babli
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A 16-year-old girl presents to the pediatrician complaining of severe pain behind both kneecaps that began after the start of volleyball practice several weeks ago. The pain seems to worsen during activities that require knee flexion, including squatting and climbing stairs. She also reports that the pain increases in intensity when she sits with her knees flexed for a long period of time. On exam, there is tenderness and mild crepitus along the facets of each patella. Examination of her gait reveals excessive knee valgus bilaterally and the knee pain is reproduced with repetitive squatting. Based on this information, which of the following is the most effective management for this condition?
A. Arthroscopic surgery
B. Hard knee braces
C. Quadriceps strengthening exercises
D. Repetitive squatting exercises
E. Steroid injections
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| Reddoc
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E. Steroid injections - and thats one wild guess from me.... 
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| srf
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A
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| Reddoc
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srf - aren't arthroscopic surgeries mainly reserved for athletes with knee injury ?
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| Rasul
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B or C. It seems that her patella is still were it dhould be, meaning it doesn't say it's subrelaxed or smth, so maybe no need for brace. Then B is my answer.
I'm not sure though.
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| yasmeen
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B BUT I,M NOT SURE
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| srf
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nobody is sure
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| babli
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Option C (Quadriceps strengthening exercises) is correct. This girl has patellofemoral syndrome (PFS). The treatment for PFS involves restoring muscle balance, improving range of motion, and restricting the offending physical activity. Quadriceps strengthening traditionally is performed.
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| Rasul
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Thx, babli.I Love educational questions.
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| achilles
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this is also commonly known as runner's knee. good question babli ! i am really learning from you all.
Edited by achilles on 04/20/06 - 11:44 AM
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| msyamp
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GOOD QUESTION
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| krsna
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thanks good q
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| webjeee
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Yes, c.
the old name is chondromalacia patella, FYI
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