Diseases and disorders of the patella (kneecap) do impose a significant burden on healthcare systems, though this burden is often indirect or under-recognized compared to more severe joint conditions like advanced osteoarthritis or hip replacements.
Key Points of Burden:
- High Prevalence of Patellofemoral Disorders
- Patellofemoral pain syndrome (PFPS) and chondromalacia patellae are common, especially in adolescents, young adults, and athletes.
- Up to 25% of all knee pain cases in sports medicine clinics are patellofemoral in origin.
- Healthcare Utilization
- Many cases require multiple physician visits, physical therapy, and diagnostic imaging (e.g., X-rays, MRIs).
- Some cases lead to surgical interventions such as lateral release or realignment procedures.
- Chronicity and Recurrence
- These disorders often become chronic or recurrent, especially when not managed early or effectively.
- Chronic knee pain can limit function, affect mobility, and increase long-term healthcare needs.
- Impact on Productivity and Quality of Life
- Patellar disorders can lead to reduced physical activity, missed work or school, and lower quality of life, contributing to economic and social costs.
- Surgical Costs
- Though surgery is less common than conservative treatment, patellar instability surgeries and cartilage repair procedures can be expensive and complex, increasing the economic burden.
Summary
While not as catastrophic as major joint replacements, patellar diseases—especially if chronic or poorly managed—contribute meaningfully to healthcare costs through high prevalence, repeated care needs, physical therapy, imaging, and lost productivity.
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