Patellar Malalignment
Patellar malalignment refers to the improper positioning or tracking of the kneecap (patella) as it moves over the femur, which can cause pain, instability, and joint wear.
Symptoms
- Anterior knee pain
- Knee instability or giving way
- Grinding or clicking sounds
- Swelling around the knee
- Pain during bending or straightening the knee
Causes & Risk Factors
- Muscle imbalances
- Previous knee injury
- Flat feet or abnormal foot mechanics
- Improper biomechanics during movement
- Weak quadriceps or hip muscles
Diagnosis
- Physical examination
- X-rays to assess alignment
- MRI for cartilage and soft tissue evaluation
- Movement and gait analysis
Effective Treatment Options
- Physiotherapy for strengthening and realignment
- Taping or bracing to guide patellar movement
- Stretching tight structures like IT band and lateral retinaculum
- Orthotics for foot support
- Surgical intervention in severe cases
Frequently Asked Questions
Can patellar malalignment cause arthritis?
Yes, chronic misalignment can lead to cartilage wear and increase the risk of patellofemoral arthritis.
Is physiotherapy effective for patellar malalignment?
Yes, targeted physiotherapy focusing on strengthening and correcting movement patterns is often very effective.
