136:
typically felt after prolonged sitting. Skateboarders most commonly experience this injury in their non-dominant foot due to the constant kicking and twisting required of it. Swimmers acquire it doing the breaststroke, which demands an unusual motion of the knee. People who are involved in an active lifestyle with high impact on the knees are at greatest risk. Proper management of physical activity may help prevent worsening of the condition. Athletes are advised to talk to a physician for further medical diagnosis, as symptoms may be similar to more serious problems within the knee. Tests are not necessarily needed for diagnosis, but in some situations they may confirm diagnosis or rule out other causes for pain. Commonly used tests are blood tests, MRI scans, and arthroscopy.
44:
96:
The cartilage under the kneecap is a natural shock absorber, and overuse, injury, and many other factors can cause increased deterioration and breakdown of the cartilage. The cartilage is no longer smooth and therefore movement and use is very painful. While it often affects young individuals engaged
156:
When investigating a possible diagnosis of chondromalacia, a physician will carry out a complete examination of the affected knee. The physician will palpate the patella and surrounding tissue, feel the joint to observe when and how the distress manifests and obtains a list of symptoms and clinical
214:
Usually chondromalacia develops without swelling or bruising and most individuals benefit from rest and adherence to an appropriate physical therapy program. Allowing inflammation to subside while avoiding irritating activities for several weeks is followed by a gradual resumption. Cross-training
135:
Pain at the front or inner side of the knee is common in adults of all ages especially when engaging in soccer, gymnastics, cycling, rowing, tennis, ballet, basketball, horseback riding, volleyball, running, combat sports, figure skating, snowboarding, skateboarding and even swimming. The pain is
143:
sometimes refers to abnormal-appearing cartilage anywhere in the body, it most commonly denotes irritation of the underside of the kneecap (or "patella"). The patella's posterior surface is covered with a layer of smooth cartilage, which the base of the
223:
is also helpful to minimize the swelling amplifying patellar pain. Treatment with surgery is declining in popularity due to positive non-surgical outcomes and the relative ineffectiveness of surgical intervention.
780:
765:
219:– can help to maintain general fitness and body composition. This is beneficial until a physical therapy program emphasizing strengthening and flexibility of the hip and thigh muscles can be undertaken. Use of
111:
applies only to individuals without cartilage damage. This condition is also known as
Chondrosis. The term literally translates to softening (malakia) of cartilage (chondros) behind patella in Greek.
120:
The condition may result from acute injury to the patella or chronic friction between the patella and a groove in the femur through which it passes during knee flexion. Possible causes include a tight
148:
normally glides smoothly against when the knee is bent. However, in some individuals the kneecap tends to rub against one side of the knee joint, irritating the cartilage and causing knee pain.
880:
873:
657:
866:
220:
436:
1259:
204:
708:
683:
183:
In the absence of cartilage damage, pain at the front of the knee due to overuse can be managed with a combination of
1033:
916:
174:– a low invasive approach to image the inside of the knee joint by inserting an endoscope into the knee joint.
1099:
243:
104:
661:
165:
161:
A knee X-ray and/or blood test – this can assist to exclude certain types of arthritis or inflammation.
1249:
795:
258:
278:
563:
200:
1254:
1051:
890:
835:
600:
515:"Treatment of Chondral (Cartilage) Lesions | Knee Arthroscopy | Knee Osteoarthritis Treatment"
972:
586:
926:
16:
This article is about certain forms of inflammation under the patella. For other uses, see
737:
8:
1028:
982:
784:
356:
Heintjes, E; Berger, MY; Bierma-Zeinstra, SM; Bernsen, RM; Verhaar, JA; Koes, BW (2004).
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17:
1216:
1194:
1173:
1079:
846:
800:
514:
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121:
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history. The following tests or procedures may be used to refine the diagnosis:
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in active sports, it also afflicts older adults who overwork their knees.
1199:
1178:
830:
171:
56:
757:
1161:
1147:
1018:
987:
899:
841:
684:"Knee Pain (Chondromalacia Patella): Causes, Symptoms & Treatment"
43:
1127:
1122:
1117:
1043:
1023:
1001:
742:
238:
132:, overuse, malalignment, core instability, and patellar maltracking.
90:
355:
908:
129:
125:
491:"Chondral Injuries - Causes, Symptoms, Treatment & Prevention"
342:. The American Academy of Orthopaedic Surgeons. February 6, 1999.
