scholarly journals Knee Pain in Adults & Adolescents, Diagnosis and Treatment

10.5772/51077 ◽  
2012 ◽  
Author(s):  
Sherif Hosny ◽  
W. McClatchie ◽  
Nidhi Sofat ◽  
Caroline B.
2017 ◽  
Vol 03 (01) ◽  
pp. e9-e16 ◽  
Author(s):  
Paul Lee ◽  
Amy Nixion ◽  
Amit Chandratreya ◽  
Judith Murray

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.


Author(s):  
Randy L. Calisoff ◽  
David R. Walega

Chronic knee pain affects 27 million people in the United States and is a leading cause of disability. Seventy percent of the population 65 years or older will have knee pain with radiographic evidence of osteoarthritis, and 12% will have clinical symptoms of osteoarthritis. Chronic knee pain after total knee replacement ranges from 10% to 20%. Patellofemoral pain syndrome (PFPS) refers to anterior knee pain exacerbated with knee joint loading activities (squatting, kneeling, prolonged sitting, ascending/descending stairs). PFPS is a clinical diagnosis, and treatment is directed toward pain alleviation and restoration of proper biomechanics. Pes anserine syndrome is common in runners, athletes, and individuals with osteoarthritis of the knee. Other risk factors include: female sex and a history of diabetes mellitus, obesity, or arthritis. Knowledge of the common knee pain etiologies, as well as key clinical manifestations, physical exam findings, differential diagnosis, and treatment options for each is important for pain specialists.


2013 ◽  
Vol 3;16 (3;5) ◽  
pp. E315-E324 ◽  
Author(s):  
Andrea Trescot

Persistent anterior knee pain, especially after surgery, can be very frustrating for the patient and the clinician. Injury to the infrapatellar branch of the saphenous nerve (IPS) is not uncommon after knee surgeries and trauma, yet the diagnosis and treatment of IPS neuralgia is not usually taught in pain training programs. In this case report, we describe the anatomy of the saphenous nerve and specifically the infrapatellar saphenous nerve branch; we also discuss the types of surgical trauma, the clinical presentation, the diagnostic modalities, the diagnostic injection technique, and the treatment options. As early as 1945, surgeons were cautioned regarding the potential surgical trauma to the IPS. Although many authors dismissed the nerve damage as unavoidable, the IPS is now recognized as a potential cause of persistent anterior and anteriomedial knee pain. Even more concerning, damage to peripheral nerves such as the IPS has been identified as the cause and potential perpetuating factor for conditions such as complex regional pain syndromes (CRPS). Because the clinical presentation may be vague, it has often been misdiagnosed and underdiagnosed. There is a documented vasomotor instability, but, unfortunately, sympathetic blocks will not address the underlying pathology, and therefore patients often will not respond to this modality, although the correct diagnosis can lead to rapid and gratifying resolution of the pathology. An entity unknown to the clinician is never diagnosed, and so it is important to familiarize pain physicians with IPS neuropathy so that they may be able to offer assistance when this painful condition arises. Key words: infrapatellar saphenous nerve, saphenous neuralgia, nerve injury, knee pain, postoperative pain, peripheral nerve entrapment, diagnostic nerve blocks, complex regional pain syndrome, cryoneuroablation


Author(s):  
Vicente Sanchis-Alfonso ◽  
Jenny McConnell ◽  
Joan Carles Monllau ◽  
John P Fulkerson

JAMA ◽  
1966 ◽  
Vol 197 (2) ◽  
pp. 133-134 ◽  
Author(s):  
H. Najafi

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