Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized anterior right knee pain, exacerbated by activities involving repetitive knee extension, jumping, or stair climbing. Symptoms are insidious in onset, localized to the superior pole of the patella. No history of acute trauma, locking, or giving way. Pain is described as aching, rated [X]/10, with morning stiffness lasting [X] minutes.
Clinical Examination Findings
Right knee inspection reveals no erythema or significant effusion. Palpation demonstrates focal tenderness at the quadriceps tendon insertion site (superior pole of the patella). Resisted knee extension reproduces pain. Passive knee flexion is limited by pain at end-range. Ligamentous stability (ACL/PCL/MCL/LCL) is intact. Meniscal provocation tests (McMurrayโs) are negative.
Treatment Protocol
Initiate conservative management: Activity modification (avoidance of aggravating activities), RICE protocol (Rest, Ice, Compression, Elevation), and NSAIDs as indicated. Physical therapy referral for eccentric quadriceps strengthening and flexibility training. Consider patellar tendon strap for symptom relief during activity. Follow-up in [X] weeks if no improvement.