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Anterior Knee Pain   (Spanish Version)  

Definition:

Anterior knee pain is pain that occurs at the front of the knee.



Alternative Names:

Runner's knee



Considerations:

The health care provider will perform a physical examination of the knee to confirm and assess the pain.

Tests that may be performed to rule out possible structural damage to the knee or connective tissue include the following:



Causes:

Common causes of runner's knee include rotation (pronation) and lateral (away from the middle) pulling of the kneecap. This causes the kneecap to become misaligned with the connective tissues and muscles involved with knee movement.

Anterior knee pain may also be caused by:

  • Arthritis
  • Cartilage injury
  • Pinching of the inner lining of the knee with knee motion (synovial impingement, or plica syndrome)
  • Poor alignment of the patellofemoral joint (where the kneecap rubs against the lower portion of the thigh bone)
  • Softening of the cartilage under the kneecap (chondromalacia patellae)
  • Tendinitis of the quadriceps tendon (where the thigh muscles attach to the top of the kneecap) or patellar tendon (where the kneecap attaches to the shin bone)


References:

Dixit S, DiFiori JP, Burton M, Mines B. Management of patellofemoral pain syndrome. Am Fam Physician. 2007;75:194-202.

May TJ. Persistent anterior knee pain. Am Fam Physician. 2007;76:277-278.




Review Date: 5/5/2008
Reviewed By: Andrew L. Chen, MD, MS, Orthopedic Surgery and Sports Medicine, The Alpine Clinic, Littleton, NH. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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