The greater the Q angle, the greater the tendency to move the patella laterally against the lateral femoral condyle. A large Q angle plus strong quad contraction can dislocate pat.
“ My knee came apart and went back together again”. For example, “I was running forward, planted on my right foot, cut to my left and attempted to push off with my right”.
Lateral Medial SUBLUXED OR DISLOCATED PATELLA
If the patella is dislocated, slightly flex the hip and slowly extend the knee. Usually the patella relocates. If it does not, do not force the patella medial. There may be some associated fractures (back of the patella, lateral femoral condyle). MEDICAL
Iliotibial Band Friction Syndrome
I.T.B.F.S. Predisposing Factors Tight Tensor Fascia Lata and weak Gluteus Medius. Genu Varum Downhill Running Training Errors
I.T.B.F.S. Treatment Modification of Activity and shoes. Stretching. Icing after activity. Strengthening.
Iliotibial Band And Hip Abductor Stretch
OSGOODE SCHLATTER’S DISEASE
Osgoode Schlatter’s Separation of the traction epiphysis of the quadriceps muscle. Active pre-pubescent kids. No gender bias.
Signs and Symptoms: Pain increase with activity. Tibial tubercle is warm to touch. Pain on squeezing the tibial tubercle from sides.
Inform parents. Stop irritating activity. Icing the tibial tubercle. Stove-pipe casts are some- times applied to ensure rest. Return if asymptomatic.