Patellofemoral Pain Syndrome.

Abstract:

:Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies when the knee is flexed during weight-bearing activities. The pain of PFPS often worsens with prolonged sitting or descending stairs. The most sensitive physical examination finding is pain with squatting. Examining a patient's gait, posture, and footwear can help identify contributing causes. Plain radiographs of the knee are not necessary for the diagnosis of PFPS but can exclude other diagnoses, such as osteoarthritis, patellar fracture, and osteochondritis. If conservative treatment measures are unsuccessful, plain radiography is recommended. Treatment of PFPS includes rest, a short course of nonsteroidal anti-inflammatory drugs, and physical therapy directed at strengthening the hip flexor, trunk, and knee muscle groups. Patellar kinesiotaping may provide additional short-term pain relief; however, evidence is insufficient to support its routine use. Surgery is considered a last resort.

journal_name

Am Fam Physician

authors

Gaitonde DY,Ericksen A,Robbins RC

subject

Has Abstract

pub_date

2019-01-15 00:00:00

pages

88-94

issue

2

eissn

0002-838X

issn

1532-0650

pii

d13979

journal_volume

99

pub_type

杂志文章,评审
  • Drugs for conversion of atrial fibrillation.

    abstract::Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) cardioversion is the most effecti...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Dell'Orfano JT,Luck JC,Wolbrette DL,Patel H,Naccarelli GV

    更新日期:1998-08-01 00:00:00

  • Diagnosis and management of gout.

    abstract::Gout is a disease resulting from the deposition of urate crystals caused by the overproduction or underexcretion of uric acid. The disease is often, but not always, associated with elevated serum uric acid levels. Clinical manifestations include acute and chronic arthritis, tophi, interstitial renal disease and uric a...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Pittman JR,Bross MH

    更新日期:1999-04-01 00:00:00

  • The neuromuscular junction. Part II: myasthenia gravis.

    abstract::Myasthenia gravis is characterized by variable ocular and skeletal muscle weakness. Peak incidence is in young women and older men. Thymomas are present in 30 percent of myasthenic patients over age 40. Binding of acetylcholine receptors by IgG antibodies may be the mechanism of the neuromuscular disorder. Repetitive ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Brumback RA

    更新日期:1981-02-01 00:00:00

  • Legionnaires' disease: an update.

    abstract::Legionella pneumophila is transmitted by aerosolization of water or dust from soil. There are six serotypes and four newly recognized related organisms. Sporadic cased of Legionnaires; disease are more common than epidemic case and are less likely to be suspected . Most reporters cases are characterized by severe pneu...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Ackley AM

    更新日期:1981-07-01 00:00:00

  • Management of head and neck injuries by the sideline physician.

    abstract::Injuries to the head and neck are common in sports. Sideline physicians must be attentive and prepared with an organized approach to detect and manage these injuries. Because head and neck injuries often occur simultaneously, the sideline physician can combine the head and neck evaluations. When assessing a conscious ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Whiteside JW

    更新日期:2006-10-15 00:00:00

  • A practical approach to neonatal jaundice.

    abstract::Kernicterus and neurologic sequelae caused by severe neonatal hyperbilirubinemia are preventable conditions. A structured and practical approach to the identification and care of infants with jaundice can facilitate prevention, thus decreasing rates of morbidity and mortality. Primary prevention includes ensuring adeq...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Moerschel SK,Cianciaruso LB,Tracy LR

    更新日期:2008-05-01 00:00:00

  • New options for treating gallstone disease.

    abstract::Gallstone disease is a major health problem in the United States and in most Western countries. During the past century, cholecystectomy has been the treatment of choice. Recently, new modalities of treatment have been developed, including oral dissolution therapy, extracorporeal shock-wave lithotripsy, percutaneous t...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Farha GJ,Beamer RL

    更新日期:1991-10-01 00:00:00

  • FPIN's Clinical Inquiries. Aspirin use in children for fever or viral syndromes.

    abstract::Aspirin should not be used to treat acute febrile viral illness in children. (Strength of Recommendation [SOR]: C, based on case-control studies). Although no causal link has been proven, data from case-control and historic cohort studies demonstrate an association between aspirin use and Reye syndrome. The risk of Re...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Beutler AI,Chesnut GT,Mattingly JC,Jamieson B

