Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, insidious onset of anterior left knee pain, exacerbated by prolonged sitting, stair climbing, and squatting. Denies mechanical symptoms such as locking, catching, or instability. Pain is described as a dull ache, localized retropatellar. No history of acute trauma or recent injury.
Clinical Examination Findings
Left knee examination reveals no effusion or erythema. Tenderness to palpation along the medial and lateral patellar facets. Positive patellar grind test (Clarkeโs sign). Patellar tracking appears slightly lateralized during active extension. No ligamentous laxity (Lachman, Varus/Valgus stress tests negative). Meniscal signs (McMurrayโs) negative.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of aggravating activities, and a structured physical therapy program focusing on VMO strengthening and hip abductor stabilization. Prescribe NSAIDs as needed for pain control. Consider patellar taping or bracing for symptom relief.