ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Functional Outcome ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Anterior Knee Pain ◽  
Fat Pad ◽  
Total Knee ◽  
Anterior Knee

scholarly journals Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain

2017 ◽  
Vol 03 (01) ◽  
pp. e9-e16 ◽  
Author(s):  
Paul Lee ◽  
Amy Nixion ◽  
Amit Chandratreya ◽  
Judith Murray
Keyword(s):  
General Practitioners ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Normal Structure ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Synovial Plica ◽  
Plica Syndrome ◽  
Anterior Knee

AbstractSynovial plica syndrome (SPS) occurs in the knee, when an otherwise normal structure becomes a source of pain due to injury or overuse. Patients may present to general practitioners, physiotherapists, or surgeons with anterior knee pain with or without mechanical symptoms, and the diagnosis can sometimes be difficult. Several studies have examined the epidemiology, diagnosis, and treatment of SPS. We review these resources to provide an evidence-based guide to the diagnosis and treatment of SPS of the knee.

scholarly journals Role of Magnetic Resonance Imaging in Evaluation Of Anterior Knee Pain

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y A Abbas ◽  
Y I Abdulkhalik ◽  
Y H Motlaq
Keyword(s):  
Knee Joint ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Complex Structure ◽  
The Body ◽  
University Hospital ◽  
Patellar Tendinopathy ◽  
Radiology Department ◽  
Male Predominance ◽  
Anterior Knee

Abstract Background The knee joint is one of the most commonly injured joints in the body. Because of its complex structure, this joint is subjected to numerous pathologies and due to the recent increase in various sport activities, there has been a parallel increase in sport-induced internal derangements of the knee. The main strength of knee MRI is the assessment of articular and Peri-articular diseases. The specific structures best suited for MRI assessment include tendons, muscles and ligaments, as well as peri-articular soft tissue masses. Objective The purpose of this study is to detect the accuracy of MR imaging as a diagnostic tool in the evaluation of different knee joint pathologies that cause anterior knee pain, with emphasis on some of their grades and types for better assessment. Methodology This study included 20 patients (6 female and 14 male). Their ages range between 10-60 years (average age 30 years). All presented by anterior knee pain and were referred to radiology department of Ain Shams University hospital or private centers for MRI examination after orthopedic consultation. Results 5% of the patients presented with anterior knee pain showed MRI evidence of patellar tendinopathy (66% below the age of 30 years and more in females). In all cases the hyperintense focal thickening was at the proximal third of the tendon, with the AP diameter of the patellar tendon greater than 8mm. In our results about 10% of the patients in the study sample, had MRI evidence of tear in the anterior horn of lateral knee meniscus with a female equal to male (50% females and 50% males). Cartilage injuries were detected in 5% of the study sample, showing male predominance (100% were male and 0% were female) with average age 32 years. All have a past history of trauma. Conclusion MRI is generally safe, accurate, and specific modality which has been proven to be the modality of choice in the diagnosis of different knee pathologies that cause anterior knee pain in different age groups. Also, it has a high specification in detecting the grades and types of some of these diseases.

scholarly journals Training and Detraining Effects of a Rehabilitation Program with or without Electro-Cryotherapy in Patients with Anterior Knee Pain: A Randomized Trial

2021 ◽  
Vol 11 (11) ◽  
pp. 4812
Author(s):  
Yuyeon Roh ◽  
Jihong Park
Keyword(s):  
Functional Outcome ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Functional Outcomes ◽  
Pain Perception ◽  
Quadriceps Strength ◽  
Rehabilitation Program ◽  
Outcome Scores ◽  
Pain Duration ◽  
Anterior Knee

We investigated the effect of ten-sessions (with or without receiving modalities) of training and 4-weeks of detraining in individuals with anterior knee pain (AKP). Thirty patients with AKP (19 males; 11 females; pain duration: 46 months) were randomly assigned to either a rehabilitation program with or without pre-exercise modality). Quadriceps (strength, activation, power, and endurance) and self-reported functions (pain perception and functional outcomes) were recorded pre- and post-rehabilitation and detraining (4-weeks). The application of electro-cryotherapy did not produce a summative effect on quadriceps or self-reported functions (condition × time: F2,56 < 2.27, p > 0.11 for all tests). Regardless of the modality application (time effect), quadriceps (strength: 12%, p = 0.06; power: 20%, p = 0.006; endurance: 13%, p = 0.0002) and self-reported (pain perception during daily activities: −70%, p < 0.0001; at least: −44%, p = 0.04; at worst: −43%, p < 0.0001; functional outcome scores: 13%, p = 0.0003) functions improved after ten sessions of rehabilitation. The improved values were maintained after 4-weeks of detraining, but functional outcome scores showed an 8% further increase (p = 0.02). Regardless of electro-cryotherapy application prior to voluntary exercises at each session, quadriceps and self-reported function improved after ten sessions of rehabilitation for AKP. Improved functioning lasted throughout a 4-week detraining period.

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