Patellofemoral Syndrome
Age: years old
Gender:
HISTORY:
Presents with a - history of knee
Onset was , started
Location is primarily
Radiation to
Rated at / 10 ,
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, up to °, over
Contributing factors:
no history of: , , , ,
no use of: ,
EXAM:
Knee:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
Strength: , except on
Neurovascular: , distal pulses , cap refill sec, sensation
Special tests:
- Patellar tap:
- Bulge test:
- Lachman test:
- Anterior drawer test:
- Posterior drawer test:
- Valgus stress test:
- Varus stress test:
- McMurray test:
- Thessaly test:
- Patellar apprehension test:
- Pivot shift test:
- Patellar grind test:
- Apley test:
Gait: ,
ASSESSMENT:
DDx: patellofemoral syndrome, chondromalacia patellae, runner's knee, jumper's knee, patellar tendinitis, IT band syndrome, patellar bursitis, osteoarthritis, quadriceps tendinitis, meniscal tear, ligament injury, gout, rheumatoid arthritis, septic arthritis, baker's cyst, plica syndrome, synovitis, fat pad impingement
PLAN:
Investigations:
- X-ray of the knee
- MRI of the knee
Treatments:
-
-
- Activity modification
- Quadriceps strengthening exercises
- Hamstring stretching exercises
- Physical therapy
- Patellar taping
- Knee brace
- Weight loss counseling
Further care:
- Referral to orthopedic surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Knee: ASSESSMENT: PLAN: