Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, insidious onset of anterior knee pain, exacerbated by prolonged sitting (theater sign), stair climbing, and squatting. Pain is described as dull, aching, and peripatellar. No history of acute trauma, locking, or giving way. Symptoms are relieved by rest and extension of the knee.
Clinical Examination Findings
Inspection reveals no significant effusion or erythema. Palpation demonstrates tenderness along the medial and lateral patellar facets. Patellar grind test (Clarkeโs sign) is positive with crepitus and reproduction of pain. Q-angle is within normal limits. No ligamentous laxity (Lachman/McMurray negative). Normal range of motion with pain at terminal flexion.
Treatment Protocol
Conservative management initiated: Activity modification to avoid aggravating movements, NSAIDs for pain control, and a structured physical therapy program focusing on VMO strengthening, hip abductor strengthening, and hamstring flexibility. Patellar taping or bracing may be utilized for symptom relief. Follow-up in 6 weeks.