Case Studies

This is aimed at both clinicians and patients. For clinicians it gives an insight into another clinician’s thinking, and for patients it is hoped that there might be a case that resonates and feels familiar to you.

60 year old female with PFJ OA

60 year old female executice with Patellofemoral Osteoarthritis  PC. Vague distributed antero-medially located right knee pain. Ache with occasional sharp pain. No giving-way but feels less confident in knee. No locking, aware of some swelling. Thoughts: This sounds like PFJ  but must also remember it could be tibiofemoral, fat pad, hip joint or L spine

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65 year old male runner with left anteriorly located knee pain.

PC. Deep ache antero-lateral PFJ. Occasional sharp pain. ‘Loss of confidence’ in knee. Thoughts. The age of this patient increases the likelihood of OA but must not presume this is the source of the pain. Loss of confidence may be from pain, and or instability and instability may be from the joint or from reduced

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Mujer de 42 años, derecho dolor inferopatellar

Hembra, 42, describiendo un dolor intenso ardor, a veces, peor inferopatellar lateralmente. Hincha de área local. Se queja de forma intermitente dando-asociada con dolor agudo. No hay bloqueo. Pensamientos: típico de la almohadilla grasa inferopatellar pero no descuento tendinopatía rotuliana o remisión de PFJ. Probablemente cediendo dolor inducido quads inhibición pero todavía no puede descalificar

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42 year old female, right inferopatellar pain

Female, 42, describing intense pain sometimes burning, inferopatellar, worse laterally. Area swells up locally. Complains of intermittent giving-way associated with sharp pain. No locking. Thoughts: Typical of inferopatellar fat pad but can’t discount patella tendinopathy or referral from PFJ. Giving way probably pain induced quads inhibition but can’t yet disqualify possibility of intra-articular pathology. Swelling

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