    更新日期:2009-12-15 00:00:00

  • Psychiatric presentations of hypothyroidism.

    abstract::Hypothyroidism can often be misdiagnosed as psychiatric illness. The hypothyroid patient may present with depression, an organic mental disorder, apathy and/or frank psychosis (usually with paranoid symptoms). Psychiatric manifestations of the endocrinopathy will abate with thyroid hormone replacement therapy, unless ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: McGaffee J,Barnes MA,Lippmann S

    更新日期:1981-05-01 00:00:00

  • Clinical virology in children.

    abstract::Virology has become an increasingly important field of medicine in the past decade. Many infectious diseases that were once of unknown etiology can now be linked to the specific viral pathogen. New methods for diagnosing and treating viral diseases are being developed. In addition, antiviral therapy or prophylaxis is ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Ryan ME,Leichter J

    更新日期:1994-07-01 00:00:00

  • Viral infection as a cause of arthritis.

    abstract::Rheumatic complaints secondary to viral infections are usually brief, self-limited and nondestructive. They may accompany almost any type of viral illness, and the arthritic presentation is nonspecific. These manifestations are protean, ranging from arthralgia to vasculitis. Often the cause of the rheumatic complaint ...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Siegel LB,Gall EP

    更新日期:1996-11-01 00:00:00

  • Middle ear effusion: current concepts.

    abstract::Middle ear fluid is a common problem in children. Eustachian tube dysfunction has been considered the key to the pathogenesis of this disorder, but new studies show that other factors may be operative. Inflammation appears to play a significant role in high-viscosity effusion, and these effusions may be related to acu...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: McCurdy JA Jr

    更新日期:1978-04-01 00:00:00

  • The serum digoxin concentration: ten questions to ask.

    abstract::Although the role of digoxin therapy has been the subject of debate, the drug is generally accepted as effective in the treatment of heart failure due to systolic dysfunction and as therapy for atrial fibrillation and supraventricular tachyarrhythmias. Serum digoxin concentrations are commonly used to gauge patient re...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cauffield JS,Gums JG,Grauer K

    更新日期:1997-08-01 00:00:00

  • Regional anesthesia for office procedures: part I. Head and neck surgeries.

    abstract::Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field blocks, epinephrine may be added ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Salam GA

    更新日期:2004-02-01 00:00:00

  • De Quervain's disease.

    abstract::This is a tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons contained within the osseofibrous tunnel of the distal radius. Multiple tendons for the abductor pollicis longus and a separate, severely narrowed sheath for the extensor pollicis brevis make nonsurgical treatment difficult at...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Field JH

    更新日期:1979-07-01 00:00:00

  • Disposable contact lenses.

    abstract::Disposable soft contact lenses are an alternative to conventional extended-wear lenses and provide an acceptable margin of safety and convenience for the wearer. The lenses are worn for one to two weeks and then discarded. Buildup of tear film deposits is minimized, and the need for cleaning and disinfecting solutions...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: White GL Jr,Thiese SM,Olafsson HE,Lundergan MK

    更新日期:1991-05-01 00:00:00

  • The mattress sutures: vertical, horizontal, and corner stitch.

    abstract::The interrupted vertical and horizontal mattress suture techniques are two of the most commonly used skin closure methods. These mattress sutures promote wound edge eversion and less prominent scarring. Vertical and horizontal mattress sutures allow for skin edges to be closed under tension when wound edges have to be...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Zuber TJ

    更新日期:2002-12-15 00:00:00

  • Suggestion therapy and clinical hypnosis.

    abstract::The family physician is in a unique position to care for the total needs of the patient. Suggestion therapy and clinical hypnosis are helpful in managing the psychologic aspects of disease in all age groups beyond five years, and are well within the purview of family physicians. Learning these techniques can enhance t...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Phelps LA

    更新日期:1981-06-01 00:00:00

  • Barn Itch.

    abstract::Particularly in rural settings, Trichophyton verrucosum commonly causes an inflammatory tinea infection, sometimes called 'barn itch." There is usually a history of contact with animals. The demonstration of clusters of large spores in a potassium hydroxide preparation of scrappings obtained from clinically involved s...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Schwartz ME

