The pathway of pain in the anterior knee pain syndrome remains unclear. It has been hypothesized that some biochemical mediators of inflammation, such as cytokines contribute to the process. The objective of this work was to evaluate the synovial membrane and the infrapatellar fat pad expression of the inflammatory mediators and potentially chondrodestructive cytokines interleukin 6 (IL-6) and ...

Anterior knee pain Patients with patellofemoral pain represent a significant challenge to the orthopaedic and rehabilitation community, despite recent advances in the understanding of almost all other knee conditions. This clinical conundrum is often aptly named “The Black Hole of Orthopaedics”, implying that no single explanation or therapeutic approach has fully clarified this problem yet. Th...

We report a case of a detached anterior horn of the medial meniscus with anterior knee pain. Preoperative magnetic resonance images of the knee were initially interpreted as a parameniscal cyst. Arthroscopic examination revealed subluxation of the anterior horn of the medial meniscus due to detachment from its anterior tibial insertion. Arthroscopic fixation with a suture anchor was successful ...

Abstract Anterior knee pain is one of the main symptoms in osteoarthritis, resulting from rich sensory innervation its capsule. Pain control can be difficult to achieve, with non-responders conservative and medical therapy often requiring a total replacement. Radiofrequency ablation (RFA) novel technique that could beneficial managing anterior by targeting genicular nerves around knee; however,...

A 41-year-old female presented with a 3-month history of gradually worsening anterior knee pain, swelling and inability to flex the knee. Magnetic resonance imaging (MRI) revealed a large intra-articular cystic swelling anterior to the anterior cruciate ligament (ACL), extending into the Hoffa's infrapatellar fat pad. Following manipulation under anaesthesia and arthroscopic debridement of the ...

BACKGROUND Increased knee pain at the time of anterior cruciate ligament reconstruction may potentially predict more difficult rehabilitation, prolonged recovery, and/or be predictive of increased knee pain at 2 years. HYPOTHESIS A bone bruise and/or other preoperative factors are associated with more knee pain/symptoms at the time of index anterior cruciate ligament reconstruction, and the p...

Background: A 36-year-old woman presented to the orthopedic department with painful impairment of the left knee. The pain to the medial side of the knee and locking of the knee joint had started after a distortion of the knee during a game of soccer 2 weeks earlier. On clinical exami nation, the left knee showed a flexion/extension range of 110/0°. On palpation and rotation of the knee joint, t...

Because pain is often the only manifest symptom in patients suffering from anterior knee pain (AKP), an in-depth analysis of this subjective emotion may yield valuable information about this elusive knee condition. This book chapter focuses on pain perception and its mechanisms, physiology, and evolutionary context. In the last 10 years, new insights have contributed to our understanding of pai...

Patellar resurfacing in total knee arthroplasty (TKA) remains controversial. This study evaluates the results of resurfacing and non-resurfacing of the patella. Fifty-six patients with osteoarthritis (OA) of the knee were enrolled in a prospective randomised clinical trial using a posterior-stabilised TKA. Evaluations were done preoperatively and after 1, 3, 6, 12 and 24 months. Disease specifi...