Skip to main content

Case # 3: Severe Anterior Knee Pain Recalcitrant to Conservative Treatment in a Patient with Functional Femoral Retrotorsion

  • Chapter
  • First Online:
Anterior Knee Pain and Patellar Instability

Abstract

A 28-year-old female who practiced athletics came to our office with a history of severe left anterior knee pain (AKP) (VAS 8) of 1 year of evolution. Pain onset was secondary to a direct traumatism of the knee from playing football. She had great difficulty driving because of the pain caused upon engaging the clutch, going downstairs, wearing high heels, and sitting with the knee bent for a long period of time (positive “movie sign”). The psychological evaluation that we routinely perform on our patients with AKP did not indicate anxiety or depression. She had kinesiophobia, catastrophizing and central sensitization. Imaging studies of the knee (X-rays, CT and MRI) were normal. The mechanical axis of the lower limb was normal.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee TQ, Anzel SH, Bennett KA, et al. The influence of fixed rotational deformities of the femur on the patellofemoral contact pressures in human cadaver knees. Clin Orthop. 1994;302:69–74.

    Article  Google Scholar 

  2. Lee TQ, Morris G, Csintalan RP. The influence of tibial and femoral rotation on patellofemoral contact area and pressure. J Orthop Sports Phys Ther. 2003;33:686–93.

    Article  PubMed  Google Scholar 

  3. Karaman O, Ayhan E, Kesmezacar H, et al. Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on daily life. Eur J Orthop Surg Traumatol. 2013;24(7):1243–7.

    Article  PubMed  Google Scholar 

  4. Jaarsma RL, Pakvis DFM, Verdonschot N, et al. Rotational malalignment after intramedullary nailing of femoral fractures. J Orthop Trauma [Internet]. 2004;18(7):403–9.

    Article  CAS  PubMed  Google Scholar 

  5. Cibulka MT, Threlkeld-Watkins J. Patellofemoral pain and asymmetrical hip rotation. Phys Ther. 2005;85(11):1201–7.

    Article  PubMed  Google Scholar 

  6. Yildirim AO, Aksahin E, Sakman B. The effect of rotational deformity on patellofemoral parameters following the treatment of femoral shaft fracture. Arch Orthop Trauma Surg. 2013;133(5):641–8.

    Article  PubMed  Google Scholar 

  7. Sanchis-Alfonso V, Tey M, Monllau JC. Cam femoroacetabular impingement as a possible explanation of recalcitrant anterior knee pain. Case Rep Orthop. 2016. https://doi.org/10.1155/2016/2064894.

  8. Sanchis-Alfonso V, Tey M, Monllau JC. A novel association between femoroacetabular impingement and anterior knee pain. Pain Res Treat. 2015;2015. https://doi.org/10.1155/2015/937431.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vicente Sanchis-Alfonso .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sanchis-Alfonso, V., Tey-Pons, M., Monllau, J.C. (2023). Case # 3: Severe Anterior Knee Pain Recalcitrant to Conservative Treatment in a Patient with Functional Femoral Retrotorsion. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_44

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-09767-6_44

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics