scholarly journals Analysis of Predictors Affecting Biomechanical Function of the Knee Joint and Its Relation to Anterior Knee Pain

Cureus ◽  
2022 ◽  
Author(s):  
Saurabh Chaudhary ◽  
Sanjeev K Jain ◽  
Nidhi Sharma ◽  
Supriti Bhatnagar
2005 ◽  
Vol 37 (Supplement) ◽  
pp. S144
Author(s):  
Anthony G. Schache ◽  
Kay M. Crossley ◽  
Tim V. Wrigley

2021 ◽  
Vol 11 (9) ◽  
pp. 4078
Author(s):  
Jihong Park ◽  
Jingoo Kim ◽  
Bongseong Ko

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.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
Y A Abbas ◽  
Y I Abdulkhalik ◽  
Y H Motlaq

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.


QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M Abdalraowf ◽  
E A Derwaish ◽  
A A Osman

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. Acute knee pain is the most common complaint of the knee joint, which can be secondary to a variety of etiologies. Aim of the Work To review several of the most common causes of AKP, with emphasis on their MRI findings with the goal of allowing more accurate diagnosis and grading of some of the most common pathologies, for understanding, better treatment and improvement of this common complaint. Patients and Methods This study was conducted on in Ain Shams university hospitals and other private centers on 32 patients with ages ranging between 10-60 years. All presented by anterior knee pain and were referred to radiology department for MRI examination after orthopedic consultation. Results The majority of patients are female (63%) and the symptom most commonly occurs in the second and third decades of life. 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 or factors predispose to them as patella alta and trochlear dysplasia.


Author(s):  
M. Y. Karimov ◽  
K. P. Tolochko ◽  
K. M. Mamatkulov

Many diseases and types of injuries of the knee joint take a lot of time for diagnosis and the elimination of all nosologies that may cause pain. The complexity of the anatomical device of the knee joint makes it possible to isolate from the general concept of pain in the knee joint of this pathogenetically grounded syndrome. The review gives an idea of ​​a significant number of types of knee joint pathology, which, due to the structural features and similarity of the clinical picture, can be combined into the anterior knee joint pain syndrome.


2005 ◽  
Vol 37 (Supplement) ◽  
pp. S144
Author(s):  
Anthony G. Schache ◽  
Kay M. Crossley ◽  
Tim V. Wrigley

2013 ◽  
Vol 4 (3) ◽  
Author(s):  
Irene Maryauw ◽  
Shane H R Ticoalu ◽  
Djon Wongkar

Abstract: Anterior knee pain is a common musculoskeletal disorder found in children, adolescents and adults. A cause for the anterior knee pain is patella displacement. The researcher found that patella displacement can be influenced by the structure of the lower extremity. Previous study demonstrated that the tibial tuberosity was in a significant lateral position in the patellofemoral osteoarthritis and anterior knee pain patients. This study aimed to determine the profile of the mediolateral placement of the tibial tuberosity among the 2010 female students in Medical Faculty of Sam Ratulangi University according to categories of age, body weight, body height, body mass index, and ethnicity. This was a descriptive study, using 140 samples. All measurements were performed in a supine position, and the toe was pointing directly upwards. The legs were extended at the knee joint with the quadriceps muscle relaxed. The results showed that from 280 knees (140 subjects) there were 31 knees (11.1%) with TT in the medial position, while 19 knees (6.8%) had TT on the center of the mediolateral line of the knee joint; and 230 knees (82.1%) had TT in a lateral position. Conclusion: most of the female students of the Medical Faculty of Sam Ratulangi University showed a lateral position of the TT.Keyword: tibial tuberosity, anterior knee pain, patellofemoral osteoarthritisAbstrak: Nyeri lutut anterior merupakan gangguan muskuloskeletal yang sering ditemukan pada anak-anak, remaja, dan orang dewasa. Salah satu penyebab nyeri lutut anterior ialah dislokasi patela. Para peneliti telah menemukan bahwa terjadinya dislokasi patela ini dapat juga dipengaruhi oleh struktur ekstremitas bawah seseorang. Penderita osteoartritis patelofemoral dan nyeri lutut anterior memiliki posisi tuberositas tibiae (TT) lebih ke arah lateral. Tujuan penelitian untuk mengetahui gambaran posisi TT terhadap garis mediolateral sendi lutut mahasiswi Fakultas Kedokteran Unsrat angkatan 2010 dan mengelompokkannya dalam kelompok usia, berat badan, tinggi badan, Indeks Massa Tubuh, dan suku. Metode penelitian deskriptif dengan 140 sampel. Pengukuran dilakukan pada posisi tidur terlentang dan ujung jari-jari kaki menghadap ke atas, sendi lutut diekstensikan dan otot kuadriseps dilemaskan. Hasil penelitian menunjukkan bahwa dari 280 lutut subyek (140 subyek) diperoleh 31 lutut (11,1%) dengan posisi TT cenderung ke arah medial, 19 lutut (6,8%) dengan posisi TT di tengah garis mediolateral sendi lutut dan 230 lutut (82,1%) dengan dengan posisi TT cenderung ke arah lateral. Simpulan: mahasiswi Fakultas Kedokteran Universitas Sam Ratulangi angkatan 2010, memiliki posisi TT yang cenderung ke arah lateral dalam hampir semua kelompok usia, berat badan, tinggi badan, Indeks Massa Tubuh, dan suku.Kata Kunci: tuberositas tibiae, nyeri lutut anterior, osteoartritis patelofemoral


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