gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

The clinical examination in the diagnostics of the "anterior knee pain"

Meeting Abstract

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  • corresponding author A. Betthäuser - Landesbetrieb Krankenhäuser am Allg. Krankenhaus Eilbek, Orthopädie und Unfallchirurgie, Hamburg
  • E. Hille - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP66

The electronic version of this article is the complete one and can be found online at:

Published: June 13, 2005

© 2005 Betthäuser et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The high structural density of the knee-joint extensors and the large number of (etio-) pathogenesis being considered make the diagnosis of "anterior knee pain" difficult.

In reviewing the latest literature on this topic as well as our clinical experience of specialized consultation hours for the past 11 years, it is evident that only a systematic and a programmed way of proceeding can be effective. Diagnosis should rely on localization, type, and finally the classification into known clinical scenarios. The highest possible diagnostic accuracy can then be achieved by

using this step-by-step diagnostic algorithm determined by the previously known pathology in the field of Femoropatellarjoints and based on ten sensitive basic tests. Depending on the pathology found in these basic tests, the relevant structures being considered are studied further with specific structural tests.

In the lecture this efficiency-orientated algorithm will be demonstrated.

A handout will be distributed.