4.4 of 38 Ratings
A 20-year-old football player with a two year history of anterior knee pain presents for re-evaluation. Over the last two years he has been treated conservatively with quadriceps stretching, eccentric strengthening, and activity modification with no improvement. An MRI is obtained, and a representative image is shown in Figure A. He undergoes surgical debridement, which allows him to return to his pre-injury condition. Which of the following predisposing factors are believed to lead to the development of this patient's condition?
Increased quadriceps strength
Playing on soft surfaces
Training with low frequency
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A 17-year-old basketball player and pole vaulter who has had anterior knee pain for the past 18 months now reports a recent inability to jump. Based on the MRI scan shown in Figure 11, management should consist of
debridement and repair.
aggressive overload eccentric strengthening.
ice massage and continued athletic participation.
An 18-year-old volleyball player has anterior right knee pain for 6 weeks. She is able to play through it but has stiffness and difficulty with stairs after practice. She notes that she has aching pain when sitting with the knee flexed for a prolonged period of time. On exam, she has anterior tenderness but no effusion, patellar apprehension or crepitus. Which of the following treatments would you recommend?
Low-dose corticosteroid injection
Platelet-rich-plasma (PRP) injection
Diagnostic arthroscopy with tendon debridement
No sports participation until pain-free
Rest, activity modification, quadriceps strengthening