The knee joint is “embedded” between the hip and ankle joint and is therefore “put in the pincer” above or below the joint axis in case of axial deviations of the joints. Due to an increased inward rotation in the hip joint, for example, the tension of the quadriceps muscle changes, which in turn can have a negative effect on the traction forces of the patella. An increased “knee-foot position” in the ankle joint increases the inward rotation of the femur and thus changes the joint position in the patello-femoral joint. These possible chain reactions should be taken into account in any diagnosis and therapy of anterior knee pain. The structural changes in the femur and kneecap are best determined by X-ray and MRI in addition to palpation and gait analysis.
Therapy
Therapeutic measures are available with
- Gait analysis
- Insoles
- Stabilization of knee, hip and ankle joints
