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Between plump and busty 2 the years of 15 and 30, acute trauma is more likely to contribute to anterior knee plump and busty 2 pain. Contact sports provide an environment where patellar instability may develop. There may be underlying ligamentous laxity in some cases of patellar instability, plump and busty 2 but direct trauma alone can cause the patella to sublux or dislocate. A blow to the front of the patella can result in damage to the articular cartilage on the back of the patella, or even a patellar fracture. Hyperextension of the knee in sport may cause the infrapatellar fat pad to become pinched between the patella and the distal femur. The fat pad then becomes swollen and irritable, resulting in further impingement. Beyond the age of 40 years, degenerative processes within the knee may cause anterior knee pain. Osteoarthrosis of the knee with breakdown of articular cartilage causes painful grating in the patellofemoral joint. The muscles controlling patellar movement are often wasted and not functioning appropriately.
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