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What is patellofemoral pain syndrome (PFPS)?

Author disclosure: No relevant financial affiliations. Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%.

What is the incidence of PFPS in the United States?

The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies when the knee is flexed during weight-bearing activities. The pain of PFPS often worsens with prolonged sitting or descending stairs. The most sensitive physical examination finding is pain with squatting.

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What are the symptoms of PFPS?

The most common symptom of PFPS is a dull, aching pain in the front of the knee. This pain—which usually begins gradually and is frequently activity-related—may be present in one or both knees. Other common symptoms include: Pain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting.


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