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Chondromalacia patellae Causes and Risks:
Chondromalacia patella occurs in adolescents and young adults, more frequently in women. The cause is thought to be related to overuse trauma and/or abnormal forces on the knee. Many affected adolescents have a mildly abnormal alignment of the patella (knee cap) and femur. Affected people of all ages have knee pain and a grating or grinding sensation when they extend their knee. The incidence is 2 out of 10,000 people.
Prevention:
Avoid trauma or abnormal stress on the knee.
Symptoms:
- knee tenderness
- knee pain , occurs on extension
- knee pain that is worse with climbing
- a grating sensation in the knee
Signs and Tests:
A physical examination of the knee supports the symptoms.
There may be an irregular surface seen on a joints X-ray of the knee.
Treatment:
Temporary rest or immobilization of the affected joint and nonsteroidal anti-inflammatory drugs may be effective in relieving pain. Physical therapy, especially quadriceps strengthening, is helpful. Participation in sports or strenuous activity should be limited until the pain has resolved.
Prognosis:
The condition usually improves with rest.
Complications:
Discomfort is the primary complication.
Call Your Healthcare Provider:
Call for an appointment with your health care provider if symptoms of this disorder develop.
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