196:
86:
1132:
769:
941:
145:
626:
Schindler, Oliver S. (2004). "Synovial plicae of the knee".
1165:
1066:
467:"Chondromalacia grading | Radiology Case | Radiopaedia.org"
405:
Dixit, S; DiFiori, JP; Burton, M; Mines, B (Jan 15, 2007).
285:. Mayo Foundation for Medial Education and Research (MFMER)
233:
215:
activities such as swimming – using strokes other than the
168:) – to observe cartilage condition and assess deterioration
1010:
192:
888:
404:
304:
271:
747:
336:"Isolated patellofemoral arthritis often overlooked"
562:Shiel, William C.; Cunha, John P. (June 27, 2012).
706:
593:
437:"Disorders of the Patellofemoral Joint Chapter 11"
358:"Pharmacotherapy for patellofemoral pain syndrome"
1241:
351:
349:
874:
651:
649:
707:Jenkins, Mark A.; Caryn Honig (2005-06-02).
407:"Management of patellofemoral pain syndrome"
362:The Cochrane Database of Systematic Reviews
346:
107:. However, there is general consensus that
881:
867:
646:
561:
306:Clinical Orthopaedics and Related Research
42:
625:
381:
303:
221:nonsteroidal anti-inflammatory medication
398:
607:. Egton Medical Information Systems Ltd
1242:
655:
862:
103:is sometimes used synonymously with
584:
464:
13:
656:Cluett, Jonathan (June 14, 2011).
314:10.1097/01.blo.0000171545.38095.3e
14:
1271:
1034:Slipped capital femoral epiphysis
730:
700:
676:
619:
605:Health Information Patient.info
578:
555:
531:
507:
483:
458:
429:
374:10.1002/14651858.CD003470.pub2
328:
297:
1:
264:
205:anti-inflammatory medications
1100:Patellofemoral pain syndrome
244:Patellofemoral pain syndrome
178:
164:Magnetic Resonance Imaging (
151:
109:patellofemoral pain syndrome
105:patellofemoral pain syndrome
7:
1260:Knee injuries and disorders
660:. About.com. Archived from
227:
10:
1276:
709:"Patello-Femoral Syndrome"
640:10.1016/j.cuor.2004.03.005
495:Orthosports Medical Center
15:
1187:
1160:
1108:
1065:
1042:
1009:
1000:
963:
940:
907:
898:
821:
751:
601:"Chondromalacia patellae"
539:"Chondromalacia Patellae"
411:American Family Physician
62:
50:
41:
33:
28:
564:"Chondromalacia Patella"
279:"Chondromalicia patella"
259:Iliotibial band syndrome
115:
85:of the underside of the
1075:Chondromalacia patellae
847:Chondromalacia patellae
101:Chondromalacia patellae
75:Chondromalacia patellae
1052:Angular limb deformity
441:www.patellofemoral.org
29:Chondromalacia patella
973:Boutonniere deformity
89:and softening of the
1209:Abnormal angulation
1133:Bunion/hallux valgus
927:Subacromial bursitis
628:Current Orthopaedics
1029:Protrusio acetabuli
983:Swan neck deformity
917:Adhesive capsulitis
249:Knee osteoarthritis
1205:Ligamentous laxity
1057:Unequal leg length
822:External resources
519:www.drkharrazi.com
1237:
1236:
1229:Joint dislocation
1156:
1155:
996:
995:
922:Rotator cuff tear
856:
855:
664:on April 13, 2016
72:
71:
64:Diagnostic method
23:Medical condition
1267:
1250:Overuse injuries
1224:Bone malrotation
1213:Valgus deformity
1085:Luxating patella
1007:
1006:
905:
904:
883:
876:
869:
860:
859:
749:
748:
724:
723:
721:
720:
711:. Archived from
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698:
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694:
688:Cleveland Clinic
680:
674:
673:
671:
669:
658:"Chondromalacia"
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511:
505:
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456:
455:
453:
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443:. Archived from
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1274:
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1269:
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1265:
1264:
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1239:
1238:
1233:
1217:Varus deformity
1195:Joint stiffness
1183:
1174:Cauliflower ear
1152:
1104:
1080:Genu recurvatum
1061:
1038:
992:
959:
936:
894:
891:musculoskeletal
887:
857:
852:
851:
817:
816:
760:
738:Plica Syndrome
733:
728:
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718:
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682:
681:
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624:
620:
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608:
599:
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587:"Knee Cap Pain"
583:
579:
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532:
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484:
475:
473:
465:Skalski, Matt.
