PMID: 9449112Feb 4, 1998Paper

Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management

Journal of Pediatric Orthopedics
G NimonJ Goodfellow

Abstract

We describe a consecutive series of girls with idiopathic anterior knee pain in adolescence and who were treated nonoperatively. At a mean follow-up of 16 years, 22% had no pain, 71% thought that their symptoms were better than at presentation, 88% used analgesics rarely or not at all, and 90% continued to participate regularly in sports. Nevertheless, about one in four of the patients continued to have significant symptoms for < or = 20 years after presentation. No features were identified that predicted those patients in whom symptoms would persist. We conclude that surgical treatment of idiopathic anterior knee pain in adolescents is not justified until a procedure has been shown to provide a better outcome than that reported here or until a way has been found to distinguish the few patients who will not get better spontaneously from the majority who will.

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Citations

Mar 10, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael BohnsackCarl-Joachim Wirth
Jan 20, 2010·BMC Musculoskeletal Disorders·Natalie J CollinsBill Vicenzino
May 2, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Gregory D MyerRichard F Ittenbach
Jul 6, 2014·Clinics in Sports Medicine·Melody Hrubes, Terry L Nicola
Oct 28, 2008·BMJ : British Medical Journal·Natalie CollinsBill Vicenzino
May 1, 2009·Sports Health·Reed FerberKaren D Kendall
Dec 30, 2015·Scandinavian Journal of Medicine & Science in Sports·S HoldenE Delahunt
Aug 17, 2010·PM & R : the Journal of Injury, Function, and Rehabilitation·Christopher M PowersMichael Fredericson
Jul 1, 2008·Archives of Physical Medicine and Rehabilitation·Walter BilyHelmut Kern
Feb 27, 2014·British Journal of Sports Medicine·Kay M Crossley
Jul 20, 2006·Physiotherapy Theory and Practice·Jan NäslundThomas Lundeberg
Apr 15, 2015·Physical Therapy in Sport : Official Journal of the Association of Chartered Physiotherapists in Sports Medicine·Lori A BolglaReed Ferber
Jul 17, 2015·Sports Medicine·M S RathleffK Thorborg
Apr 2, 2014·British Journal of Sports Medicine·M S RathleffC J Barton
May 16, 2013·British Journal of Sports Medicine·Gregory D MyerTimothy E Hewett
Aug 1, 2013·BMC Musculoskeletal Disorders·Michael S RathleffJens L Olesen
May 10, 2016·The American Journal of Sports Medicine·Bruce Reider
Jan 23, 2016·The American Journal of Sports Medicine·Michael S RathleffEwa M Roos
Dec 2, 2004·The American Journal of Sports Medicine·Michael BohnsackCarl Joachim Wirth
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Oct 12, 2010·The American Journal of Sports Medicine·Jennifer E Earl, Anne Z Hoch

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