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Background Patellofemoral pain is one of the most com- considered to be multifactorial (eg, altered bone shape and mon forms of knee arthralgia in adolescent females. Unlike musculoskeletal dynamics), the etiology of adolescent in adults, in whom the etiology of patellofemoral pain is patellofemoral pain has been historically attributed to overuse. Although it is highly plausible that adolescent patellofemoral pain results from excessive maltracking, as suggested by recent research, an increase in patellar, rela- One or more of the authors (RMS, FTS) has received funding from the tive to femoral, size could also contribute to patellofemoral Intramural Research Program of the National Institutes of Health Clinical Center (Bethesda, MD, USA). One of the authors (RMS) certifies pain through altered cartilage stresses/strains, resulting in that he received funding support through the National Institutes of overloading of the subchondral bone. Because the role of Health (NIH) Medical Research Scholars Program, a public-private bone morphology in the genesis of patellofemoral pain partnership supported jointly by the NIH and generous contributions in adolescent females remains largely unknown, research to the Foundation for the NIH, the Doris Duke Charitable Foundation, is needed in this area to improve our understanding of the American Association for
Clinical Orthopaedics & Related Research – Wolters Kluwer Health
Published: Dec 1, 2018
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