Patellofemoral joint mobilization in distraction: Review of a Maitland technique on the context patellar tendon adhesion producing anterior knee pain
(Patellar distraction technique) It is now universally accepted that patellofemoral malalignment is the main cause of anterior knee pain. The most difficult question to researchers is what is the mechanism whereby patellofemoral malalignment produces pain? Currently, there are two theories one is the neural theory and the other is the mechanical theory. Both theories are not exclusive, but complementary (1). Development of Patella Baja (Infera) after knee trauma leading to altered knee mechanics & anterior knee pain: Patella Baja (Infera): Patella Baja refers to low lying patella in frontal plane as compared to normal. This condition develops following repetitive stress or knee traumas due to patellar tendon adhesion following the said two conditions. Patellar tendon adhesion leads to a decrease in the distance between inferior patellar pole to the tibial tuberosity, effectively creating patella infera. Effect on biomechanics: Patellar changes: 1. medial and distal translation o...