The diagnosis and subsequent treatment of patients with “Anterior Knee Pain” remains a challenge and an enigma at times. The 4 main parameters, which need to be assessed, are:
Bony anatomy of the PFJ Cartilage structure within the PFJ Tracking of the patella with active knee extension Structure of the soft tissues in the extensor mechanism While plain radiographs, CT scans and static MRI sans and arthroscopic assessments highlight some of the parameters none of them are comprehensive. The type of MRI scanning used in this study assesses all 4 parameters. The equipment required for resisted quadriceps contraction is inexpensive and readily available.
Radiological diagnosis and grading of subluxation if present. Clinical scoring of 26 patients who returned the questionnaires. Oxford, Lysholm and Tegner scores were used and correlated with the radiological scores. Development of a Treatment Algorithm based o the scan results.
