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Guidelines

Anterior Knee Pain

History

  • Young-middle aged
  • May be bilateral
  • Mostly female
  • Possibly overweight
  • Diffuse ANTERIOR knee pain
  • Pain on stairs, kneeling, prolonged sitting

Signs

  • No obvious abnormality
  • Positive ‘grab’ sign (patient grabs front of knee)
  • Genu valgum (knock knees)
  • Squinting patellae (knee caps ‘face’ each other)
  • Patella apprehension – generally sore when examining
  • Possible patello-femoral crepitus
  • Difficulty kneeling/squatting
    Referral Guidelines

    Secondary care referral

    • Not indicated
    Primary Care Management

    ​Primary care investigations

    • None unless trauma or effusion

    Primary care treatment

    • Physiotherapy
    • Podiatry, esp if flat footed
    • Educate
    • Reassure
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