Uncommon causes of anterior knee pain: A case report of infrapatellar contracture syndrome

Mark Ellen, Howard B. Jackson, Steven J. Dibiase

Research output: Contribution to journalArticle

Abstract

The uncommon causes of anterior knee pain should always be considered in the differential diagnosis of a painful knee when treatment of common origins become ineffective. A case is presented in which the revised diagnosis of infrapatellar contracture syndrome was made after noting delayed progress in the rehabilitation of an active female patient with a presumed anterior horn medial meniscus tear and a contracted patellar tendon. The patient improved after the treatment program was augmented with closed manipulation under arthroscopy and infrapatellar injection of both corticosteroids and a local anesthetic. Infrapatellar contraction syndrome and other uncommon sources of anterior knee pain, including arthrofibrosis, Hoffa's syndrome, tibial collateral ligament bursitis, saphenous nerve palsy, isolated ganglions of the anterior cruciate ligament, slipped capital femoral epiphysis, and knee tumors, are subsequently discussed. Delayed functional advancement in a rehabilitation program requires full reassessment of the patient's diagnosis and treatment plan. Alternative diagnoses of knee pain are not always of common origins. Ample knowledge of uncommon causes of anterior knee pain is necessary to form a full differential diagnosis in patients with challenging presentations.

Original languageEnglish (US)
Pages (from-to)376-380
Number of pages5
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume78
Issue number4
DOIs
StatePublished - Jul 1 1999
Externally publishedYes

Fingerprint

Contracture
Knee
Pain
Knee Medial Collateral Ligament
Differential Diagnosis
Rehabilitation
Slipped Capital Femoral Epiphyses
Tibial Meniscus
Bursitis
Patellar Ligament
Anterior Cruciate Ligament
Arthroscopy
Horns
Local Anesthetics
Ganglia
Paralysis
Adrenal Cortex Hormones
Therapeutics
Injections
Neoplasms

Keywords

  • Anterior
  • Infrapatellar Contracture Syndrome
  • Knee
  • Pain

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Uncommon causes of anterior knee pain : A case report of infrapatellar contracture syndrome. / Ellen, Mark; Jackson, Howard B.; Dibiase, Steven J.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 78, No. 4, 01.07.1999, p. 376-380.

Research output: Contribution to journalArticle

@article{dc9785a0f035458ea9617eb9ba5763b4,
title = "Uncommon causes of anterior knee pain: A case report of infrapatellar contracture syndrome",
abstract = "The uncommon causes of anterior knee pain should always be considered in the differential diagnosis of a painful knee when treatment of common origins become ineffective. A case is presented in which the revised diagnosis of infrapatellar contracture syndrome was made after noting delayed progress in the rehabilitation of an active female patient with a presumed anterior horn medial meniscus tear and a contracted patellar tendon. The patient improved after the treatment program was augmented with closed manipulation under arthroscopy and infrapatellar injection of both corticosteroids and a local anesthetic. Infrapatellar contraction syndrome and other uncommon sources of anterior knee pain, including arthrofibrosis, Hoffa's syndrome, tibial collateral ligament bursitis, saphenous nerve palsy, isolated ganglions of the anterior cruciate ligament, slipped capital femoral epiphysis, and knee tumors, are subsequently discussed. Delayed functional advancement in a rehabilitation program requires full reassessment of the patient's diagnosis and treatment plan. Alternative diagnoses of knee pain are not always of common origins. Ample knowledge of uncommon causes of anterior knee pain is necessary to form a full differential diagnosis in patients with challenging presentations.",
keywords = "Anterior, Infrapatellar Contracture Syndrome, Knee, Pain",
author = "Mark Ellen and Jackson, {Howard B.} and Dibiase, {Steven J.}",
year = "1999",
month = "7",
day = "1",
doi = "10.1097/00002060-199907000-00018",
language = "English (US)",
volume = "78",
pages = "376--380",
journal = "American Journal of Physical Medicine and Rehabilitation",
issn = "0894-9115",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Uncommon causes of anterior knee pain

T2 - A case report of infrapatellar contracture syndrome

AU - Ellen, Mark

AU - Jackson, Howard B.

AU - Dibiase, Steven J.

PY - 1999/7/1

Y1 - 1999/7/1

N2 - The uncommon causes of anterior knee pain should always be considered in the differential diagnosis of a painful knee when treatment of common origins become ineffective. A case is presented in which the revised diagnosis of infrapatellar contracture syndrome was made after noting delayed progress in the rehabilitation of an active female patient with a presumed anterior horn medial meniscus tear and a contracted patellar tendon. The patient improved after the treatment program was augmented with closed manipulation under arthroscopy and infrapatellar injection of both corticosteroids and a local anesthetic. Infrapatellar contraction syndrome and other uncommon sources of anterior knee pain, including arthrofibrosis, Hoffa's syndrome, tibial collateral ligament bursitis, saphenous nerve palsy, isolated ganglions of the anterior cruciate ligament, slipped capital femoral epiphysis, and knee tumors, are subsequently discussed. Delayed functional advancement in a rehabilitation program requires full reassessment of the patient's diagnosis and treatment plan. Alternative diagnoses of knee pain are not always of common origins. Ample knowledge of uncommon causes of anterior knee pain is necessary to form a full differential diagnosis in patients with challenging presentations.

AB - The uncommon causes of anterior knee pain should always be considered in the differential diagnosis of a painful knee when treatment of common origins become ineffective. A case is presented in which the revised diagnosis of infrapatellar contracture syndrome was made after noting delayed progress in the rehabilitation of an active female patient with a presumed anterior horn medial meniscus tear and a contracted patellar tendon. The patient improved after the treatment program was augmented with closed manipulation under arthroscopy and infrapatellar injection of both corticosteroids and a local anesthetic. Infrapatellar contraction syndrome and other uncommon sources of anterior knee pain, including arthrofibrosis, Hoffa's syndrome, tibial collateral ligament bursitis, saphenous nerve palsy, isolated ganglions of the anterior cruciate ligament, slipped capital femoral epiphysis, and knee tumors, are subsequently discussed. Delayed functional advancement in a rehabilitation program requires full reassessment of the patient's diagnosis and treatment plan. Alternative diagnoses of knee pain are not always of common origins. Ample knowledge of uncommon causes of anterior knee pain is necessary to form a full differential diagnosis in patients with challenging presentations.

KW - Anterior

KW - Infrapatellar Contracture Syndrome

KW - Knee

KW - Pain

UR - http://www.scopus.com/inward/record.url?scp=0032790036&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032790036&partnerID=8YFLogxK

U2 - 10.1097/00002060-199907000-00018

DO - 10.1097/00002060-199907000-00018

M3 - Article

C2 - 10418845

AN - SCOPUS:0032790036

VL - 78

SP - 376

EP - 380

JO - American Journal of Physical Medicine and Rehabilitation

JF - American Journal of Physical Medicine and Rehabilitation

SN - 0894-9115

IS - 4

ER -