Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with insidious onset of anterior left knee pain, exacerbated by prolonged sitting, stair climbing, and squatting. No history of acute trauma, locking, or giving way. Pain is described as a dull ache, localized to the peripatellar region.
Clinical Examination Findings
Left knee examination reveals tenderness upon palpation of the patellar facets. Positive patellar grind test (Clarkeโs sign). No joint line tenderness, ligamentous laxity, or effusion noted. Tracking of the patella appears lateralized during active range of motion.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of aggravating movements, and initiation of a structured physical therapy program focusing on quadriceps strengthening (specifically VMO) and hip abductor stabilization. NSAIDs prescribed as needed for pain control.