Chondromalacia of the patella is the grating or grinding sensation during extension of the knee. Chondromalacia patella can be initially treated using simple measures such as providing rest to the knee and avoiding physical activities. As a result, many patients who have been clinically diagnosed as suffering from chondromalacia. The cartilage on the patella is susceptible to softening, fibrillation and delamination. Chondromalacia patella cmp is a disease in which the cartilage of patella is genetically soften and easily wears away. These soft tissues include the tendons, the fat pad beneath the patella, and the synovial tissue that lines the knee joint. In the 1970s anterior knee pain was related to the presence of patellofemoral malaligment pfm 14, 24, 26, 40. Soda pdf merge tool allows you to combine two or more documents into a single pdf file. Chondromalacia patella or patellofemoral syndrome can be a very painful knee condition. Treatment of chondral defects in the patellofemoral joint. Examination may elicit pain under the medial articular surface ofpatella onpressure oronmanipulatingthepatella againstthefemoral condyles. Fewofthesepatients showlaterovertclinical andradiologicalosteoarthritis. Chondromalacia patellae is characterized by patellofemoral retropatellar joint pain, accentuated during knee flexion, and associated crepitus.
Chondromalacia patellae causes, symptoms exercises and. Pdf chondromalacia of the patella is the most common cause of anterior knee pain in young women. Patellofemoral pain syndrome is an inflammation to the front of the knee joint caused by the patella knee cap not tracking. Paying attention to the precautions and good education is paramount to success. Experimental analysis of the quadriceps muscle force and patellofemoral joint reaction force for various activities. Chondromalacia patellae cmp, also known as patellofemoral pain syndrome or patellofemoral stress syndrome, is a syndrome that causes paindiscomfort at the front of the knee. In some cases of patellofemoral pain, a condition called chondromalacia patella is present. Outcomes of prolotherapy in chondromalacia patella. Chondromalacia patella dnbid lecture 2012 authorstream. This abnormal rubbing can lead to deterioration in the patella, resulting in chondromalacia patellae or runners knee. Theformeris usually a selflimiting condition of adolescence, with a predilection for girls, affecting thearticular cartilage ofthemedialpatellar ridge. Chondromalacia patellae, which literally means soft patellar cartilage, is characterised by roughening and fibrillation of the articular cartilage of the posterior. Knee pain chondromalacia patella chondromalacia patella knee pain is the softening and breakdown of the tissue cartilage on the underside of the kneecap patella. If the patella is tight to the lateral side of the trochlea, the lateral side of the patella is under pressure and the medial or inner side may not contact the.
Apr 01, 2020 chondromalacia patella is weakening and softening of the cartilage on the underside of the kneecap patella. Diagnosis of the specific cause of pain can be difficult and requires assessment of. Patellar femoral pain syndrome pfps oxford university hospitals. Pain results when the knee and the thigh bone femur rub together. Its function is to distribute load to the underlying bone. May 20, 20 chondromalacia patellae cmp, defined as cartilaginous softening and fibrillation of patellar bone cartilage, is one of the possible cause of patellofemoral pain syndrome pfps. Outerbridge, new westminster, british columbia, canada astudy oftheliterature onchondromalacia ofthepatella shows that itsetiology isill understood.
Chondromalacia symptoms, causes, treatment, exercises, cure. Chondromalacia patellae also known as cmp is an inflammation of the underside of the patella and softening of the cartilage 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. Chondromalacia literally means softening of the cartilage, and patellae means the kneecap. Patellofemoral pain syndrome adirondack joint surgery. Press and young 1998 describes the adductor magnus tendons as the insertion for the vastus medialis obliquus vmo, and therefore a critical part of its stabilizing force. The implication that cartilage is the source of symptoms is incorrect as the majority of patients present. These conditions fall under the patellofemoral pain syndrome conditions. Introduction the patella, or kneecap, can be a source of knee pain when it fails to function properly. Chondromalacia patella is a common knee condition where there is softening and damage to the cartilage on the back of the patella kneecap. The pain of chondromalacia patella is aggravated by activity or prolonged sitting with bent knees abnormal tracking allows the kneecap patella to grate over the lower end of the thighbone femur, causing chronic inflammation and pain. Get a physical therapist or knowledgeable trainer to tape your kneecap area for chondromalacia. Under normal circumstances, it is smooth and shiny, so that it glides smoothly along the articular groove of the femur as the knee bends. In some cases, a history of patellar dislocation may be present.
