Concepts for assessment and treatment of anterior knee pain related to altered spinal and pelvic biomechanics: A case report

2008 ◽  
Vol 13 (6) ◽  
pp. 560-563 ◽  
Author(s):  
Andrew Thomas Connell
Keyword(s):  
Case Report ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Assessment And Treatment ◽  
Anterior Knee

scholarly journals Use of the suprapatellar approach in intramedullary nailing of a multi-fragmentary dislocated tibia fracture with a hypermobile intermediate fragment in a young patient

2017 ◽  
Vol 8 (4) ◽  
Author(s):  
Patrick Haubruck ◽  
Ulf Brunnemer ◽  
Arash Moghaddam ◽  
Gerhard Schmidmaier
Keyword(s):  
Case Report ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Young Patients ◽  
First Grade ◽  
Adolescent Female ◽  
Suprapatellar Approach ◽  
Anterior Knee ◽  
Type Of Fracture

A case of an adolescent female patient who suffered from first grade open multi-fragment fracture of the tibia (AO42-C2) with a large hypermobile intermediate fragment is presented in this case report. Intramedullary nailing of the tibia remains the treatment of choice despite a high risk of malformation and anterior knee pain especially in multi-fragment fractures. Here the suprapatellar approach as a semiextended nailing technique seems favorable. The specialty in our case was an early change of procedures necessary due to persistent swelling during external fixation based on the hypermobile intermediate fragment. Decision in favor of this surgical technique was conducted in order to achieve beneficial alignment and union while protecting the softtissue despite the hypermobile intermediate fragment and decrease the risk of anterior knee pain. In our case we achieved successful alignment and proper bone healing without any signs of anterior knee pain or limitations in the range of motion of the knee. With this report we would like to recommend the suprapatellar approach as a favorable alternative in intramedullary nailing in this type of fracture also in young patients.

Giant cell tumour of the patellar tendon sheath—an unusual cause of anterior knee pain: a case report

The Knee ◽  
2003 ◽  
Vol 10 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Jaikumar Relwani ◽  
Danielle Factor ◽  
Fred Khan ◽  
Amitava Dutta
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Patellar Tendon ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Giant Cell Tumour ◽  
Tendon Sheath ◽  
Cell Tumour ◽  
Anterior Knee

scholarly journals The Effects of Saddle Alignment and Pedal Stroke Training on a Competitive Cyclist with Anterior Knee Pain: A Case Report

2019 ◽  
Author(s):  
Tim Evens ◽  
Jerome Danoff
Keyword(s):  
Case Report ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Functional Score ◽  
Force Output ◽  
Pain Visual Analog Scale ◽  
Competitive Cyclists ◽  
Dynamic Measures ◽  
Anterior Knee ◽  
And Training

Background: Among competitive cyclists, anterior knee pain is a common overuse injury. Alignment of the rider on the bicycle and the loading pattern on the pedals are proposed as factors in this pain. The patient was a 23-year-old competitive female cyclist who was riding up to 200 miles weekly and had developed bilateral anterior knee pain within the 3 months preceding our examination. The purpose of this case report is to demonstrate the effectiveness of adjusting this patient’s static alignment (ie. position while seated on bicycle, but not actively pedaling) on the bike and modifying her habitual pedaling pattern. Methods: The patient was analyzed using both static and dynamic measures of alignment while on her bicycle. Her bicycle seat was raised and moved rearward, and her pedaling force output was analyzed using a Computrainer™. Over a 4-week period, she was taught to modify her pedaling force using video biofeedback. Outcomes: After adjustments and training, she could ride for over 3.5 hours without knee pain. Visual analog scale pain score improved from 6/10 to 0/10; Lower Extremity Functional Score improved from 65 to 79; and Knee Injury and Osteoarthritis Outcome Score improved from 81 to 98.5. Clinical Relevance: This case illustrates how application of biomechanical principles and training in pedaling movement patterns can be effective at eliminating knee pain in competitive cyclists. While rest, decreased training volume, and appropriate medication should be considered as treatment components, we believe the initial treatment for competitive cyclists should include biomechanical evaluation of alignment and pedaling pattern.

scholarly journals Giant cell tumor of patella: A case report and review of literature

2019 ◽  
Vol 6 (1) ◽  
pp. 47-49
Author(s):  
Mohit Kumar Arora ◽  
Ela Madaan ◽  
Rajnand Kumar
Keyword(s):  
Case Report ◽  
Giant Cell Tumor ◽  
Giant Cell ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Cell Tumor ◽  
Extensor Mechanism ◽  
Benign Tumors ◽  
Primary Tumors ◽  
Anterior Knee

Objective: Patella is a sesamoid bone which develops in the quadriceps tendon. It is an uncommon site for neoplasms. The most common primary tumors which involve patella are benign. These include chondroblastoma, giant cell tumor (GCT) and aneurysmal bone cyst. Malignant lesions are less common in patella. These encompass metastasis, osteosarcoma and hemangioendothelioma. The most common complaint in patients of GCT patella is anterior knee pain. Early diagnosis and optimal management are necessary for improving survival rate in these patients. Case Presentation: The authors present a case report of GCT of patella in a 16-year old child. Incisional biopsy was done to confirm the diagnosis. Further radiological examination showed that the tumor involved almost whole of the patella. Hence, surgical management in the form of patellectomy and extensor mechanism repair was done to improve the outcome of the disease. The patient did not have any clinical or radiological symptoms at the end of the final follow up of 22 months. Conclusion: Primary tumor of patella is a rare entity. Benign tumors like GCT present only with anterior knee pain and should be included in the differential diagnosis of anterior knee pain. MRI is useful to determine the extent of involvement of tumor in the patella. Treatment may vary from curettage and bone grafting to total patellectomy with extensor mechanism repair

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