{"id":25413,"date":"2026-06-05T07:05:46","date_gmt":"2026-06-05T07:05:46","guid":{"rendered":"https:\/\/www.centre-ortho.ch\/?p=25413"},"modified":"2026-07-07T13:19:39","modified_gmt":"2026-07-07T13:19:39","slug":"patellar-syndrome","status":"publish","type":"post","link":"https:\/\/www.centre-ortho.ch\/en\/patellar-syndrome\/","title":{"rendered":"Patellar syndrome"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"25413\" class=\"elementor elementor-25413\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c161368 e-con-full e-flex e-con e-parent\" data-id=\"c161368\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4fe901e e-flex e-con-boxed e-con e-child\" data-id=\"4fe901e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1edd79e elementor-widget elementor-widget-breadcrumbs\" data-id=\"1edd79e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Welcome<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-25ceac6 e-flex e-con-boxed e-con e-child\" data-id=\"25ceac6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-787a1d2 e-con-full e-flex e-con e-child\" data-id=\"787a1d2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e681820 e-flex e-con-boxed e-con e-child\" data-id=\"e681820\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dad172c elementor-widget elementor-widget-post-info\" data-id=\"dad172c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-bcc3aa0 elementor-inline-item\" itemprop=\"about\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-terms\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-post-info__terms-list\">\n\t\t\t\t<span class=\"elementor-post-info__terms-list-item\">Our doctors speak out<\/span>\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-93344db elementor-widget elementor-widget-heading\" data-id=\"93344db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Patellar syndrome<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-394358c elementor-widget elementor-widget-text-editor\" data-id=\"394358c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Patellofemoral pain syndrome is defined as mechanical pain felt on the front of the knee. Compression activities such as squatting, climbing and descending stairs, or prolonged sitting can trigger or aggravate the syndrome. Repetitive activities such as running can exacerbate the pain to the point where it becomes impossible to continue. The pain subsides with rest and is reversible, although it can persist for quite some time after exertion, similar to the pain associated with iliotibial band syndrome, with which patellofemoral pain syndrome can be linked.<\/p><p>Patellofemoral pain syndrome primarily affects a young, active, or athletic population, more often female than male. In a specialized knee or sports medicine clinic, patellofemoral pain syndrome alone accounts for 25 to 40% of consultations.<\/p><p>Patellofemoral pain syndrome remains a subject of controversy to this day, with no valid explanation for its etiology. Predisposing factors such as constitutional hyperlaxity or significant femoral anteversion have been implicated, but it is a multifactorial problem. A functional disorder underlies the syndrome, and the explanation can only be found through movement analysis.<\/p><p>The loss of physiological inter-articular synchrony during gait is caused by a poorly understood and rarely investigated clinical entity: Functional Hallux Limitus (FHL). By systematically investigating for this condition over the past 20 years, I have observed that this entity is present and can be diagnosed in all cases of patellofemoral pain syndrome.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-29d13ce elementor-widget elementor-widget-image\" data-id=\"29d13ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"187\" height=\"612\" src=\"https:\/\/www.centre-ortho.ch\/wp-content\/uploads\/2026\/06\/Syndrome-rotulien-Genou-FHL.png\" class=\"attachment-large size-large wp-image-25602\" alt=\"\" srcset=\"https:\/\/www.centre-ortho.ch\/wp-content\/uploads\/2026\/06\/Syndrome-rotulien-Genou-FHL.png 187w, https:\/\/www.centre-ortho.ch\/wp-content\/uploads\/2026\/06\/Syndrome-rotulien-Genou-FHL-92x300.png 92w, https:\/\/www.centre-ortho.ch\/wp-content\/uploads\/2026\/06\/Syndrome-rotulien-Genou-FHL-4x12.png 4w\" sizes=\"(max-width: 187px) 100vw, 187px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-140b742 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"140b742\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Pain may be the only symptom or be associated with sensations of giving way or catching, without necessarily indicating patellar instability with a fear of dislocation. Effusion is rare. The diagnosis is often made by exclusion, and radiological examinations generally show nothing abnormal, except perhaps transient edema of the patellar cartilage on MRI. No correlation has been established between cartilage lesions and pain, and the term &quot;chondropathy patellae&quot; is no longer used to define this syndrome, which does not progress to osteoarthritis.