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🦵Knee Conditions — Patellofemoral and Ligament Issues

Knee · The knee is the body's largest joint and one of its most frequently injured, relying on ligaments and surrounding muscles rather than bony shape for stability.

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Quick answers

What is patellofemoral pain syndrome?

Patellofemoral pain syndrome describes pain around or behind the kneecap, often related to how the kneecap tracks in its groove during bending movements, and is common among runners and young active individuals.

What is the difference between the meniscus and the ACL?

The menisci are C-shaped cartilage cushions that absorb shock between the thigh and shin bones, while the anterior cruciate ligament (ACL) is one of several ligaments that control the knee's stability during rotation and forward sliding of the shin bone.

Does every meniscus tear need surgery?

Many meniscus tears, particularly smaller or degenerative tears in middle-aged and older adults, are managed successfully with exercise-based rehabilitation, while larger or mechanically unstable tears may be considered for surgical repair.

Is running bad for the knees?

Current evidence generally does not support the idea that recreational running increases the risk of knee osteoarthritis, and moderate running is often considered compatible with long-term joint health for most people.

What does a 'locked knee' mean?

A locked knee refers to an inability to fully bend or straighten the joint, often due to a displaced piece of torn meniscus or loose cartilage fragment, and typically warrants prompt evaluation.

How common is knee osteoarthritis?

Knee osteoarthritis is among the most common joint conditions affecting older adults, with prevalence increasing steadily with age and additional risk associated with prior injury and higher body weight.

Start with this section - Common problems

Knee conditions span a wide range, from overuse-related pain around the kneecap in younger, active individuals to degenerative osteoarthritis in older adults, with ligament and meniscus injuries most common during sport.

Because the knee is examined and treated separately from a suspected ACL tear on this site, this section focuses on the broader range of knee conditions beyond ligament rupture specifically.

Relative clinical burden

Patellofemoral pain syndrome
60
Knee osteoarthritis
55
Meniscus tear
35
Patellar tendinopathy
30
Iliotibial band syndrome
25
Collateral ligament sprain
20

Common problems

Mild–moderate

Patellofemoral pain syndrome

Pain around or behind the kneecap related to how it tracks during bending, common among runners, cyclists, and young active individuals.

Moderate–severe

Knee osteoarthritis

Gradual degeneration of joint cartilage, most common in older adults, producing pain, stiffness, and reduced function that typically progresses over months to years.

Moderate

Meniscus tear

Damage to one of the C-shaped cartilage cushions, occurring from acute twisting injury in younger individuals or gradual degeneration in older adults.

Mild–moderate

Patellar tendinopathy

Overuse-related irritation of the tendon connecting the kneecap to the shin bone, common in jumping sports and often called jumper's knee.

Mild–moderate

Iliotibial band syndrome

Pain at the outer knee related to irritation where the iliotibial band crosses the joint, frequently seen in runners and cyclists during periods of increased training.

Mild–moderate

Collateral ligament sprain

Stretching or tearing of the ligaments at the inner or outer knee, often from a direct blow or sideways stress during contact sport.

Given the range of tissues that can be involved, knee assessment typically considers the pattern of pain location, activity triggers, and any history of trauma to help narrow the likely diagnosis.

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