Patellar malalignment syndrome in runners.

Running popularity has risen dramatically in the last decade with a corresponding increase in running injuries. This article discusses the characteristics, presentation and conservative management of one of the most common running injuries: the chondromalacia patellae syndrome. This is more accurately referred to as a patellar malalignment syndrome since malalignment affecting the patella is the primary cause of pathology while cartilage damage is the possible long-term effect. This injury is preventable with anticipatory guidance regarding running practices and it usually responds well to a therapeutic regimen involving salicylates, muscular strengthening exercises and structural support. In the majority of cases, these preventive and therapeutic measures may be properly administered by a primary health care provider.