Patellofemoral Pain Syndrome in Iranian Female Athletes
Abstract
Patellofemoral pain syndrome (PFPS) is the most common overuse syndrome in athletes. It is one of the causes of anterior knee pain in athletic population who come to the sports medicine clinic. Patellofemoral pain is more common among female athletes especially adolescents and young adults. Symptoms include: persistent pain behind the patella or peripatella. Pain increases on ascending and descending stairs and squatting and prolonged sitting. The aim of this study was to evaluate the prevalence of PFPS in Iranian female athletes. 418 female athletes aged 15-35 years were examined in five sports: Soccer (190), volleyball (103), running (42), fencing (45) and rock climbing (38). The athletes who had non- traumatic onset anterior knee pain of at least 3 months that increased in descending and ascending stairs and squatting, had no other causes of anterior knee pain such as ligament instability, bursitis, meniscal injury, tendonitis and arthritis and no history of knee surgery during the one past year were diagnosed as PFPS. 26/190 (13.68 %) soccer players, 21/103(20.38 %) volleyball players, 7/42 (16.66 %) runners, 6/45(13.33 %) fencers and 10/38 (26.31%) rock climbers had patellofemoral pain. Among the 418 female athletes who were evaluated 70 had PFPS. Rock climbers were the most common athletes with PFPS followed by volleyball players and runners.
LaBella C. Patellofemoral pain syndrome: evaluation and treatment. Prim Care Clin Prac 2004;31(4):977-1003.
Birrer RB, O'Connor FG, editors. Sports Medicine for the Primary Care Physician. 3rd ed. Boca Raton, FL: CRC Press 2004; p. 637.
Dugan SA. Sports-related knee injuries in female athletes: what gives? Am J Phys Med Rehabil 2005; 84(2) :122-30.
Peterson L, Renstrom P, editors. Sports Injuries: Their Prevention and Treatment. 3rd ed. London: Martin Dunitz Ltd 2001; p. 310.
Bentley G, Dowd G. Current concepts of etiology and treatment of chondromalacia patellae. Clin Orthop Relat Res 1984;(189):209-28.
Nissen CW, Cullen MC, Hewett TE, Noyes FR. Physical and arthroscopic examination techniques of the patellofemoral joint. J Orthop Sports Phys Ther 1998;28(5):277-85.
Goodfellow J, Hungerford DS, Woods C. Patello-femoral joint mechanics and pathology. 2. Chondromalacia patellae. J Bone Joint Surg Br 1976;58(3):291-9.
Prentice W, editor. Rehabilitation Techniques for Sports Medicine. 4th ed. St. Louis: Mosby 2004; p. 560.
Baker MM, Juhn MS. Patellofemoral pain syndrome in the female athlete. Clin Sports Med 2000;19(2):315-29.
Goodman A, Divine J. Incidence and Prevalence of Patellofemoral Pain in Middle School and High School Basketball Athletes. http://aap.confex.com/aap/2009/webprogram/paper 7448.html
Levy AS, Lohnes J, Sculley S, LeCroy M, William Garrett W. Chondral delamination of the knee in soccer players. Am J of Sports Med 1996; 24(5):634-639
Taunton J E, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A Retrospective case control analysis of 2002 running injuries. Br J Sports Med 2002;36(2):95-101
Fallon KE. Musculoskeletal injuries in ultra marathon: the 1990 Westfield Sydney to Melbourne run. Br J Sports Med 1996;30(4):319-323
Grana WA, Coniglione TC. Knee disorders in runners. Phys Sports Med 1985;13(5):127-133
Wild A, Jaeger M, Poehl C, Werner A, Raab P, Krauspe R. Morbidity profile of high performance fencers. Sportverletzung-Sprotschaden 2001;15(3):59-61.
Anderson G, Herrington L. A comparison of eccentricisokinetic torque production and velocity of knee flexionangle during step down in patellofemoral pain syndrome patients and unaffected subjects. Clin Biomech (Bristol,Avon) 2003;18(6):500-4.
Brechter JH, Powers CM. Patellofemoral joint stress during stair ascent and descent in persons with and without patellofemoral pain. Gait Posture 2002;16(2):115-23.
Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003;33(11):671-6.
Callaghan M ,Selfe J. Has the incidence or prevalence of PFPS in the general population in the United Kingdom been properly evaluated? . Physical Therapy in Sport 2007;8(1): 37-43
Näslund J, Näslund UB, Odenbring S, Lundeberg T. Sensory stimulation (acupuncture) for the treatment of idiopathic anterior knee pain. J Rehabil Med 2002 Sep;34(5):231-8.
Fu Freddie, Stone DA. Sports Injuries. Second edithion, Lipincott Williams & W ilkins 2001.
Drawer S. ,Fuller C W.Propensity for Osteoarthritis and lower limb joint in retired professional soccer players. Br J= Sports Med 2001;35(6):402-408.
Raty HP, Kujala UM. Lifetime musculoskeletal symptoms and injuries among former elite male athletes. Inter J Sports Med 1997; 18(8):625-632.
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Issue | Vol 49, No 3 (2011) | |
Section | Original Article(s) | |
Keywords | ||
Female athletes Knee pain Patellofemoral pain syndrome Prevalence |
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