15/F complains of anterior knee pain, increased on climbing stairs and getting up after prolonged sitting. Diagnosis is:
**Core Concept**
The patient's symptoms of anterior knee pain, exacerbated by activities that load the patellofemoral joint, such as climbing stairs and rising from a seated position, suggest patellofemoral pain syndrome (PFPS). This condition is characterized by inflammation and degeneration of the cartilage and underlying bone in the patellofemoral joint.
**Why the Correct Answer is Right**
The pathophysiology of PFPS involves repetitive stress and strain on the patellofemoral joint, leading to inflammation and degeneration of the joint cartilage and underlying bone. This can be exacerbated by factors such as overuse, muscle imbalances, and poor tracking of the patella. The symptoms are typically localized to the anterior knee, and activities that load the patellofemoral joint, such as climbing stairs, can exacerbate the pain.
**Why Each Wrong Option is Incorrect**
**Option A:** Osgood-Schlatter disease is a condition that affects the tibial tubercle in adolescents, causing pain and swelling below the kneecap. It is not typically associated with anterior knee pain or symptoms exacerbated by climbing stairs.
**Option B:** Medial collateral ligament (MCL) injuries typically cause pain and instability on the medial aspect of the knee, rather than anterior knee pain.
**Option C:** Lateral collateral ligament (LCL) injuries typically cause pain and instability on the lateral aspect of the knee, rather than anterior knee pain.
**Clinical Pearl / High-Yield Fact**
A key factor to consider in the diagnosis of patellofemoral pain syndrome is the patient's activity level and any recent changes in their exercise routine. Patients with PFPS often report a gradual onset of symptoms, which can be exacerbated by activities that involve repetitive knee bending or straightening.
**Correct Answer: C. Patellofemoral pain syndrome**