patellofemoral arthralgia orthopedics and neurology dx 612
DESCRIPTION
Patellofemoral Arthralgia Orthopedics and Neurology DX 612. James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic. Patellofemoral Arthralgia. - PowerPoint PPT PresentationTRANSCRIPT
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Patellofemoral Patellofemoral ArthralgiaArthralgiaOrthopedics and Neurology Orthopedics and Neurology DX 612DX 612
James J. Lehman, DC, MBA, DABCOUniversity of Bridgeport College of Chiropractic
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Patellofemoral Arthralgia Patellofemoral Arthralgia
Patellofemoral pain syndrome is a descriptive term applied to patients with nonspecific anterior knee pain, and is the most common knee problem.
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Anterior Knee PainAnterior Knee Pain
The pain in most patellofemoral disorders is generalized to the anterior part of the knee.
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Quadriceps Angle Quadriceps Angle
One important concept in patellofemoral joint function is the quadriceps angle (Q-angle).
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Q AngleQ Angle
An invaluable parameter for evaluation of anterior knee pain.
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Patellar Tracking Patellar Tracking
Theoretically, a higher Q-angle increases the lateral pull of the quadriceps femoris muscle on the patella and potentiates patellofemoral disorders.
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CONCLUSIONCONCLUSION
These results substantiate the fact that patients with anterior knee pain have larger Q-angles than healthy individuals.
Arch Iran Med. 2007 Jan;10(1):24-6.
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Normal MeasurementNormal Measurement
Men 11 to 17 degrees
Women 14 to 20 degrees (due to gynecoid pelvis)
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Causes of Increased Q AngleCauses of Increased Q Angle
Genu valgum Excessive femoral
anteversion Medial tibial torsion Laterally positioned
tibial tuberosity
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Causes of Increased Q AngleCauses of Increased Q Angle
Tight lateral retinaculum
Weakness of vastus medialis oblique
High riding patella (patella alta)
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TherapeuticsTherapeutics
Reduce pain
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TherapeuticsTherapeutics
Reduce edema
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TherapeuticsTherapeutics
Myofascial treatment for trigger points and contractures
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TherapeuticsTherapeutics
Balance pedal foundation
Improve posture
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TherapeuticsTherapeutics
Chiropractic manipulation to correct joint dysfunction
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Risks of Increased Q Risks of Increased Q AngleAngle
Patellar subluxation or dislocation