Anterior knee pain in our military population constitutes a diagnostic and therapeutic problem that is not always easily solved. In recent years, a better understanding of the biomechanics of thepatello-femoraljoint has contributed to the successful classification and treatment of many patients. However, the cause ofpain remains elusive in a significant subset ofpatients who show no clinical or radiographic evidence of patellar malulignment and continue to have persistent pain despite adequate physiotherapy.
In this article, the classification and approach to anterior knee pain are reviewed. Emphasis is placed on dividing patients into four subsets namely; normal tracking, patellar tilt, patellar subluxation and extra-articular causes of anterior knee pain. A more rational approach to the problem can then be employed and successful rehabilitation and/or surgery can be expected.
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The author(s) declare there are no affiliations with or involvement in any organisation or entity with any financial interest in the subject matter or materials discussed in this manuscript.
