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Patellofemoral Arthralgia Orthopedics and Neurology DX 612

Patellofemoral Arthralgia Orthopedics and Neurology DX 612. James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic. Patellofemoral Arthralgia.

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Patellofemoral Arthralgia Orthopedics and Neurology DX 612

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  1. Patellofemoral ArthralgiaOrthopedics and Neurology DX 612 James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic

  2. Patellofemoral Arthralgia • Patellofemoral pain syndrome is a descriptive term applied to patients with nonspecific anterior knee pain, and is the most common knee problem.

  3. Anterior Knee Pain • The pain in most patellofemoral disorders is generalized to the anterior part of the knee.

  4. Quadriceps Angle • One important concept in patellofemoral joint function is the quadriceps angle (Q-angle).

  5. Q Angle • An invaluable parameter for evaluation of anterior knee pain.

  6. Patellar Tracking • Theoretically, a higher Q-angle increases the lateral pull of the quadriceps femoris muscle on the patella and potentiates patellofemoral disorders.

  7. CONCLUSION • 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.

  8. Normal Measurement Men 11 to 17 degrees Women 14 to 20 degrees (due to gynecoid pelvis)

  9. Causes of Increased Q Angle • Genu valgum • Excessive femoral anteversion • Medial tibial torsion • Laterally positioned tibial tuberosity

  10. Causes of Increased Q Angle • Tight lateral retinaculum • Weakness of vastus medialis oblique • High riding patella (patella alta)

  11. Therapeutics • Reduce pain

  12. Therapeutics • Reduce edema

  13. Therapeutics • Myofascial treatment for trigger points and contractures

  14. Therapeutics • Balance pedal foundation • Improve posture

  15. Therapeutics • Chiropractic manipulation to correct joint dysfunction

  16. Risks of Increased Q Angle • Patellar subluxation or dislocation

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