The pathophysiology of patellofemoral pain: a tissue homeostasis perspective.

@article{Dye2005ThePO,
  title={The pathophysiology of patellofemoral pain: a tissue homeostasis perspective.},
  author={S. Dye},
  journal={Clinical orthopaedics and related research},
  year={2005},
  volume={436},
  pages={
          100-10
        }
}
  • S. Dye
  • Published 2005
  • Medicine
  • Clinical orthopaedics and related research
UNLABELLED Fundamental to rational, safe, and effective treatment for any orthopaedic condition is an accurate understanding of the etiology of the symptoms. The decades-old paradigm of a pure structural and biomechanical explanation for the genesis of patellofemoral pain is giving way to one in which biologic factors are being given more consideration. It is increasingly evident that a variable mosaic of possible pathophysiologic processes, often caused by simple overload, best accounts for… Expand
An overview of patellofemoral pain—from a tissue homeostasis perspective
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References

SHOWING 1-10 OF 63 REFERENCES
The mosaic of pathophysiologycausing patellofemoral pain: Therapeutic implications
TLDR
The goal of treatment of patients with patellofemoral pain should be the restoration of tissue homeostasis rather than the achievement of a “normal” patella position, and Conservative measures, including scrupulous load restriction, anti-inflammatory therapy, and rehabilitation should be tried first in most cases. Expand
Patellofemoral Pain Current Concepts: An Overview
TLDR
This work indicates other factors may be more important, such as overuse of anatomically normal patellofemoral structures, leading to the possible loss of both osseous and soft tissue homeostasis. Expand
A rational approach to the treatment of patellofemoral pain.
  • E. Radin
  • Medicine
  • Clinical orthopaedics and related research
  • 1979
Chondromalacia of the patella should be considered a separate entity and not the necessary precursor of osteoarthrosis. It is rarely associated with significant discomfort. Isolated softening,Expand
The Pathophysiology of Patellofemoral Pain
TLDR
The principles of treatment in most patients with patellofemoral pain consist of protection of sensitive tissues from excessive loading, appropriate antiinflammatory therapy, and nonirritat-ing rehabilitation. Expand
Radionuclide imaging of the patellofemoral joint in young adults with anterior knee pain.
  • S. Dye, D. Boll
  • Medicine
  • The Orthopedic clinics of North America
  • 1986
TLDR
The use of the bone scan along with other clinical and experimental data has provided a new and previously unappreciated perspective of a dynamic osseous process occurring in young patients with patellofemoral pain. Expand
Therapeutic Implications of a Tissue Homeostasis Approach to Patellofemoral Pain
The underlying principle of treatment for patients with patellofemoral pain from a tissue homeostasis perspective is to maximize the range of painless loading for a given symptomatic joint (envelopeExpand
Innervation of the human knee joint by substance-P fibers.
  • E. Wojtys, D. Beaman, R. Glover, D. Janda
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
  • 1990
TLDR
It is demonstrated that selective tracting of nociceptive pain fibers is possible around the knee both in soft tissue and, in some circumstances, bone. Expand
Clinical Assessment of Malalignment: Does It Correlate With the Presence of Patellofemoral Pain?
Although malalignment of the patellofemoral joint is widely discussed as a cause of pain, little scientific evidence exists to support this proposition. The current data regarding this importantExpand
Biomechanics of the patellofemoral joint.
The patellofemoral joint contains 2 complex mechanisms for ameliorating forces transmitted across it, namely increasing extensor lever arm-r in the important range of flexion 30 degrees-70 degreesExpand
Nociceptive role of substance-P in the knee joint of a patient with congenital insensitivity to pain.
TLDR
This patient's absence of pain sensation in conjunction with the absence of SP nerve fibers in stained patella sections and identification of only trace levels of SP in his synovial fluid, further implicates this neuropeptide in nociceptive innervation of diarthrodial joints. Expand
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