Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related anterior left knee pain localized to the inferior pole of the patella. Pain is exacerbated by jumping, running, and prolonged sitting (theater sign). No history of acute trauma or mechanical locking. Symptoms are insidious in onset and progressive in intensity.
Clinical Examination Findings
Left knee examination reveals point tenderness at the inferior pole of the patella and the proximal patellar tendon. No joint effusion, erythema, or warmth noted. Range of motion is full and painless. Resisted knee extension elicits pain at the patellar tendon. Negative Lachman, McMurray, and varus/valgus stress tests.
Treatment Protocol
Initiate conservative management including activity modification (avoiding aggravating jumping/loading activities), eccentric strengthening program (decline squats), cryotherapy post-activity, and NSAIDs as needed. Consider patellar tendon strap for symptom relief during activity. Referral to physical therapy for targeted rehabilitation.