The patella is like a fulcrum, it gives leverage to the big muscles on the front of the thigh. Chondromalacia can be divided into 4 grades by mri, typically using fat saturated proton density sequences. Pfps is characterized by anterior knee pain akp and accounts for 1025% of all visits seen in physical therapy clinics. Chondromalacia sick cartilage is an affliction of the hyaline cartilage coating of. Chondromalacia patellae radiology reference article. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Chondromalacia patellae refers to softening and degeneration of the articular hyaline cartilage of the patella and is a frequent cause of anterior knee pain. Chondromalacia patellae overlaps with the knee condition known as patellofemoral pain syndrome. Symptoms of chondromalacia patella symptoms of chondromalacia include pain, crepitus popping. Merge pdf files combine pdfs in the order you want with the easiest pdf merger available. There are a few other diagnoses that may be used for pain at or around the kneecap.
I hurt my knee due to improper squat form and was diagnosed with patellar tendonitis. The cause is thought to be related to overuse, trauma andor abnormal forces on the knee, such as a mildly abnormal alignment of the patella knee cap and femur. Patellofemoral pain syndrome is defined as pain around the kneecap. Chondromalacia patella is the breakdown of the patellar surface that can progress to degenerative arthritis. Chondromalacia patellae is one of the most frequently encountered causes of knee pain in young people. Additionally there may be knee pain when kneeling or squatting or after sitting for long periods of time. Chondromalacia patella is a common knee problem that affects the patella. It tends to affect young, healthy and often sporty people, most commonly affecting adolescents and young adults.
Chondromalacia patella germany pdf ppt case reports. Chondromalacia patella is the most common cause of chronic knee pain chondromalacia patella has also been called patellofemoral syndrome. If you were suffering from chondromalacia patella, then it is essential to give your knee some rest. It can also be caused by an acute injury to the knee, such as in patellar dislocation or a direct blow to the knee. When your knees hurt, doing knee exercises may be the last thing you want to do but making smart knee exercise choices just might be the solution to help reduce your knee pain. The physical therapist will evaluate the patients mobility, flexibility and strength with the purpose of determining the underlying cause of the abnormal stress on the patella. Chondromalacia patella is a common knee problem that affects the patella and the groove it slides in over the femur thigh bone. The word chondromalacia is derived from the greek words chrondros, meaning cartilage, and malakia, meaning softening. Surfaces typically will breakdown from either overpressure or noncontact. The knee is the most commonly affected joint in those greater than 45 years old. Chondromalacia patellae definition of chondromalacia.
This suggested exercise program is divided into three goaloriented phases. The patient will be counseled on which activities he or she can safely continue and which should be avoided. A novel biological approach to treat chondromalacia patellae. Chondromalacia patellae is one of the most frequently encountered causes of anterior knee pain among young people. In other cases, improper knee alignment is the cause and. Chondromalacia patella cmp is a condition where the articular cartilage covering the posterior side of the patella gets damaged. Chondromalacia patella knee pain is often caused by a lot of running and jumping. Knee stiffness, crepitus and effusions may also be present. Chondromalacia patellae patellofemoral pain syndrome is a term that applies only to individuals without cartilage damage, thereby distinguishing it from chondromalacia patellae, a condition characterized by softening of the patellar articular cartilage. Chondromalacia causes front knee pain, swelling and clickinggrinding noises when moving the knee. The most common tendinitis about the knee is irritation of the patellar. There can be pain around or under the kneecap and sometimes in the back of the knee. Chondromalacia patellae by definition means soft cartilage under the kneecap. Jan 11, 2018 chondromalacia is often seen as an overuse injury in sports, and sometimes taking a few days off from training can produce good results.
