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Often there is fragmentation of the affected bone and the inq7 overlying cartilage. The patient will usually present with painful clicking, swelling and sometimes locking of the knee. Between the years of 15 and 30, acute trauma is more likely to contribute to anterior knee pain. Contact sports provide an inq7 environment where patellar instability may develop. There may be underlying ligamentous laxity in some cases of patellar instability, 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.
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