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Iliotibial band syndrome is one of the leading causes of lateral knee pain in runners. The iliotibial band is a thick band of fascia composing the tendon of the tensor fasciae latae muscle . It is located on the lateral aspect of the knee, extending from the outside of the pelvis , over the hip and knee, and inserting just below the knee.
Patellofemoral pain syndrome is the most common cause of anterior knee pain in the outpatient. [3] [45] Specific populations at high risk of primary PFPS include runners, bicyclists, basketball players, young athletes and females. [46] BMI did not significantly increase risk of developing PFPS in adolescents.
Running long distance can cause pain to the knee joint, as it is a high-impact exercise. [2] The location and severity of knee pain may vary, depending on the cause of the problem. Signs and symptoms that sometimes accompany knee pain include: [1] Swelling and stiffness; Redness and warmth to the touch; Weakness or instability; Popping or ...
The condition may result from acute injury to the patella or chronic friction between the patella and a groove in the femur through which it passes during knee flexion. [11] Possible causes include a tight iliotibial band, neuromas, bursitis, overuse, malalignment, core instability, and patellar maltracking. [citation needed]
Sometimes they report weakness or decreased range of motion. The physician examines the knee in full extension, looking for tenderness in the medial knee joint and across the proximal, medial tibial region, and feels for tenderness along the medial tendons of the pes anserine when the knee is flexed at 90 degrees. [citation needed]
Popliteus is often referred to as the "Key" to unlocking the knee since it begins knee flexion by laterally rotating the femur on the tibia. [6] Popliteus is also attached to the lateral meniscus in the knee and draws it posteriorly during knee flexion to prevent crushing the meniscus between the tibia and femur as the knee flexes.
Grading of medial knee injuries is dependent on the amount of medial joint space gapping found upon valgus stress testing with the knee in 20° of flexion. Grade I injuries have no instability clinically and are associated with tenderness only, representing a mild sprain. Grade II injuries have broad tenderness over the medial knee and have ...
In this medial view of the flexed knee, the lateral femoral condyle has been removed to reveal the structure of the PCL. Because the anterolateral bundle is stretched and the posteromedial bundle relaxed during flexion, excessive flexion in the form of hyperflexion causes tensile stress, shown in red, on the anterolateral bundle of the PCL that leads to PCL injury.
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