{"id":3705,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/anteriorkneepain\/"},"modified":"2024-12-24T12:31:59","modified_gmt":"2024-12-24T12:31:59","slug":"anteriorkneepain","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneenohistoryoftrauma\/anteriorkneepain\/","title":{"rendered":"Anterior Knee Pain"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">History<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Young-middle aged<\/li>\n\n\n\n<li>May be bilateral<\/li>\n\n\n\n<li>Mostly female<\/li>\n\n\n\n<li>Possibly overweight<\/li>\n\n\n\n<li>Diffuse ANTERIOR knee pain<\/li>\n\n\n\n<li>Pain on stairs, kneeling, prolonged sitting<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Signs<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No obvious abnormality<\/li>\n\n\n\n<li>Positive &#8216;grab&#8217; sign (patient grabs front of knee)<\/li>\n\n\n\n<li>Genu valgum (knock knees)<\/li>\n\n\n\n<li>Squinting patellae (knee caps &#8216;face&#8217; each other)<\/li>\n\n\n\n<li>Patella apprehension &#8211; generally sore when examining<\/li>\n\n\n\n<li>Possible patello-femoral crepitus<\/li>\n\n\n\n<li>Difficulty kneeling\/squatting<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A. &amp; J. G. 23-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Secondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Not indicated<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">\u200bPrimary care investigations<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>None unless trauma or effusion<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Primary care treatment<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physiotherapy<\/li>\n\n\n\n<li>Podiatry, esp if flat footed<\/li>\n\n\n\n<li>Educate<\/li>\n\n\n\n<li>Reassure<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.clairepatella.com\">www.clairepatella.com<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs M.A. &amp; J. G. 23-05-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4074,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[401],"class_list":["post-3705","page","type-page","status-publish","hentry","category-anteriorkneepain"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneenohistoryoftrauma\/anteriorkneepain\/\" rel=\"tag\">Anterior Knee Pain<\/a>","rttpg_excerpt":"History Signs M.A. &amp; J. G. 23-05-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3705","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3705"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3705\/revisions"}],"predecessor-version":[{"id":22123,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3705\/revisions\/22123"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4074"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3705"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}