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Chondromalacia Patellae (Runner's Knee)

Diagnosis, symptoms, and treatment methods.

General Information About Chondromalacia Patellae

Chondromalacia patellae is the softening and wear of the cartilage tissue under the kneecap (patella) due to overloading or alignment disorders. It causes a dull, aching pain in the front of the knee, especially when going up and down stairs or standing up after sitting for a long time. In our Orthopedics and Physical Therapy units, it is treated with quadriceps strengthening exercises and cartilage supports.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Chondromalacia Patellae (Runner's Knee)?

It is the softening, cracking, and wearing away of the smooth cartilage tissue that covers the back surface of the kneecap (patella) bone and prevents friction with the thighbone.

Why Does It Occur?

The biggest reason is the inability of the kneecap to slide in its proper alignment within its groove. Weak upper leg muscles (quadriceps), sports involving excessive knee bending movements, flat feet, and knee traumas destroy the cartilage.

What are the Symptoms?

A dull ache felt right in the front of the knee. The pain intensifies especially when going up and down stairs, squatting, or standing up after sitting with the knees bent for a long time in narrow places like a movie theater.

What is the Difference from Knee Osteoarthritis?

Osteoarthritis is generally seen in older ages (over 50) in the main joints of the knee, and the bone structure is impaired. Runner's knee, on the other hand, is a cartilage injury seen more in young people, athletes, or women.

How is it Diagnosed?

A physical examination performed by an orthopedist pressing on the kneecap raises suspicion. Magnetic Resonance (MRI) imaging is essential to see the stage of the cartilage damage down to the millimeter.

How is it Treated?

The vast majority of patients recover without surgery. Physical Therapy exercises that strengthen the upper leg muscles to pull the kneecap into proper alignment, the use of knee braces, PRP, or cartilage injections are applied. In very advanced stages, the cartilage surface is shaved with a closed surgery (Arthroscopy).

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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