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Patellar Problems in the Young Patient

  • Chapter
The Patella

Abstract

Patellofemoral joint pathology is a frequent cause of disabling knee pain in the young patient. Prior to our recent understanding of patellofemoral disorders, chondromalacia patellae was diagnosed in all patients with knee pain attributed to the patellofemoral joint. In 1924, Konig1 first described this all-inclusive term. Since then, other authors have used the term chondromalacia patellae to describe the associated patellar surface changes consisting of fissuring and softening. Confusion over diagnosis occurred in those young patients with anterior knee pain and no demonstrable lesions of the articular cartilage. By categorizing all anterior knee pain as chondromalacia patellae, the clinician fails to recognize the numerous causes of patellofemoral pain and fails to establish a meaningful treatment plan. Because patellar surface fissuring and softening is universally present in the older population, chondromalacia may actually describe the early pathologic findings noted with articular cartilage degeneration (Figure 9.1)

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Authors
  1. Joseph M. Stefko
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  2. Freddie Fu
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Editors and Affiliations

  1. Beth Israel Medical Center-North Division, The Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, NY, 10128, USA

    Giles R. Scuderi M.D.

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Stefko, J.M., Fu, F. (1995). Patellar Problems in the Young Patient. In: Scuderi, G.R. (eds) The Patella. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4188-1_9

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  • DOI: https://doi.org/10.1007/978-1-4612-4188-1_9

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