Knee Pain (Subscribe)  

A deceptive MRI appearance of the medial meniscus in a 14 year old boy: a case report Padmanabhan Subramanian , Charles A Willis-Owen and David G Houlihan-Burne Cases Journal 2009, 2:16 (full text available)
Background A 14 year old boy with a history and clinical examination suggestive of a medial meniscal tear...

Remember hip pain as a cause from SUFE / Perthes
Aetiology
Hip - Perthes / SUFE / Infection
PFJ - malalignment, chondromalacia, tendonitis
Cartilage - OCD
Meniscus (+/- discoid)
Ligament injury
OSD
Synovial Plica
Trauma
Tumor
Infection
Inflammatory

- bones forming the knee joint are femur, tibia, & patella;
- both the left and right femurs converge toward the knee and each tibia is nearly vertical, femur and tibia meet angle of some 5-12 deg;
...

Madigan Army Medical Center Referral Guidelines Diagnosis/Definition Knee pain localized to the anterior portion of the knee, either retropatellar or peripatellar. Usually a gradual, non-traumatic onset aggravated with increased activity, running, squatting, stair climbing, or prolonged sitting. Symptoms normally decrease with rest.

Separate pages on the topics of -
* Anterior Knee Pain - Summary
* Chondromalacia Patellae
* Disrupted Extensor Mechanism
* Patellectomy
* Plicae

Authors - George El Rassi, MD Saint George University Hospital- Achrafieh-lebanon
J. Richard Bowen, MD Alfred I. duPont Hospital for Children Wilmington, DE 19803-3607
The goals of this chapter are to describe the etiology, diagnosis and treatment of bipartite patella. Bipartite patella results from failure of fusion of an accessory ossification center which...

- a common congenital fragmentation or synchondrosis of the patella
- occurs in approximately 1% of population but some have observed a much higher incidence;
- most remain asymptomatic, but direct trauma may disrupt the synchondroses, ...

- blood supply to skin around the knee is random (as opposed to axial)
- there are multiple small overlapping vessels that are interrupted by multiple small incisions;
- random supply is sustained by both intrinsic and extrinsic sources;
...

- chondromalacia describes softening & fissuring of articular hyaline cartilage;
- chondromalacia may result from an excessive load on patellofemoral joint, but disuse may be a contributing factor;
- most common in young women;
...

Chondromalacia patellae is caused by softening of the cartilage of the patella. This can cause loss of smoothness of the articular cartilage on the posterior side of the patella. Chondromalacia patellae tends to affect 2 age groups: teenagers (especially girls) and those over 40

Report on consensus recommendations for the diagnosis and initial treatment of patients with acute or recent onset of swelling of the knee. These guidelines are reported in the January 2010 issue of the Annals of the Rheumatic Diseases.

Authors - George El Rassi, MD Saint George University Hospital- Achrafieh-lebanon Lebanon
J. Richard Bowen, MD Alfred I. duPont Hospital for Children Wilmington, DE 19803-3607
The purpose of this chapter is to describe the clinical manifestations, the diagnosis and the management of discoid lateral meniscus of the knee in children .A discoid meniscus is...

- serial diagnostic exam should take into consideration static deformities of the lower extremities, gait, ROM, tenderness, and knee stability;
- in the child w/ a painful knee, it is essential to closely examine the ...

Physical Exam Radiographs ACL Anteromedial Instability Anterolateral Rotatory Instability Arcuate Ligament Complex Arthrofibrosis Arthroscopy of the Knee Arthrodesis Articular Cartilage Baker's Cyst Bipartite Patella Blood Supply Blount's Disease Bursitis Capsule Chondral Injuries of the Knee Chondromalacia Diff Dx Discoid Meniscus Dislocations of the Knee Extensor Mechanism Injuries of the Knee Flexion Contracture Genu Varum Hemarthrosis High Tibial Osteotomy Intercondylar Eminence Fracture Jumper's Knee Kinematics of the Knee Joint Lachman Exam Lateral Anatomy Lateral Collateral Ligament Lateral Retinacular Release Ligaments of Humphrey and Wrisberg Medial...

- tripled layered arrangement on the lateral aspect of knee;
- posterolateral part of capsule is divided into two laminae that encompass LCL, fabellofibullar, & arcuate ligaments;
Wheeless' Textbook of Orthopaedics