Anterior knee pain (AKP) is a common clinical problem in patients of all ages and activity levels. The AKP could be defined as involving pain, inflammation, muscle imbalance and/or instability of any component of the extensor mechanism of the knee. This disturbance of the extensor mechanism of the knee has been regarded as one of the commonest disorders of the knee affecting between 5-15% of all patients reporting for treatment. These patients frequently present with pain of activities such as walking, running and stair ascent and descent. Once present it frequently becomes a chronic problem forcing the patient to stop sport and other activities.
Two common causes of anterior knee pain in sports people are the patellofemoral syndrome and patellar tendinopathy. Fat pad impingement is an underdiagnosed cause of anterior knee pain that may mimic features of both patellofemoral syndrome and patellar tendinopathy.
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