Patellar Tendinitis is a syndrome is characterized by inflammation in the distal extensions of the knee. Complaints of dull, achy knee pain which can also be associated with type of clicking or popping of the tendon can occur. A quadriceps (Q) angle greater than 10 degrees in males suggests patellar tendinitis (Dains, Baumann & Scheibal, 2019). Chondromalacia patellae is related to the presence of knee pain. Although Chondromalacia patellae is usually diagnosed in females, the knee pain is stimulated upon palpitation and increased pain with activity; most often associated with trauma to the area (Ozdemir, & Kavak, 2019). The patient is male and denied trauma to either knee. JR denied any history of misalignment which is also related to chondromalacia patellae. An x-ray of the knee would show irregularities of the patellofemoral joint (Ozdemir, & Kavak, 2019). Juvenile rheumatoid arthritis (JRA) is another possibility that could be affecting JR. Knee joint tenderness, edema and stiffness typically improves the pain with mild activity and
medications to reduce inflammation ( Boothby, Coffman, & Turnbull, 2017). JR denied weight loss, fatigue, and pain at rest which are some cardinal symptoms of Juvenile Rheumatoid Arthritis. A CBC would show anemia, leukocytosis, and thrombocytosis. A CRP and ESR would indicate inflammation and an ANA and RH factor would most often be positive. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Boothby, J., Coffman, S., & Turnbull, T. (2017). Successful Interprofessional Treatment of Juvenile Rheumatoid Arthritis: A Case Report. Integrative Medicine: A Clinician’s Journal , 16 (2), 55–60. Retrieved from - com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=123429064&site=eds- live&scope=site Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby. Ozdemir, M., & Kavak, R. (2019). Chondromalacia patella among military recruits with anterior knee pain: Prevalence and association with patellofemoral malalignment. Indian Journal of Orthopaedics , 53 (6), 682–688. - org.ezp.waldenulibrary.org/10.4103/ortho.IJOrtho_655_18 Rath, E., Schwarzkopf, R., & Richmond, J. (2010). Clinical signs and anatomical correlation of patellar tendinitis. Indian Journal of Orthopaedics , 44 (4), 435-437 3p. doi:10.4103/0019- 5413.69317 Yadav, S., & Singh, S. (2019). Analysis of partial bundle anterior cruciate ligament tears- diagnosis and management with ACL augmentation. Journal of Clinical Orthopaedics
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- knee pain, Anterior Cruciate Ligament