Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis
- PMID: 29324820
- PMCID: PMC5764329
- DOI: 10.1371/journal.pone.0190892
Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis
Abstract
Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain.
Methods: An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis.
Results: 23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7-571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1%-14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3%-8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4%-28.0%).
Conclusion: This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
Prospero registration: CRD42016038870.
Conflict of interest statement
Similar articles
-
Patellofemoral pain in general practice: the incidence and management.Fam Pract. 2023 Nov 23;40(4):589-595. doi: 10.1093/fampra/cmad087. Fam Pract. 2023. PMID: 37669000 Free PMC article.
-
Risk factors for patellofemoral pain: a systematic review and meta-analysis.Br J Sports Med. 2019 Mar;53(5):270-281. doi: 10.1136/bjsports-2017-098890. Epub 2018 Sep 21. Br J Sports Med. 2019. PMID: 30242107
-
Prevalence of patellofemoral pain and knee pain in the general population of Chinese young adults: a community-based questionnaire survey.BMC Musculoskelet Disord. 2018 May 24;19(1):165. doi: 10.1186/s12891-018-2083-x. BMC Musculoskelet Disord. 2018. PMID: 29793456 Free PMC article.
-
Knee orthoses for treating patellofemoral pain syndrome.Cochrane Database Syst Rev. 2015 Dec 8;2015(12):CD010513. doi: 10.1002/14651858.CD010513.pub2. Cochrane Database Syst Rev. 2015. PMID: 26645724 Free PMC article. Review.
-
Exercise for treating patellofemoral pain syndrome.Cochrane Database Syst Rev. 2015 Jan 20;1(1):CD010387. doi: 10.1002/14651858.CD010387.pub2. Cochrane Database Syst Rev. 2015. PMID: 25603546 Free PMC article. Review.
Cited by
-
Efficacy of Osteopathic Manipulative Treatment for Pain Reduction in Patients With Patellofemoral Pain Syndrome: A Meta-Analysis of Randomized Controlled Trials.Cureus. 2024 May 1;16(5):e59439. doi: 10.7759/cureus.59439. eCollection 2024 May. Cureus. 2024. PMID: 38826947 Free PMC article. Review.
-
Evaluating the Impact of Flossing Band Integration in Conventional Physiotherapy for Patellofemoral Pain Syndrome.J Clin Med. 2024 May 17;13(10):2958. doi: 10.3390/jcm13102958. J Clin Med. 2024. PMID: 38792499 Free PMC article.
-
Arthroscopic Patella Realignment for Children And Adolescents: A Single Incision Technique.Arthrosc Tech. 2024 Jan 9;13(4):102900. doi: 10.1016/j.eats.2023.102900. eCollection 2024 Apr. Arthrosc Tech. 2024. PMID: 38690340 Free PMC article.
-
Clinical value of questionnaires & physical tests for patellofemoral pain: Validity, reliability and predictive capacity.PLoS One. 2024 Apr 17;19(4):e0302215. doi: 10.1371/journal.pone.0302215. eCollection 2024. PLoS One. 2024. PMID: 38630735 Free PMC article.
-
The effect of high-intensity laser therapy on pain and lower extremity function in patellofemoral pain syndrome: a single-blind randomized controlled trial.Lasers Med Sci. 2024 Apr 17;39(1):103. doi: 10.1007/s10103-024-04017-y. Lasers Med Sci. 2024. PMID: 38630331 Free PMC article. Clinical Trial.
References
-
- Arthritis Research. Musculoskeletal Matters. 2009.
-
- Health and Safety Executive. Health and Safety statistics 2009/10. 2010.
-
- Watkins-Castillo S, Andersson G. United States Bone and Joint Initiative: The Burden of Musculoskeletal Diseases in the United States (BMUS). Burd Musculoskelet Dis Int He United States 2014.
-
- Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, et al. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome m. Br J Sports Med 2016;50:839–43. doi: 10.1136/bjsports-2016-096384 - DOI - PMC - PubMed
-
- Roush JJR, Bay RC, Curtis Bay R. Prevalence of anterior knee pain in 18–35 year-old females. Int J Sports Phys Ther 2012;7:396–401. doi: 10.1016/j.jsams.2011.05.004 - DOI - PMC - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources