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arthroscopic lateral retinacular release
1%
24/2706
tubercle elevation and medialization
23/2706
strict immobilization and non-weight bearing for four weeks
18/2706
open chain exercises and a focus on seated leg extensions
8%
206/2706
closed chain exercises with focus on quadriceps and hamstring strengthening
90%
2422/2706
Select Answer to see Preferred Response
This patient has anterior knee pain with an increased Q angle (normal is 17 degrees in a female). The first line of treatment is physical therapy. Rehab should focus on isometrics and closed chain exercises. Hungerford et al investigated the patellofemoral joint reaction force (PFJR) during closed chain exercises versus and open chain exercise. They found an increase in the PFJR during open chain exercises and with seated leg extensions that can cause further wear and irritation of the patellofemoral joint. Incorrect Answers: Answer 1 & 2: Surgery would not be indicated as the first line of treatment. Answer 3: Immobilization would lead to deconditioning and stiffness and is not indicated. Answer 4: Open chain exercises and with seated leg extensions that can cause further wear and irritation of the patellofemoral joint.
4.0
(22)
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