    更新日期:1983-01-01 00:00:00

  • Type 2 Diabetes Mellitus: Outpatient Insulin Management.

    abstract::In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one oral agent plus a glucagon-like pep...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Howard-Thompson A,Khan M,Jones M,George CM

    更新日期:2018-01-01 00:00:00

  • Lumbar disk disease: pathophysiology, management and prevention.

    abstract::Patients with symptomatic lumbar disk disease may present with back pain, referred leg pain, radicular leg pain, sensory changes and leg weakness. Because neurologic deficits are commonly localized to the L5 or S1 nerve roots, evaluation of patients with such symptoms should focus on these dermatomes and muscle groups...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Gilmer HS,Papadopoulos SM,Tuite GF

    更新日期:1993-04-01 00:00:00

  • Recurrent venous thromboembolism.

    abstract::A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore is not cost-effective. Updated ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Galioto NJ,Danley DL,Van Maanen RJ

    更新日期:2011-02-01 00:00:00

  • Schirmer's test of lacrimation.

    abstract::Schirmer's test is a simple, semiquantitative test of tear production. It is based on the physical tendency of a fluid to travel along a strip of porous material by capillary action due to surface tension. Sterile strips, standardized and prepackaged, are available from local scientific supply houses. The low cost and...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Rodney WM,Louie J,Puffer JC

    更新日期:1981-11-01 00:00:00

  • Complications following coxsackievirus B infection.

    abstract::Coxsackievirus B infection is common in children and young adults, usually causing mild symptoms in the gastrointestinal or upper respiratory tract. However, some patients develop pleurodynia, carditis or aseptic meningitis. This viral infection can be serious in the fetus and fatal in the newborn. Coxsackievirus B in...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Murray BJ

    更新日期:1988-11-01 00:00:00

  • Klinefelter syndrome.

    abstract::To complement the 2005 Annual Clinical Focus on medical genomics, AFP is publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders and understand the kind of care they mi...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wattendorf DJ,Muenke M

    更新日期:2005-12-01 00:00:00

  • Acute renal failure.

    abstract::Acute renal failure occurs in 5 percent of hospitalized patients. Etiologically, this common condition can be categorized as prerenal, intrinsic or postrenal. Most patients have prerenal acute renal failure or acute tubular necrosis (a type of intrinsic acute renal failure that is usually caused by ischemia or toxins)...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Agrawal M,Swartz R

    更新日期:2000-04-01 00:00:00

  • Clues to cancer risk: biologic markers.

    abstract::Two large kindreds manifesting the "cancer family syndrome" have been studied. Genetic and biologic studies reveal markers which have important implications for cancer detection, control and prevention. Valuable markers may be found in the major histocompatibility system, HL-A. The presence of carcinoembryonic antigen...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Lynch HT,Thomas RJ,Gurgis HA,Lynch J

    更新日期:1975-03-01 00:00:00

  • Sexually Transmitted Infections: Recommendations from the U.S. Preventive Services Task Force.

    abstract::The U.S. Preventive Services Task Force (USPSTF) has issued recommendations on behavioral counseling to prevent sexually transmitted infections (STIs) and recommendations about screening for individual STIs. Clinicians should obtain a sexual history to assess for behaviors that increase a patient's risk. Community and...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Lee KC,Ngo-Metzger Q,Wolff T,Chowdhury J,LeFevre ML,Meyers DS

    更新日期:2016-12-01 00:00:00

  • Tension-type headache.

    abstract::Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. Migraine-type features (unilateral, throbbing pain, nausea, photophobia) are not present All pati...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Millea PJ,Brodie JJ

    更新日期:2002-09-01 00:00:00

  • Synovial cell sarcoma.

    abstract::Synovial cell sarcoma frequently presents as a painful periarticular mass in the lower extremity of a young male patient. The mass may appear encapsulated and is calcified in approximately 50 percent of cases. Surgery is the mainstay of therapy, with radical resection often necessary to prevent local recurrence. The m...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Scialabba FA,DeLuca SA

    更新日期:1990-04-01 00:00:00