+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Patellofemoral joint osteoarthritis: an important subgroup of knee osteoarthritis



Patellofemoral joint osteoarthritis: an important subgroup of knee osteoarthritis



Rheumatology 46(7): 1057-1062



Knee osteoarthritis (OA) is a prevalent disease afflicting elderly people. As the knee joint is tri-compartmental, numerous radiographic patterns of disease are possible. The patellofemoral joint (PFJ) is one of the most commonly affected compartments. Although PFJ OA is frequently observed, this particular disease sub-group has gone largely unrecognised. Recent research suggests that not only is the PFJ an important source of symptoms in knee OA, but also that afflicted individuals demonstrate disease features distinct from those observed in tibiofemoral joint OA. This has implications for the assessment and treatment of patients with PFJ OA. This review summarises the evidence suggesting why PFJ OA should be considered a distinct clinical entity and how it may best be managed using conservative, non-pharmacological treatment approaches that are targeted to the PFJ. Interventions such as patella taping, patella bracing and physiotherapy have the potential to alleviate joint stress and symptoms for people with this condition.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 016611888

Download citation: RISBibTeXText

PMID: 17500072

DOI: 10.1093/rheumatology/kem114


Related references

Does medial patellofemoral osteoarthritis matter? the relation of mri-detected structural damage in the medial and lateral patellofemoral joint to knee pain: the most and framingham osteoarthritis studies. Osteoarthritis and Cartilage 22: S54-S55, 2014

Associations between patellofemoral joint cartilage T1ρ and T2 and knee flexion moment and impulse during gait in individuals with and without patellofemoral joint osteoarthritis. Osteoarthritis and Cartilage 24(9): 1554-1564, 2016

Evaluations of radiographic joint space--do they adequately predict cartilage conditions in the patellofemoral joint of the patients undergoing total knee arthroplasty for advanced knee osteoarthritis?. Osteoarthritis and Cartilage 16(10): 1160-1166, 2008

Knee joint stabilization therapy in patients with osteoarthritis of the knee and knee instability: subgroup analyses in a randomized, controlled trial. Journal of Rehabilitation Medicine 46(7): 703-707, 2014

Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Annals of the Rheumatic Diseases 51(7): 844-849, 1992

Clinical Impact of Coexisting Patellofemoral Osteoarthritis in Japanese Patients With Medial Knee Osteoarthritis. Arthritis Care and Research 68(4): 493-501, 2016

Epidemiological characteristics of patellofemoral osteoarthritis in elderly Koreans and its symptomatic contribution in knee osteoarthritis. Knee 23(1): 29-34, 2016

Quadriceps weakness and its relationship to tibiofemoral and patellofemoral knee osteoarthritis in Chinese: the Beijing osteoarthritis study. Arthritis and Rheumatism 50(6): 1815-1821, 2004

Joint space width of the tibiofemoral and of the patellofemoral joint in chronic knee pain with or without radiographic osteoarthritis: a 2-year follow-up. Osteoarthritis and Cartilage 11(5): 370-376, 2003

Inverted Rearfoot posture in subjects with coexisting patellofemoral osteoarthritis in medial knee osteoarthritis: an exploratory study. Journal of Foot and Ankle Research 11: 17, 2018

The patellofemoral joint: the forgotten joint in knee osteoarthritis. Osteoarthritis and Cartilage 19(7): 765-767, 2011

Knee joint anterior malalignment and patellofemoral osteoarthritis: an MRI study. European Radiology 22(2): 418-428, 2012

Relation of meniscus pathology to prevalence and worsening of patellofemoral joint osteoarthritis: the Multicenter Osteoarthritis Study. Osteoarthritis and Cartilage 26(7): 912-919, 2018

Association of baseline knee sagittal dynamic joint stiffness during gait and 2-year patellofemoral cartilage damage worsening in knee osteoarthritis. Osteoarthritis and Cartilage 25(2): 242-248, 2017

Physiotherapy for patellofemoral joint osteoarthritis of the knee, a randomized controlled trial. Arthritis and Rheumatism 41(9 Suppl. ): S199, 1998