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The causes are varied and may relate to age, acute trauma, repetitive strain or biomechanical disadvantages. Patients present with a cluster of symptoms including pain behind the patella with ascending and descending steps and hills, pain with prolonged bent-knee weight reduction sitting, pain to squat and pain with running and jumping activities. In general terms, anterior knee pain can be successfully treated in the majority of cases. Vital to successful treatment however is accurate diagnosis, a careful explanation to the patient, and weight reduction patient compliance with a rehabilitation regime. Anatomy The extensor mechanism refers to a continuous structure extending from weight reduction the front of the pelvis the front of the upper tibia (shin bone). It begins as a tendon arising from the front of the pelvis and extending downwards to blend with the quadriceps muscle group. The quadriceps is the most powerful muscle group in the body. At the lower end of the quadriceps group, another tendon forms which provides attachment of the distal quadriceps to the front of the proximal tibia.
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