Bone bruising of femural lateral condyle

[junior_physiotherapist]

Hallo All

First wish to u a fast and full recovery.
In case of chondromalacia x-ray 'll be normal,depends more on clinical findings as Q-angle,...
Any way u've to strengthen ur quadriecps muscles in terminal extension so there is minimal stress to patellofemoral joint,high repetion with low resistance to the point of fatigue is less traumatic to joint than opposite!!,u've to focuse more on sensation of vastus medialis muscle contracting to emphasize it's medial pulling on patella,Stretch iliotibial band ,
Avoid stairs climbing and descending until muscles strength return back,don't make ur's knees flexed excessivly at sitting for prolonged periods,...

[jwilso]

he probably doesnt have chondromalacia. he has a history of trauma and so you probably wouldnt need to look at the biomechanical issues as if he had a patellofemoral maltracking problem he would have had pain prior to the accident. i feel that physios are sometimes a bit quick in prescribing VMO exercises and stretches of the lateral structures. its virtually impossible to lengthen the ITB in an adult anyway. why do we do it????