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435:
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430:
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399:
368:(3): CD003470.
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288:
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277:
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267:
230:
181:
154:
139:While the term
122:iliotibial band
118:
77:(also known as
24:
21:
12:
11:
5:
1273:
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1262:
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1252:
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1181:
1176:
1170:
1168:
1158:
1157:
1154:
1153:
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1143:Hallux rigidus
1140:
1135:
1130:
1125:
1120:
1114:
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1097:
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1071:
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998:
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994:
993:
991:
990:
985:
980:
975:
969:
967:
961:
960:
958:
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952:
950:Cubitus valgus
946:
944:
938:
937:
935:
934:
932:Winged scapula
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919:
913:
911:
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752:Classification
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731:External links
729:
726:
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645:
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592:
577:
554:
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428:
417:(2): 194–202.
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345:
327:
296:
269:
268:
266:
263:
262:
261:
256:
254:Plica syndrome
251:
246:
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169:
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153:
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141:chondromalacia
117:
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39:
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35:
31:
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22:
9:
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3:
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1255:Arthropathies
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1188:General terms
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1016:
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1005:
1003:
999:
989:
986:
984:
981:
979:
978:Mallet finger
976:
974:
971:
970:
968:
966:
962:
956:
955:Cubitus varus
953:
951:
948:
947:
945:
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928:
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923:
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787:
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754:
750:
744:
740:
739:
735:
734:
715:on 2008-10-09
714:
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689:
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663:
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629:
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581:
566:. MedicineNet
565:
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447:on 2021-07-14
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363:
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341:
337:
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311:
308:(436): 60–5.
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250:
247:
245:
242:
240:
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209:physiotherapy
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65:
61:
58:
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53:
49:
45:
40:
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32:
27:
19:
18:Runner's knee
1138:Hallux varus
1095:Patella baja
1090:Patella alta
1074:
840:
829:
805:
794:
779:
764:
736:
717:. Retrieved
713:the original
702:
691:. Retrieved
687:
678:
666:. Retrieved
662:the original
634:(3): 210–9.
631:
627:
621:
609:. Retrieved
604:
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580:
568:. Retrieved
557:
546:. Retrieved
542:
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522:. Retrieved
518:
509:
498:. Retrieved
494:
485:
474:. Retrieved
470:
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449:. Retrieved
445:the original
440:
431:
414:
410:
400:
365:
361:
340:Academy News
339:
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305:
299:
287:. Retrieved
282:
273:
217:breaststroke
213:
182:
155:
140:
138:
134:
119:
108:
100:
99:
95:
83:inflammation
78:
74:
73:
1200:Contracture
1179:Torticollis
893:deformities
831:MedlinePlus
543:Physiopedia
471:Radiopaedia
283:Mayo Clinic
197:compression
172:Arthroscopy
57:Orthopedics
34:Other names
1244:Categories
1148:Hammer toe
1019:Coxa valga
1002:Lower limb
988:Wrist drop
900:Upper limb
842:Patient UK
807:DiseasesDB
719:2008-10-06
693:2021-04-01
611:9 December
548:2021-07-14
524:2021-07-14
500:2021-07-14
476:2021-07-14
451:2021-07-14
289:9 December
265:References
1128:Foot drop
1123:Flat feet
1118:Club foot
1024:Coxa vara
889:Acquired
743:eMedicine
585:Gauresh.
239:Knee pain
201:elevation
179:Treatment
152:Diagnosis
91:cartilage
52:Specialty
909:shoulder
668:June 26,
423:17263214
392:15266488
322:15995421
228:See also
130:bursitis
126:neuromas
81:) is an
801:D046789
570:May 19,
383:8276350
87:patella
836:000452
421:
390:
380:
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207:, and
942:elbow
790:717.7
775:M22.4
146:femur
116:Cause
1166:neck
1164:and
1162:Head
1110:foot
1067:knee
965:hand
812:2595
796:MeSH
785:9-CM
670:2010
613:2013
572:2013
419:PMID
388:PMID
366:2008
318:PMID
291:2013
234:Knee
189:rest
185:RICE
1044:leg
1011:hip
781:ICD
766:ICD
741:at
636:doi
378:PMC
370:doi
310:doi
203:),
193:ice
166:MRI
79:CMP
68:MRI
37:CMP
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