Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related anterior right knee pain, localized peripatellar. Pain is exacerbated by prolonged sitting (theater sign), stair climbing, and squatting. No history of acute trauma, locking, or giving way. Symptoms are insidious in onset and mechanical in nature.
Clinical Examination Findings
Right 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 shows lateral tilt/glide during active extension. No ligamentous laxity (Lachman, Varus/Valgus stress tests negative). Full range of motion, though painful at terminal flexion.
Treatment Protocol
Conservative management initiated: Activity modification to avoid pain-provoking movements, non-steroidal anti-inflammatory drugs (NSAIDs) as needed, and a structured physical therapy program focusing on VMO strengthening, hip abductor strengthening, and patellar mobilization. Consider patellar bracing or kinesio-taping for symptom relief.