Online ISSN: 2515-8260

Keywords : anterior knee pain

Comparison between Non-patellar denervation vs patellar denervation by circumferential cautery on anterior knee pain following primary total knee arthroplasty: A prospective comparative study at rural medical college

Dr. Channakeshava B Palegar, Dr. Jagadish Bhoomraddi, Dr. Ravikumar Naganur, Dr. Basavaraddi Basavaraddi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 892-896

Introduction: Anterior knee pain is one of the common problems in post primary total knee
arthroplasty patients. There are different methods of prevention of anterior knee pain post
total knee replacement. The objective of this study is to compare the efficacy of patellar
denervation using circumferential electrocautery versus non-denervation in relieving anterior
knee pain following primary total knee arthroplasty.
Methods: Forty patients were grouped randomly in to two groups of nineteen patients (Group
A) and twenty one patients (Group B) each. Patients in group A underwent patellar
denervation with electrocautery and group B patients didn’t undergo patellar denervation.
They were followed up at 2 weeks, 1, 2 and 3 months regularly and clinical score was
determined using knee society score and anterior knee grading system by waters and Bentley.
Results: There is no statistical difference in anterior knee pain score between the two groups.
Conclusion: Patellar denervation doesn’t reduce the anterior knee pain following primary
total knee arthroplasty and anterior knee pain was thought to be multifactorial.

Potential Role Magnetic Resonance Imaging in Assessment of Anterior Knee Pain

Rehab Arafa Mohamed, Moanes Mohamed Arafa Enaba , Engy Fathy Ahmed Tantawy, Riham Amir Kamal Dessouky

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3342-3351

Background: The knee joint is a hinge joint and is considered as the most
commonly injured joint in the body as it may be less stable than other joints of
ball and socket pattern. This study aims to evaluate the role of magnetic
resonance imaging in diagnosing different diseases that cause pain in the front of
the knee. Patients and methods: This study included 48 patients (26 males and 22
females) with history of anterior knee pain. Their ages ranged from 12 to 60 years.
All Patients were subjected to MRI Protocol for Knee Examination Results: Among
48 patients who performed both X-ray and MRI examinations, 42 patients (87.5%)
had additional MRI findings. Among 27 patients with normal X-ray findings, 20
(74%) of patients had osseous findings (patellar tilt, patellofemoral instability, or
trochlear dysplasia) associated with a soft tissue finding or an isolated soft tissue
findings (chondromalacia patella, ganglion cyst, retinaculum injury, or plica) only
detectable by MRI. The remaining 26% (7 patients) only had osseous findings.
Conclusion: MRI is fast, safe and non-invasive imaging technique which has been
proven to be the modality of choice for establishing an accurate diagnosis of
different knee pathologies that cause anterior knee pain in different age groups. It
also allows to know the extent, severity, grades and types of the lesions, what will be
necessary to decide appropriate treatment.