Articular cartilage cushions the femur (thighbone) and tibia (shinbone) where they meet in the knee, allowing them to move freely and easily. Chondromalacia patella is a softening or wearing away of the articular cartilage on the undersurface of the patella (kneecap).
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Chondromalacia patella is caused by repetitive motion and misalignment of the kneecap.
This can occur due to:
Chondromalacia patella is more common in adolescence and young adulthood. Other factors that increase your risk of chondromalacia patella include:
Symptoms may include
You will be asked about your symptoms and medical history. A physical exam will be done.
Your knee may need to be viewed. This can be done with:
Talk with your doctor about the best treatment plan for you. Options include:
The knee will need time to heal. RICE is often the main part of treatment:
Prescription or over-the-counter medications may be advised to reduce pain.
A physical therapist will assess the knee. An exercise program will be created to help recovery and to strengthen the muscles in the leg.
In most cases, surgery is not needed. But surgery may be needed if other treatments are not helpful. Surgical procedures include the following:
To reduce your chances of chondromalacia patella, take these steps:
American Orthopaedic Society for Sports Medicine
OrthoInfo—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Harris JD, Siston RA, et al. Autologous chondrocyte implantation: a systematic review. J Bone Joint Surg Am. 2010 Sep 15;92(12):2220-2233.
Knee pain. Merck Manual for Health Care Professionals website. Available at: http://www.merckmanuals.com/professional/injuries_poisoning/sports_injury/knee_pain.html. Updated October 2014. Accessed February 29, 2016.
Patellofemoral pain syndrome. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated April 29, 2015. Accessed February 29, 2016.
Patellofemoral pain syndrome (runner's knee). Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/mens_health/patellofemoral_pain_syndrome_runners_knee_85,P07841/. Accessed February 29, 2016.
Pihlajamäki HK, Kuikka PI, et al. Reliability of clinical findings and magnetic resonance imaging for the diagnosis of chondromalacia patellae. J Bone Joint Surg Am. 2010 Apr;92(4):927-934.
Runner's knee (patellofemoral pain). American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00382. Updated February 2015. Accessed February 29, 2016.
Vasiliadis HS, Wasiak J, et al. Autologous chondrocyte implantation for the treatment of cartilage lesions of the knee: a systematic review of randomized studies. Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1645-1655.
Last reviewed February 2016 by Teresa Briedwell, PT, DPT