Saturday, 24 October 2015

Teen aged girl presented with complaints of pain in the knee on climbing stairs

A teen aged girl presented with complaints of pain in the knee on climbing stairs and on getting up after sitting for a long time.
What is the probable clinical diagnosis?
a. Chondromalacia patellae
b. Plica syndrome
c. Patello-femoral osteoarthritis
d. Bipartate patella

ANSWER IS A
Chondromalacia of the patella occurs in adolescents and young adults.
The condition is more common in females. It can be related to the abnormal position of the knee.
Symptoms: 
A grating or grinding sensation when the knee is flexed (moved so that the ankle is brought closer to the back of the thigh).
Knee pain in the front of the knee that occurs when you get up after sitting for a long period of time.
Knee pain that worsens when you use stairs or get out of a chair.
Knee tenderness.
Treatment-
Temporarily resting the knee and taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or aspirin may help relieve pain. Physical therapy, especially quadriceps strengthening and hamstring stretching, may be helpful. Stretch the muscles on the back (hamstrings) and front (quadriceps) of your upper leg. Avoid running straight down hills; walk down instead.