When a patient develops knee pain it may be likely that there is more than one structure at fault. There may be one predominating structure which forms the primary hypothesis. However, there is often a secondary component that may play a smaller role in the patients symptoms. It is especially common to have multiple structures that are at fault when the patients knee is damaged through a traumatic incident as appose to an insidious onset.
When patients have tibiofemoral joint pain, they may suffer pain resulting in inhibition of the quadriceps. This causes altered muscle recruitment of the quadriceps and ultimately alters patella tracking in the femoral groove. This leads to developing a secondary Patellofemoral joint pathology.
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