Knee pain causes in athletes.

Oral Presentation
Paper ID : 1943-12THCONG
استادیار دانشگاه علوم پزشکی ایران، متخصص طب فیزیکی و توانبخشی
Recurrent or chronic activity related knee pain is common in young athletes. Numerous intrinsic conditions affecting the knee can cause such pain. In addition, knee pain can be referred pain from low back, hip or pelvic pathology. The most common cause of knee pain in young athletes is patellofemoral pain syndrome, or more appropriately termed idiopathic anterior knee pain. Although, numerous anatomical and biomechanical factors have been postulated to contribute the knee pain in young athletes, the most common underlying reason is overuse injury. In this paper, we have reviewed selected conditions that case knee pain in athletes, including anterior knee pain syndrome, Osgood-Schlatter disease, Sinding-Larsen-Johanssen syndrome, juvenile osteochondritis dissecans (JOCD), bipartite patella, plica syndrome, and tendonitis around the knee
When a patient presents with a sporting knee injury, a detailed history can help narrow down the nature of the injury. Examination can be difficult in the acute setting and may need to be repeated 3 or more days after the injury. Fractures can usually be excluded with plain X-rays; where indicated MRI or CT scan will usually confirm the diagnosis. Management aims are to manage pain, minimise knee swelling, maintain range of movement and quadriceps activation, and arrange appropriate referral. Medial collateral ligament, posterior cruciate ligament and some small meniscal injuries can usually be managed conservatively. Most meniscal injuries, anterior cruciate ligament and lateral collateral ligament injuries require surgical management. Physiotherapy is an integral part of the management of knee injuries in both the conservative and surgical settings.