Patellofemoral pain syndrome university of california, berkeley. Rest also assist in recovering cartilage damage which seen in a runner. It affects females more than males and includes many different pathologic entities that result in pain in the anterior aspect of the knee. Patellofemoral overload syndrome patellar pain syndrome anterior knee pain syndrome runners knee. Outcomes of prolotherapy in chondromalacia patella patients. Commonly called jumpers knee, patellar tendinitis is an. Its the number one cause in the united states with an incidence as high as one in four people. This is a term used by doctors to describe pain at the front of the knee, which can be from various causes, but which does not seem to be due to a severe problem such as serious arthritis or injury. Knee rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Medically, the kneecap is known as the patella and the thigh bone is called the femur. Patellofemoral pain syndrome university health services. It affects women more often than men because women experience greater lateral pressures on the patella. In the aging process the cartilage loses some of its molecules that help.
Pdf chondromalacia patella cmp is a disease in which the cartilage of patella is genetically soften and easily wears away. Chondromalacia is the term used to describe a patellofemoral joint that has been structurally damaged, while the term patellofemoral pain syndrome pfps refers. The knee joint is composed of three bones the femur or thigh bone, the tibia or shin bone, and the patella or kneecap. Chondromalacia patellae is a subgroup of conditions that cause kneecap pain. It consists of a knee sleeve with a patella cutout, and a horseshoe pad based laterally to keep the patella from tracking laterally. Chondromalacia patellasports massageexercisesstretching. Pathophysiology of anterior knee pain patellofemoral. A surgery can be performed if the nonsurgical treatments do not bring any relief. The most common tendinitis about the knee is irritation of the patellar tendon. Patellofemoral pain is a frequent and often challenging clinical problem. Nonoperative treatment chondromalacia patella rationale. Classically, the term refers to pathologic findings at the time of surgery. Chattanooga, tn 423 6242696 when the knee moves, the kneecap patella slides to remain in contact with the lower end of the thigh bone trochlear groove of the femur. Rehabilitation for patellofemoral syndrome chondromalacia patella brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave.
Treatment, surgery, recovery of chondromalacia patella. This action takes place at the patell ofemoral joint. I am 24 m and i havent been able to go to the gym for 8 months now. This condition is common among young, athletic individuals, but may also occur in older adults who have arthritis of the knee. To change the order of your pdfs, drag and drop the files as you want. Patellofemoral syndrome tips and exercises keywords.
Pdf chondromalacia patella and new diagnostic criteria. Chondromalacia usually affects young, athletic otherwise healthy individuals as a result of overuse, injury or too much stress on the knee. A knee brace is also often prescribed for patients who want to stay active in sports. Effectiveness of manual therapy for pain and selfreported function in. Chondromalacia and malalignment are findings that almost always do. So chondromalacia patellae means softening of the articular cartilage of the kneecap. In particular, the diagnosis has tended to be used synonymously with both anterior knee pain and patellofemoral pain syndrome pfps. How to treat chondromalacia naturally chondromalacia. Strengthening and stretching exercises are the 2 types of physical exercises which are recommended in order to recover as well as stop chondromalacia patella cmp from recurrence. Patellofemoral pain syndrome pfps is the most common cause of knee pain in the outpatient setting. Dull, aching pain andor a feeling of grinding when the knee is flexed may occur.