<\/p><p>From a therapeutic standpoint, there is no real consensus. Numerous studies have been published showing encouraging results with a comprehensive approach based on stretching and core strengthening. Foot supports sometimes have a beneficial effect. Unfortunately, the improvement is often temporary, and relapses are frequent. Without regular training, the pain returns, forcing patients to change their exercise habits and lifestyle.<\/p><p>If we revisit the pain mapping in patellofemoral pain syndrome: unlike lateral patellofemoral pain syndrome, the pain is anteromedial and appears during exertion, particularly running. It can be so intense that it forces the user to stop the activity. If rest from sports is subsequently observed, the pain disappears on its own. The explanation for this pain lies in the appearance of transient bone edema located on the medial aspect of the patella. This is linked to the repeated pressure and shear stresses that occur upon impact of the foot with the ground. Why? Lateral patellofemoral pain syndrome causes a desynchronization during walking, resulting in a delayed contraction of the quadriceps muscle upon foot strike. At this precise moment, the patella is not positioned on the outer side of the trochlea as it should be, but rather &quot;floats&quot; and is suddenly pressed against the inner side of the trochlea when the quadriceps contracts\u2014too late. Patellofemoral pain syndrome should be understood as a global dysfunction induced by hypermobility of the patellofemoral joint (HFL), which is ultimately affected by the patellofemoral joint.<\/p><p>Alongside joint pain, pain can also occur around the knee, particularly affecting the tendons. The most affected are the iliotibial band (see iliotibial band syndrome or IT band syndrome) and the pes anserinus tendons located on the inner surface of the tibial plateau. Why these tendons? Because they attempt to counteract the excessive external rotation of the tibia associated with exaggerated supination upon impact of the foot with the ground, induced by iliotibial band syndrome (ITBS). The forces involved are particularly significant since they are exerted eccentrically (braking the movement). Patients rarely complain of this pain, but it is consistently detected by palpation if specifically sought.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd8ad67 elementor-widget elementor-widget-wgl-toggle-accordion\" data-id=\"cd8ad67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-toggle-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-accordion icon-plus\" id=\"wgl-accordion-cd8ad67\" data-type=\"accordion\" data-trigger=\"\"><div class=\"wgl-accordion_panel elementor-repeater-item-70b33df\" id=\"wgl-accordion_panel-2151\"><div class=\"wgl-accordion_panel-inner\"><h4 class=\"wgl-accordion_header\"><span class=\"wgl-accordion_title\">Read more<\/span><i class=\"wgl-accordion_icon elementor-icon\"><\/i><\/h4><div class=\"wgl-accordion_content\"><p>Pain may be the only symptom or be associated with sensations of giving way or catching, without necessarily indicating patellar instability with a fear of dislocation. Effusion is rare. The diagnosis is often made by exclusion, and radiological examinations generally show nothing abnormal, except perhaps transient edema of the patellar cartilage on MRI. No correlation has been established between cartilage lesions and pain, and the term &quot;chondropathy patellae&quot; is no longer used to define this syndrome, which does not progress to osteoarthritis.<\/p><p>From a therapeutic standpoint, there is no real consensus. Numerous studies have been published showing encouraging results with a comprehensive approach based on stretching and core strengthening. Foot supports sometimes have a beneficial effect. Unfortunately, the improvement is often temporary, and relapses are frequent. Without regular training, the pain returns, forcing patients to change their exercise habits and lifestyle.