This page was last reviewed 20-03-20
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
Secondary care referral
- Not indicated
Primary care investigations
- None unless trauma or effusion
Primary care treatment
- Physiotherapy
- Podiatry, esp if flat footed
- Educate
- Reassure
