Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related anterior left knee pain localized to the superior pole of the patella. Symptoms are exacerbated by eccentric loading, jumping, or prolonged sitting. No history of acute trauma or mechanical locking. Pain is described as a dull ache with intermittent sharp exacerbations during quadriceps contraction.
Clinical Examination Findings
Left knee examination reveals focal tenderness to palpation at the quadriceps tendon insertion on the superior patellar pole. No significant joint effusion or ligamentous laxity. Pain is elicited with resisted knee extension and eccentric squatting. Patellar tracking is within normal limits. Neurovascular status is intact distally.
Treatment Protocol
Initiate conservative management including activity modification, avoidance of aggravating activities, and a structured physical therapy program focusing on eccentric quadriceps strengthening. Consider NSAIDs for pain management and topical analgesics. If refractory, evaluate for PRP injection or ultrasound-guided percutaneous tenotomy.