<\/p><p>If we revisit the pain mapping in patellofemoral pain syndrome: unlike lateral patellofemoral pain syndrome, the pain is anteromedial and appears during exertion, particularly running. It can be so intense that it forces the user to stop the activity. If rest from sports is subsequently observed, the pain disappears on its own. The explanation for this pain lies in the appearance of transient bone edema located on the medial aspect of the patella. This is linked to the repeated pressure and shear stresses that occur upon impact of the foot with the ground. Why? Lateral patellofemoral pain syndrome causes a desynchronization during walking, resulting in a delayed contraction of the quadriceps muscle upon foot strike. At this precise moment, the patella is not positioned on the outer side of the trochlea as it should be, but rather &quot;floats&quot; and is suddenly pressed against the inner side of the trochlea when the quadriceps contracts\u2014too late. Patellofemoral pain syndrome should be understood as a global dysfunction induced by hypermobility of the patellofemoral joint (HFL), which is ultimately affected by the patellofemoral joint.<\/p><p>Alongside joint pain, pain can also occur around the knee, particularly affecting the tendons. The most affected are the iliotibial band (see iliotibial band syndrome or IT band syndrome) and the pes anserinus tendons located on the inner surface of the tibial plateau. Why these tendons? Because they attempt to counteract the excessive external rotation of the tibia associated with exaggerated supination upon impact of the foot with the ground, induced by iliotibial band syndrome (ITBS). The forces involved are particularly significant since they are exerted eccentrically (braking the movement). Patients rarely complain of this pain, but it is consistently detected by palpation if specifically sought.<\/p><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da8d22b aleft elementor-widget-icon-box wgl-icon-box wgl-view-default button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"da8d22b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><span class=\"icon elementor-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" height=\"24px\" viewbox=\"0 -960 960 960\" width=\"24px\" fill=\"#1f1f1f\"><path d=\"m480-80-10-120h-10q-142 0-241-99t-99-241q0-142 99-241t241-99q71 0 132.5 26.5t108 73q46.5 46.5 73 108T800-540q0 75-24.5 144t-67 128q-42.5 59-101 107T480-80Zm80-146q71-60 115.5-140.5T720-540q0-109-75.5-184.5T460-800q-109 0-184.5 75.5T200-540q0 109 75.5 184.5T460-280h100v54Zm-101-95q17 0 29-12t12-29q0-17-12-29t-29-12q-17 0-29 12t-12 29q0 17 12 29t29 12Zm-29-127h60q0-30 6-42t38-44q18-18 30-39t12-45q0-51-34.5-76.5T460-720q-44 0-74 24.5T344-636l56 22q5-17 19-33.5t41-16.5q27 0 40.5 15t13.5 33q0 17-10 30.5T480-558q-35 30-42.5 47.5T430-448Zm30-65Z\"><\/path><\/svg><\/span><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-f90c04f\">Do you want to learn more about patellar syndrome?<\/span><\/span><\/h3><\/div><div class=\"wgl-infobox-content_wrapper\"><div class=\"wgl-infobox-content\"><p>On our Medicol website you will find additional detailed information.<\/p><\/div><\/div><div class=\"wgl-button-wrapper\"><a 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elementor-widget elementor-widget-button\" data-id=\"0576260\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/en\/dr-jacques-vallotton\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">View his profile<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-93c75c5 e-flex e-con-boxed e-con e-parent\" data-id=\"93c75c5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Patellofemoral pain syndrome is defined as mechanical pain felt on the front of the knee. Compression activities such as squatting and climbing can contribute to the pain.<\/p>","protected":false},"author":2,"featured_media":25606,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[135],"tags":[399],"class_list":["post-25413","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nos-medecins-sexpriment","tag-homepage"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/posts\/25413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/comments?post=25413"}],"version-history":[{"count":2,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/posts\/25413\/revisions"}],"predecessor-version":[{"id":25643,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/posts\/25413\/revisions\/25643"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media\/25606"}],"wp:attachment":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media?parent=25413"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/categories?post=25413"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/tags?post=25413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}