Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with bilateral anterior knee pain, insidious in onset, exacerbated by prolonged sitting (theater sign), stair climbing, and squatting. No history of acute trauma, locking, or instability. Pain is described as a dull, aching sensation localized to the retropatellar region.
Clinical Examination Findings
Bilateral knee examination reveals no joint effusion or erythema. Tenderness to palpation along the medial and lateral patellar facets. Positive patellar grind test (Clarkeโs sign) bilaterally. Normal range of motion without crepitus. No ligamentous laxity (Lachman, Varus/Valgus stress tests negative). Normal gait pattern with no evidence of patellar maltracking or Q-angle abnormality.
Treatment Protocol
Conservative management initiated: Activity modification to avoid aggravating activities, physical therapy focusing on quadriceps strengthening (specifically VMO) and hip abductor stabilization. NSAIDs as needed for pain control. Application of ice packs post-activity. Follow-up in 6 weeks to assess progress.