Evaluation of the Patient with Anterior Knee Pain and Patellar Instability

  • Vicente Sanchis-Alfonso
  • Erik Montesinos-Berry
  • Agustin Serrano
  • Vicente Martínez-Sanjuan


When dealing with patients suffering from anterior knee pain and patellar instability, a thorough anamnesis as well as a complete and careful physical examination are the main means to reach a correct diagnosis and once this is done, to start the most appropriate treatment. Imaging studies are only a help to confirm the diagnosis or to complement the data obtained by the history and examination of the patient. This chapter provides an overview of the most important aspects of the history, physical examination, emotional and psychiatric evaluation, imaging studies, and arthro­scopic evaluation. Obviously, if the etiology of patellofemoral pain and patellar instability is multifactorial, then the evaluation must also consider all the different factors.


Anterior Cruciate Ligament Knee Flexion Anterior Knee Pain Patellar Dislocation Reflex Sympathetic Dystrophy 
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© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Vicente Sanchis-Alfonso
    • 1
  • Erik Montesinos-Berry
  • Agustin Serrano
  • Vicente Martínez-Sanjuan
  1. 1.International Patellofemoral Study Group, International ACL Study Group, Hospital 9 de Octubre, Hospital Arnau de Vilanova, School of MedicineCatholic University of ValenciaValenciaSpain

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