Prevention of Anterior Knee Pain After Anterior Cruciate Ligament Reconstruction

  • K. Donald Shelbourne
  • Scott E. Urch
  • Heather Freeman


Anterior knee pain is a poorly understood entity that has not been well studied in the literature. One reason for this is because “anterior knee pain” is not specific, and the underlying cause of this symptom may encompass many different etiologies. Studies vary with their own particular definitions, and thus comparisons and conclusions are difficult to interpret. It is, therefore, important when one discusses anterior knee pain that a specific definition be initially offered. This chapter will describe anterior knee pain after anterior cruciate ligament (ACL) reconstructive surgery. After a definition is made, discussions will include incidence and possible etiologies. Prevention of anterior knee pain will be addressed, including preoperative, intraoperative, and postoperative concerns. Finally, treatment options will be offered. It has been the practice in our clinic to evaluate patients carefully with regular, long-term follow-up, scrutinizing their results so that we may learn from them and continually improve our techniques and outcomes. Through the course of the chapter, we will interject our findings where appropriate, in an effort to shed light on this complicated subject.


Anterior Cruciate Ligament Anterior Cruciate Ligament Reconstruction Patella Tendon Knee Extension Femoral Tunnel 
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Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • K. Donald Shelbourne
    • 1
  • Scott E. Urch
  • Heather Freeman
  1. 1.Shelbourne Knee Center at Methodist HospitalIndiana University School of MedicineIndianapolisUSA

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