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Measuring the Position and Mobility of the Patella

Measuring the Position and Mobility of the Patella

Measuring the position and mobility of the patella is still a very important component of my clinical examination of the knee.  It gives me a great sense of soft tissue restrictions that may be present when patellar hypomobility is noted.  This is especially common after knee surgery.  But measuring patella mobility is also important to assess generalized laxity when patellar hypermobility is observed.

The first time you feel either of these during your clinical exam, you’ll know what I mean.

But if you read through the literature, you may find conflicting results regarding the validity and reliability of assessing patella position and mobility.

Here’s a simple special test to accurately and reliably measure patella position and mobility during your knee clinical examination.

restoring knee extension

The Best and Easiest Way to Restore Knee Extension

One of the most common complications following a knee injury or surgery is not restoring full knee extension. Losing knee extension causes a lot of issues, ranging from anterior knee pain, to altered movement patterns, to even difficulty when walking.

It’s super important to assure you restore full knee extension.

In this video below, Lenny Macrina, my co-owner of Champion and co-author of OnlineKneeSeminar.com [link], shares what he considers the best way to restore full knee extension. Luckily, it’s not only the best in our minds, but also the easiest to perform! More importantly, he discusses why he doesn’t like one of the most common exercises that people tend to use.

3 Tips for Assessing the Patellofemoral Joint

3 Tips for Assessing the Patellofemoral Joint

This month’s Inner Circle presentation is on 3 Tips for Assessing the Patellofemoral Joint. In this live inservice recording, I discuss a few tips that that I follow when evaluating someone with anterior knee pain, or patellofemoral pain syndrome. Often times the patellofemoral joint gets little attention during the examination. But, in order to treat patellofemoral pain successfully, you need to have an accurate diagnosis that is very specific. Not all anterior knee pain is the same!

should we stop blaming the glutes

Should We Stop Blaming the Glutes for Everything?

Weakness and poor motor control of the glutes and other hip musculature are frequently blamed for knee pain. But does the research agree?

patellofemoral pain syndrome

Do Males and Females with Patellofemoral Pain Need to be Treated Differently?

Recent research has shown biomechanical differences in males and females with patellofemoral pain syndrome.

Patellar Tendon Straps Decrease Patellar Tendonitis and Patellar Tendon Strain

Patellar tendon straps, or infrapatellar straps, have been long used to decrease pain and patellar tendon strain in individuals with patellar tendonitis. Studies show anywhere between 70-80% of people wearing patella straps reported improvement in both acute and chronic cases of patellar tendonitis. It also now appears that patellar tendon straps are effective in reducing patellar tendon strain in the majority of subjects, which may be the mechanism behind the pain reduction.

The Difference Between the Location of Symptoms and the Source of Dysfunction

We should probably consider that many of our “injuries” that seem to be not responsive to treatments may actually be coming from elsewhere in the body. Here are 3 of my top “injuries” that may actually be “symptoms.”

Simple Exercises Can Reduce the Incidence of Patellofemoral Pain by 75%

By performing even simple exercises, you can have a dramatic reduction in the incidence of patellofemoral pain.