Patellofemoral pain in athletes: clinical perspectives

Halabchi, Farzin; Abolhasani, Maryam; Mirshahi, Maryam; Alizadeh, Zahra

doi:10.2147/oajsm.s127359

Cited by 32 publications

(24 citation statements)

References 140 publications

(135 reference statements)

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“…Patellofemoral injuries are relatively common, comprising up to 30% of knee injuries seen in sports medicine clinics. 3,8,18,21,23 These injuries are typically associated with jumping, cutting, and pivoting activities that eccentrically load the patella, resulting in conditions ranging from contusions, tendinopathy, and instability to avulsion injuries and tendon ruptures. 14,15,18,23,25 The prevalence of patellar tendinopathy in nonelite athletes ranges from 11.8% to 14.4%.…”

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confidence: 99%

Epidemiological Patterns of Patellofemoral Injuries in Collegiate Athletes in the United States From 2009 to 2014

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Treloar

Smith

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: As many as 30% of patients with knee pain seen in sports medicine clinics have complaints related to the patellofemoral joint. There is a paucity of research available regarding patellofemoral injuries, mechanism of injury, and playing time lost in collegiate athletes. Purpose: To describe the rates, mechanisms, severity, and potential sex-based differences of patellofemoral injuries in collegiate athletes across 25 National Collegiate Athletic Association (NCAA) sports. Study Design: Descriptive epidemiology study. Methods: Data from the 2009-2010 through the 2013-2014 academic years were obtained from the NCAA Injury Surveillance Program and were analyzed to calculate patellofemoral injury rates, mechanisms of injury, time lost, and need for surgery. Rate ratios and injury proportion ratios were used to quantify discernible differences between sex-comparable sports and timing of injury (ie, practice vs competition), respectively. Results: The overall patellofemoral injury incidence rate was 16.10 per 100,000 athlete-exposures (AEs). Women’s volleyball had the highest incidence of all sports (39.57 per 100,000 AEs). Injuries were 66% more likely to occur in competition than during practice. Female athletes experienced significantly more patellofemoral injuries than males in similar sports. Patellar tendinitis accounted for 49.2% of all patellofemoral injuries and was the most common injury in 20 of 25 studied sports. Patellar subluxation accounted for the most total days missed, and patellar dislocation had the highest mean days missed per injury (11.42 days). Patella fracture was the most likely injury to require surgery (80%). Conclusion: Patellofemoral injuries were most common in sports that require jumping and quick changes of direction, specifically women’s volleyball, men’s and women’s basketball, and women’s soccer. The majority of patellofemoral injuries in this cohort were classified as patellar tendinitis caused by overuse. Most injuries resulted in no competition or practice time lost. This information may contribute to the development of prevention programs aimed at addressing the most prevalent types and mechanisms of injury in each sport to reduce the incidence of patellofemoral injury in these athletes.

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confidence: 99%

Epidemiological Patterns of Patellofemoral Injuries in Collegiate Athletes in the United States From 2009 to 2014

Trojan

Treloar

Smith

et al. 2019

Orthopaedic Journal of Sports Medicine

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“…PFPS accounts for 3318% of all knee injuries in female and male athletes, respectively. 2 , 3 Patellofemoral pain is mainly characterized by diffuse retropatellar and peripatellar pain that is aggravated with squatting, prolonged sitting, and stair activities. 4 Its impact is profound, often reducing the ability to exercise, physical activity, and work-related activities.…”

Section: Introductionmentioning

confidence: 99%

<p>Effects of Trigger Point Dry Needling on Neuromuscular Performance and Pain of Individuals Affected by Patellofemoral Pain: A Randomized Controlled Trial</p>

