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The Natural History of Anterior Knee Pain in Japanese Adolescents

  • A. Fujimoto
  • Y. Mori
  • Y. Kuroki
  • R. Yamamoto
  • H. Hino
  • H. Okumo

Abstract

Many reports have described that chronic pain in the front of the knee among adolescents can be caused by cartilaginous changes of the patellofemoral joint, so-called chondromalacia of the patella. These cartilaginous changes are often present in patella alta, patellar malalignment syndrome, subluxation of the patella, unstable patella, dysplasia of the patella (such as Wiberg type III), dysplasia of the femoral condyle and others. We also found cartilaginous changes of the patellofemoral joint in these diseases using arthroscopic study or during operations. However, some patients with chronic pain in the front of the knee had no instability of the patella upon physical examination, no abnormalities of the patellofemoral joint (such as incongruity) on radiological study (including skyline view) and no morbid changes on arthroscopic study. Is it reasonable to regard such cases as having a prechondromalacia condition? How should they be categorised and treated? To attempt to answer these questions, we investigated the natural history of anterior knee pain in Japanese adolescents, using questionnaires.

Keywords

Knee Pain Femoral Condyle Anterior Knee Pain Patellofemoral Joint Patellar Cartilage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Abernethy PJ, Townsend PR, Rose RM, Radin EL (1978) Is chondromalacia patellae a separate clinical entity? J Bone Joint Surg [Br] 60:205–210Google Scholar
  2. Büdinger K (1908) Über traumatische Knorpelrisse im Kniegelenk. Dtsch Z Chir 92:510CrossRefGoogle Scholar
  3. Dandy DJ, Poirier H (1975) Chondromalacia and the unstable patella. Acta Orthop Scand 46:695–699PubMedCrossRefGoogle Scholar
  4. Insall J (1979) Chondromalacia patellae: patellar malalignment syndrome. Orthop Clin North Am 10:117–127PubMedGoogle Scholar
  5. Insall J (1982) Current concepts review: patellar pain. J Bone Joint Surg [Am] 64:147–152PubMedGoogle Scholar
  6. Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101PubMedGoogle Scholar
  7. Insall J, Falvo KA, Wise DW (1976) Chondromalacia patellae: a prospective study. J Bone Joint Surg [Am] 58:1–8PubMedGoogle Scholar
  8. Robinson AR, Darracott J (1970) Chondromalacia patellae: a survey conducted at the army medical rehabilitation unit, Chester. Ann Phys Med 10:286–290PubMedGoogle Scholar
  9. Outerbridge RE (1961) The etiology of chondromalacia patellae. J Bone Joint Surg [Br] 43:752–757Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • A. Fujimoto
    • 1
  • Y. Mori
    • 1
  • Y. Kuroki
    • 1
  • R. Yamamoto
    • 1
  • H. Hino
    • 1
  • H. Okumo
    • 1
  1. 1.Department of Orthopaedic SurgeryShowa University, Fujigaoka HospitalYokohamaJapan

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