Chondromalacia patella is the breakdown of cartilage on the underside of the kneecap patella. No single cure exists for the treatment of this problem. Patellar tendinitis jumpers knee and patellofemoral syndrome chondromalacia patella patellar tendinitis. It is felt that the degeneration of this particular cartilage occurs because of improper alignment of the kneecap in relation to the bone of the thigh, the femur. Cmp is commonly presented as mechanical anterior knee pain during the second and third decades of life. Knee exercises for chondromalacia patella simple strategies to reduce knee pain. The number of patellofemoral problems is increasing. Effectivenness of prp on pain, function and quality of. This grading system is the modified outerbridge grading system, which was devised for arthroscopy initially for assessment of chondromalacia patella, but then modified and extended for all chondral surfaces. Chondromalaciapatellae chondromalacia patellae needs to be distinguished from osteoarthritis ofthepatellofemoraljoint. Loss of tissue homeostasis from overload andor injury produces pain. Chondromalacia patella, also called chondromalacia of the patella, condition in which the cartilage on the undersurface of the kneecap patella becomes softened or damaged.
It is common among runners and other athletes and has been given the nickname runners knee. But having this mouthful of a condition does not mean you have to give up sports or exercising altogether. Prolotherapy in this cohort of 69 knees showed statistically. Patients with chondromalacia patellae usually present with anterior knee pain on walking up or down stairs. Chondromalacia patella knee pain is the softening and breakdown of the tissue cartilage on the underside of the kneecap patella. Chondromalacia patella and new diagnostic criteria. The patella normally rides in a groove on the femur. Softening of the articular cartilage with associated degenerative changes is responsible for the spectrum of changes seen. Most writers havebeenwilling toaccept injury asitscause without much question. Bone overload and synovial inflammation are common sources of such pain. Pdf merge combinejoin pdf files online for free soda pdf. Get a knee jumpers strap that velcros just under you kneecap at the top of the patella tendon and use the edge of the raised underpad to push your kneecap medially inside. Patellofemoral pain syndrome the patellofemoral joint refers to a specific part of the knee joint.
The usual brace prescribed is known as a patella stabilizing brace. The study population included 52 patients who had mr examination of the knee with a 1. In fact, its often called runners knee because of the association. Hence chondromalacia patellae is a softening of the articular cartilage on the posterior surface of the patella. When this occurs it is called chondromalacia patella. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. This is one of the most common causes of knee pain, and is where the patella is misaligned in the knee causing the degeneration of cartilage as it slides over the thigh bone. Pfps describes complex symptoms and is an exclusion diagnosis, while chondromalacia patella is a pathologic diagnosis 4. Alignment or overuse problems of the patella can lead to wear and tear of the cartilage behind the patella. Rehabilitation for patellofemoral syndrome chondromalacia. Rehabilitation for patellar tendinitis jumpers knee and. Articular cartilage is a very specialized structure that covers the surfaces of bone. A patients guide to chondromalacia patella compliments of.
Chondromalacia patellae, also known as runners knee, is a condition where the cartilage on the undersurface of the patella kneecap deteriorates and softens. Bone density in patients with chondromalacia patella. Recovery period or healing time for chondromalacia patella varies with different patients and is dependent on the kind of surgery done. Chondromalacia patella is, generally, an overuse injury found in athletes with extrinsic anatomical abnormalities of the lower extremity. How to exercise and stay fit with chondromalacia caloriebee. While taking some rest will help in reducing pressure on joints or kneecaps. It is caused by imbalances in the forces controlling patellar tracking during knee flexion and. Pdf bone density in patients with chondromalacia patella. Patellofemoral arthralgia and chrondomalacia patellae. Pfps is the most common diagnosis in sports medicine, is present in active individuals in up to 2540% with knee pain. The word chondromalacia is derived from the greek words, chrondros, meaning cartilage and malakia, meaning softening. When the kneecap rubs against the thigh bone, it hurts and swells.
204 212 751 1344 1285 44 424 890 1238 75 702 236 845 727 211 672 301 185 1529 532 273 1202 1075 871 607 900 901