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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 22-year-old college pole vaulter has chronic anterior pain on her jumping knee. The patient has had over 6 months of physical therapy without improvement. It initially only bothered her during training, but she is now no longer able to compete and has pain with daily activities. Her MRI is shown. What is the recommended treatment?
Use of a Chopat strap
Intra-tendinous injection of corticosteroid
Intra-articular corticosteroid injection
Arthroscopic patellar chondroplasty
Surgical excision of the affected tissue