Abstract
Anterior knee pain (AKP) is a common presenting complaint for pediatricians and orthopaedic
surgeons and is often seen in young athletes. AKP is multifactorial and has a broad
differential diagnosis. The growth changes, biomechanics, and anatomy around the knee
add to the complexity of diagnosis and treatment of AKP. Common causes of AKP include
Osgood–Schlatter's disease, patellar tendinitis, and patellofemoral instability. In
the diagnosis of AKP, it is important to rule out serious and morbid causes of pain,
including infection and tumor. It is crucial to complete a detailed history and physical
examination and obtain appropriate imaging studies. In general, the majority of patients
will respond to nonoperative measures targeted to correct neuromuscular control and
kinetic chain dysfunction.
Keywords
pediatrics - knee pain - patellofemoral instability - patellofemoral syndrome - Osgood–Schlatter's
disease