Ma¹,

Li²,

Han³

et al. 2020

JPR

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Purpose To investigate the effects of trigger point dry needling (TrP-DN) on exercise-induced patellofemoral pain syndrome (PFPS). Patients and Methods In this randomized, single-blind, parallel-group trial, 50 patients with PFPS were randomly allocated to the following two groups: the TrP-DN group (n = 25) and the Sham needling group (n = 25). Patients in both groups were asked to perform a stretching exercise of the quadriceps daily after needling. The needling group received a single session of TrP-DN to trigger points (TrPs) in the vastus medialis oblique (VMO), vastus lateralis (VL), and rectus femoris muscles (once a week for 6 weeks), and the Sham group received placebo needling. Visual analogue scale (VAS) for pain intensity and Kujala questionnaire for the functional status were assessed before treatment, 3 and 6 weeks after treatment, and at the 3-month follow-up. The ratio of the myoelectric amplitude of the vastus medialis oblique and vastus lateralis muscles (VMO/VL) was assessed before treatment and 6 weeks after treatment. Results There was no significant difference in the general data between the two groups. The VAS scores and Kujala scores in the TrP-DN group were significantly improved and increased at the 3-week treatment visit, 6-week treatment visit, and 3-month follow-up compared to the scores before treatment; and the scores in the Sham group were only significantly improved at the 3-week treatment visit, and 6-week treatment visit. VAS scores in the TrP-DN group were significantly lower and Kujala scores were significantly higher at the 6-week treatment visit and the 3-month follow-up compared to those in the Sham group. The VMO/VL ratio in the TrP-DN group was significantly increased at the 6-week treatment visit compared to that before treatment. Conclusion TrP-DN at the quadriceps combined with stretch can reduce the pain, and improves the clinical symptoms and function, the VMO/VL ratio, and the coordination of VMO and VL in patients with PFPS.

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“…Patellofemoral Pain Syndrome presents a high prevalence in society, affecting 25-40% of the physically active population currently. The Patellofemoral Pain Syndrome is the major cause of medical care related to musculoskeletal diseases of the lower limbs, capable of generating temporary or definitive discharge of athletes and workers (Blønd & Hansen, 1998;Callaghan & Selfe, 2007;Fairbank, Pynsent, van Poortvliet, & Phillips, 1984;Halabchi, Abolhasani, Mirshahi, & Alizadeh, 2017;Hall, Foss, Hewett, & Myer, 2015;Myer et al, 2010;Rathleff, Rathleff, Olesen, Rasmussen, & Roos, 2016).…”

Section: Final Remarksmentioning

confidence: 99%

Application of bodybuilding for correction of musculoskeletal disease in Patellofemoral Pain Syndrome - A case report

Pereira

Reis

Duarte

et al. 2020

IJOOES

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Background: Medicine and Physical Education can work together to solve many health problems. Bodybuilding is a multidisciplinary area whose goals can range from body development to the correction of postural problems and the resolution of various pathologies related to human movement. In the case in analysis, the patient presented (at rest) localized pain (twinges) in the anterior face of the left knee, with an intensity of five (0-10 scale), without phlogistic signs, which worsens when performing the squat, hindering him from leaving the bed without pain. Symptoms were exacerbated when descending stairs. Through anamnesis and directed physical examination, it were considered the possible differential diagnosis of pain in the anterior portion of the knee: Diseases in menisci, anterior and posterior cruciate ligament injuries, diseases of knee collateral ligaments, diseases of knee cartilage, diseases of patellar tendon tendinitis and patellar chondromalacia. After a correct diagnosis of patellofemoral pain syndrome, a conservative treatment was performed using bodybuilding. The results were positive after four months of treatment. From this case, it can be concluded that bodybuilding can be an alternative solution for the conservative treatment of Patellofemoral Pain Syndrome

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Patellofemoral pain in athletes: clinical perspectives

Cited by 32 publications

References 140 publications

Epidemiological Patterns of Patellofemoral Injuries in Collegiate Athletes in the United States From 2009 to 2014

Epidemiological Patterns of Patellofemoral Injuries in Collegiate Athletes in the United States From 2009 to 2014

<p>Effects of Trigger Point Dry Needling on Neuromuscular Performance and Pain of Individuals Affected by Patellofemoral Pain: A Randomized Controlled Trial</p>

Application of bodybuilding for correction of musculoskeletal disease in Patellofemoral Pain Syndrome - A case report

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